| 葛国岚,韩雪.郑启仲教授应用脏腑辨证治疗小儿睡眠障碍经验[J].浙江中医药大学学报,2020,44(9):876-880. |
| 郑启仲教授应用脏腑辨证治疗小儿睡眠障碍经验 |
| Professor ZHENG Qizhong's Experience in Treating Children's Sleep Disorder with Syndrome Differentiation of Viscera |
| DOI：10.16466/j.issn1005-5509.2020.09.009 |
| 中文关键词: 睡眠障碍 小儿 脏腑辨证 郑启仲 医案 名医经验 五脏失调 五神不安 |
| 英文关键词: sleep disorders children syndrome differentiation of viscera ZHENG Qizhong medical cases experience of famous doctor disharmony of the five viscera uneasy of the five emotions |
| 基金项目:国家中医药管理局第六批全国老中医药专家学术经验继承项目(国中医药人教发[2017]29号) |
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| 中文摘要: |
| [目的]总结郑启仲教授应用脏腑辨证治疗小儿睡眠障碍的临床经验。[方法]通过门诊跟师抄方，收集跟师医案，从病因病机、辨证治法、选方选药等方面阐述郑启仲教授的临床经验，总结其治疗小儿睡眠障碍的学术观点，并列举病案两例加以佐证。[结果]郑教授认为小儿睡眠障碍的核心病机为五脏失调、五神不安，痰湿之邪为重要的病理因素，饮食积滞、外邪侵袭、情志所伤为发病的诱因，治疗时当调整脏腑寒热、虚实，重视痰湿之邪，兼顾病因。选用龙胆泻肝汤、导赤散清心肝之热，附子理中汤、肾气丸温脾肾之寒，六君子汤、补中益气汤补脾胃之虚，温胆汤、十味温胆汤、神术散、涤痰汤等方剂祛痰湿之邪。所列病案两例，睡惊症案辨证为痰热内扰、心虚胆怯，予化痰清热、益气宁心，治以十味温胆汤加减；发作性睡病案，辨证为脾肾阳虚、寒湿困阻，治以麻黄附子细辛汤合七味白术散加味，均取得较好疗效。[结论]郑启仲教授应用脏腑辨证补虚泻实、调整寒热，治疗小儿睡眠障碍的临床经验临床疗效确切，值得推广、应用。 |
| 英文摘要: |
| [Objectives] To summarize Professor ZHENG Qizhong's clinical experience in treating children's sleep disorder by syndrome differentiation of viscera.[Methods] Through following Professor ZHENG's instructions through clinic works， collecting the cases， Professor ZHENG's clinical experience was expounded from the aspects of etiology and pathogenesis， syndrome differentiation and treatment， selection of prescriptions and drugs， etc， the academic viewpoint of treating children's sleep disorder was summarized， and two cases were enumerated to support it.[Results]Professor ZHENG believes that the core pathogenesis of this disease is the disorders of the five viscera， uneasy of the five emotions， the pathogenic phlegm and dampness is the important pathological factor， and stagnation of diet， invasion of external pathogen， injury of emotional are the precipitating factors of the disease. During the treatment， Professor ZHENG would adopt the methods of adjusting the viscera cold and heat， deficiency and excess， and pay attention to emphasizing the pathogenic factors of phlegm and dampness， and giving consideration to the etiology. Longdan Xiegan decoction and Daochi powder are used to clear the heat of heart and liver， Fuzi Lizhong decoction and Shenqi pill are used to warm the cold of spleen and kidney，Liujunzi decoction and Buzhong Yiqi decoction are used to fill the deficiency of spleen and stomach，Wendan decation， Shiwei Wendan decoction， Shenshu powder， Ditan decoction and other prescriptions were used to remove phlegm-dampness evil. Of the two cases listed， the syndrome of sleep terror was characterized by internal disturbance of phlegm and timidity due to deficiency of heart Qi， the patient was treated with modified Shiwei Wendan decoction to resolve phlegm， clear heat， benefit Qi and calm the heart. The case of narcolepsy was syndrome differentiated as deficiency of spleen and kidney Yang， stagnation of cold dampness， the patient was treated with Mahuang Fuzi Xixin decoction combined with modified Qiwei Baizhu powder. Both patients achieved good clinical results.[Conclusion] The clinical experience of Professor ZHENG Qizhong in the treatment of children's sleep disorders with visceral syndrome differentiation， reinforcing deficiency and reducing excess， regulating cold and heat is effective and worthy of popularization and application. |
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