摘要
"阳不入阴"是失眠的关键病机,包括阳盛、阴虚、阴盛、阳虚四个方面。由于阴阳既相互对立,也相互依存,因此临证中失眠病机较为复杂,常见阴虚与阳盛合并,或阳虚与阴盛共存。调和阴阳,使阴阳相交是失眠的治疗大法。阳盛证治宜清肝泻火、清心安神;阴虚证治宜滋补肝肾、宁心安神;阳虚证治宜温补心肾、通阳化气;阴盛证治宜化痰开窍、活血化瘀;若阴阳俱病、虚实夹杂,则需阴阳并调、气血兼顾、攻补兼施。
That"yang can not go into yin"is the key pathogenesis of insomnia,including yang excess,yin deficiency,yin excess and yang deficiency.Because yin and yang are both opposite and interdependent,the pathogenesis of insomnia is more complex in clinical practice.It is common that yin deficiency and yang excess are combined,or yang deficiency and Yin excess coexist.Regulating yin and yang and making them intersect are the main treatment methods for insomnia.The treatment of yang excess syndrome is suitable for clearing liver and purging fire,clearing heart and calming spirit;the treatment of yin deficiency syndrome is suitable for nourishing liver and kidney,calming heart and calming spirit;the treatment of yin excess syndrome is suitable for resolving phlegm to open orifices,promoting blood circulation to remove blood stasis;if both yin and yang are imbalance and deficiency and excess are mixed,it is necessary to regulate both yin and yang,give consideration to both qi and blood,and reinforcement and elimination in combination.
作者
刁雅静
钟华
相宏杰
宋晓明
滑振
卢伟
DIAO Yajing;ZHONG Hua;XIANG Hongjie;SONG Xiaoming;HUA Zhen;LU Wei(The First Affiliated Hospital of Shandong First Medical University,Jinan Shandong China 250014;Beijing Hospital of Chinese Medicine Affiliated to Capital Medical University,Beijing China 100010)
出处
《中医学报》
CAS
2021年第5期948-951,共4页
Acta Chinese Medicine
基金
山东省中医药科技项目面上项目(2020M049)。
关键词
“阳不入阴”
失眠
阳盛
阴虚
阴盛
阳虚
"yang can not go into yin"
insomnia
yang excess
yin deficiency
yin excess
yang deficiency
