文章摘要
胡霖霖,张芯,张永华.从梦与情志的关联探讨张永华情志辨证理论指导下多梦症的治疗经验[J].浙江中医药大学学报,2024,48(7):813-817.
从梦与情志的关联探讨张永华情志辨证理论指导下多梦症的治疗经验
Discussion on the Experiences in Treating Multiple-Dream Disorder Using ZHANG Yonghua’s Emotion Syndrome Differentia. tion Theory Based on the Association Between Dreams and Emotional States
DOI:10.16466/j.issn1005-5509.2024.07.009
中文关键词: 多梦症  情志  情志辨证理论  中医药疗法  名医经验  张永华
英文关键词: multiple-dream disorder  emotion  emotion syndrome differentiation theory  therapy of traditional Chinese medicine  experience of famous doctors  ZHANG Yonghua
基金项目:国家自然科学基金项目(82205000);浙江省中医药科技计划项目(2022ZB246、2023ZL361);第七批全国老中医药专家学术经验继承工作项目(国中医药人教函〔2022〕76号)
作者单位
胡霖霖 浙江中医药大学附属杭州市中医院杭州 310007 
张芯 浙江中医药大学 
张永华 浙江中医药大学附属杭州市中医院杭州 310007 
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中文摘要:
      [目的]总结张永华教授运用情志辨证理论治疗多梦症的临证经验。[方法]
英文摘要:
      [Objective] To summarize Professor ZHANG Youhua’s clinical experience in treating multiple-dream disorder based on the emotion syndrome differentiation theory. [Methods] By sorting out,reviewing and analyzing Professor ZHANG’s medical cases related to the treatment of multiple dream disorder,this paper summarized Professor ZHANG’s academic experience in the treatment of multiple-dream disorder from the aspects of etiology,pathogenesis,treatment principles and methods of traditional Chinese medicine understandingthe association between dreams and emotional states,and listed one medical case for vevification. [Results] In the treatment of multiple dream disorder,Professor ZHANG emphasizes the importance of the emotional experience in dreams rather than the content of the dreamsthemselves. Therefore,the use of emotion syndrome differentiation method is deemed appropriate. According to the emotional experience in dreams,multiple-dream disorder is divided into five basic types: thinking,panic,anger,sad sorrow and joy syndromes. The three core pathogeneses of“Qi,phlegm and fire”are addressed through methods such as eliminating phlegm,regulating Qi and clearing fire. The medical case cited was multiple-dream disorder with panic syndrome,“phlegm stagnation and fire hyperactivity”was the main pathogenesis,the treatment of clearing fire and eliminating phlegm,calming the heart and tranquilizing the mind was adopted,and the prescription was based on Qinlian Wendan Decoction,added and subtracted according to the syndrome,and achieved a significant effect. [Conclusion] Professor ZHANG Yonghua’s approach to treating multiple-dream disorder is based on the theory of emotional syndromedifferentiation theory. He emphasizes the importance of emotional experiences in dreams,and his unique experience has shown remarkable clinical results. This approach is worth considering,learning from and promoting.
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