文章摘要
陶方泽,曾庆琪,徐新宇,等.曾庆琪教授运用经方治疗失眠合并生殖系统疾病经验[J].浙江中医药大学学报,2024,48(3):337-340.
曾庆琪教授运用经方治疗失眠合并生殖系统疾病经验
Professor ZENG Qingqi’s Experience about Insomnia Combined with Reproductive System Diseases Treated with Classical Prescription
DOI:10.16466/j.issn1005-5509.2024.03.016
中文关键词: 失眠  生殖系统疾病  经方  医案  名医经验  曾庆琪
英文关键词: insomnia  reproductive system diseases  classical prescription  medical records  experience of famous doctors  ZENG Qingqi
基金项目:南京市中医药青年人才培养计划项目(宁卫中医﹝2020﹞4号、ZYQ20041);第七批全国老中医药专家学术经验继承工作(国中医药人教函〔2022〕76号);江苏省研究生科研与实践创新计划项目(苏学位字函〔2023〕4号、SJCX23_0811)
作者单位
陶方泽 南京中医药大学附属南京中医院 南京 210022 
曾庆琪 江苏卫生健康职业学院 
徐新宇 上海中医药大学附属岳阳中西医结合医院 
夏伟 南京医科大学附属江宁医院 
曾明月 南京大学 
邰杨 南京中医药大学附属南京中医院 南京 210022 
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中文摘要:
      [目的] 总结曾庆琪教授运用经方诊治失眠合并生殖系统疾病的学术经验。[方法] 通过跟诊学习,阅读古籍,整理相关临床医案,从失眠的经方治疗、生殖系统疾病的经方治疗、失眠合并生殖系统疾病的中医异病同治思路等方面,分析曾师治疗失眠合并生殖系统疾病的临床经验,并佐医案以论证。[结果] 曾师治疗失眠合并生殖系统疾病遵循中医异病同治理念,主张运用基于大中医观的辨体-辨病-辨证-辨局部-辨微观的“五辨”诊疗模式,用药重视因势利导、温清并用、通补兼施,认为经方治疗失眠合并生殖系统疾病取效的关键在于处理好“抑亢”与“释放”的问题,重视心(脑)、心肾之间关系的调和,既要疏通以治其标,亦要培补以治其本。所举两则医案中,案一患者失眠合并阳痿,辨为肝郁气滞、脾肾两虚证,治以四逆散合肾气丸化裁;案二患者失眠合并月经病,辨为心肾不交、冲任虚寒、瘀阻胞宫证,治以黄连阿胶汤合栀子豉汤合温经汤化裁,悉用经方,皆获良效。[结论] 曾师擅用经方治疗失眠合并生殖系统疾病,辨证灵活,用方精当,疗效确切,其丰富的临床经验值得临床学习和进一步推广。
英文摘要:
      [Objective] To summarize the academic experience of Professor ZENG Qingqi in the use of classical prescription in the diagnosis and treatment of insomnia combined with reproductive system diseases. [Methods] Through clinical follow-up studying, reading ancient books, Professor ZENG’s clinical experience in treating insomnia and reproductive system diseases was analyzed from the aspects of the treatment of insomnia with classical prescription, the treatment ideas of reproductive system diseases with classical prescription, and the concept of homotherapy for heteropathy in Chinese medicine for insomnia combined with reproductive system diseases, which was supported by medical cases. [Results] Professor ZENG’s treatment of insomnia combined with reproductive system diseases follows the concept of homotherapy for heteropathy in Chinese medicine, advocating the use of the “five differentiation” diagnostic and treatment mode based on Chinese medicine viewpoint, such as body differentiation, disease differentiation, syndrome differentiation, local differentiation and micro differentiation, and paying attention to promoting medication according to the situation, combining warming and clearing, dredging and tonifying. It is believed that the key to the effectiveness of classical prescription in treating insomnia combined with reproductive system diseases lies in dealing with the problems of “suppressing hyperactivity” and “releasing”, emphasizing the reconciliation between the relationship of heart(brain), heart and kidney, and not only dredging to treat the symptoms, but also cultivating and replenishing to treat the root cause. The patient in case one was of insomnia combined with impotence, identified as liver depression and Qi stagnation, spleen and kidney deficiency syndrome, modified Sini Powder and Shenqi Pills was used in treatment. Case two was of insomnia combined with menstruation, identified as disconnection of the heart and kidney, deficiency cold of Chong Ren and blood stasis blocking the uterus, treated with Huanglian Ejiao Decoction and Zhizishi Decoction combined with Wenjing Decoction. Both used classical prescriptions and achieved good results. [Conclusion] Professor ZENG specializes in the treatment of insomnia combined with reproductive system diseases with the use of meridian prescription, flexible identification, and appropriate prescription, with precise efficacy, its rich clinical experience is worth clinical learning and further promotion.
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