| 黄天宇,张其成.孙思邈胆虚寒论治失眠思想探析[J].浙江中医药大学学报,2023,47(9):1100-1105. |
| 孙思邈胆虚寒论治失眠思想探析 |
| SUN Simiao’s Thought of Treating Insomnia with Deficiency and Cold of Gallbladder |
| DOI：10.16466/j.issn1005-5509.2023.09.019 |
| 中文关键词: 失眠 胆虚寒证 温胆汤 孙思邈 千金方 脏腑辨证 |
| 英文关键词: insomnia syndrome of gallbladder deficiency and cold Wendan Decoction SUN Simiao Thousand Golden Prescriptions syndrome differentiation of viscera |
| 基金项目:国家社会科学基金项目(16ZDA234) |
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| 中文摘要: |
| [目的] 梳理胆虚寒理论以及温胆汤的源流与演变，了解孙思邈胆虚寒论治失眠思想的起源、流传、演变以及消解过程。[方法] 检索隋唐以前与失眠相关的文献资料，按照治疗思路进行分类，每一类按照年代排序，再选取其中与胆虚寒相关的内容，梳理不同材料间的传承关系。再通读《千金方》全书，归纳孙思邈设置全书章节框架的思路，分析孙思邈将失眠划分到胆虚寒篇章的原因，以此揣摩孙思邈对失眠的认识。[结果] 胆虚寒理论起源于脏腑虚实系统，该系统是一种以五脏六腑虚实脉症为核心构建起来的辨证体系。然而该理论忽视了心、小肠系统和脾胃系统对失眠的影响，本身不够全面，又受到宋金元以来诞生的新兴医学理论的冲击，胆虚寒失眠遂被心肾不交所取代。[结论] 用胆虚寒概括失眠病机是唐宋年间中医学研究失眠的一种尝试，研究这种探索过程对理解唐宋年间的医学著作有一定帮助，对失眠的临床治疗也有一定的参考价值。 |
| 英文摘要: |
| [Objective] To sort out the origin and evolution of the theory of gallbladder deficiency and cold and Wendan Decoction， and understand the origin， spread， evolution and dissolution of SUN Simiao’s thought of treating insomnia with gallbladder deficiency and cold. [Methods] The literature related to insomnia before the Sui and Tang Dynasties was retrieved and classified according to the treatment ideas. Each category was sorted according to the age， and then the content related to gallbladder deficiency and cold was selected to sort out the inheritance relationship between different materials. Then read the whole book of Thousand Golden Prescriptions， sum up SUN Simiao’s idea of setting up the chapter framework of the whole book， analyze the reason why SUN Simiao divided insomnia into chapters of gallbladder deficiency and cold， so as to figure out SUN Simiao’s understanding of insomnia. [Results] The theory of gallbladder deficiency and cold originated from the system of deficiency and excess of the viscera， which was a syndrome differentiation system based on the syndrome of deficiency and excess of the viscera. However， this theory ignored the influence of the heart， small intestine system and spleen stomach system on insomnia， which was not comprehensive enough. It was also impacted by the emerging medical theory since the Song， Jin and Yuan Dynasties， so insomnia due to gallbladder deficiency and cold was replaced by the heart kidney disjunction. [Conclusion] Summarizing the pathogenesis of insomnia with gallbladder deficiency and cold was an attempt to study insomnia in traditional Chinese medicine during the Tang and Song Dynasties， and studying this exploration process is helpful for understanding medical works during the Tang and Song Dynasties and has certain reference value for clinical treatment of insomnia. |
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