[1]胡亚莉 沈舒文.名老中医沈舒文教授辨治不寐六法[J].现代中医药,2022,1(04):100-104.[doi:10.13424/j.cnki.mtcm.2022.04.019]
 HU Yali SHEN Shuwen.Famous Traditional Chinese Medicine Professor SHEN Shuwen Applying Six Differentiation and Treatment Methods for Insomnia[J].Modern Traditional Chinese Medicine,2022,1(04):100-104.[doi:10.13424/j.cnki.mtcm.2022.04.019]
点击复制

名老中医沈舒文教授辨治不寐六法
分享到:

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
1
期数:
2022年04期
页码:
100-104
栏目:
临床精粹
出版日期:
2022-07-22

文章信息/Info

Title:
Famous Traditional Chinese Medicine Professor SHEN Shuwen Applying Six Differentiation and Treatment Methods for Insomnia
文章编号:
1672-0571(2022)04-0100-05
作者:
胡亚莉1 沈舒文2
1.陕西中医药大学,陕西 咸阳 712046;
2.陕西中医药大学附属医院,陕西 咸阳 712000
Author(s):
HU Yali1 SHEN Shuwen2
1.Shaanxi University of Chinese Medicine,Shaanxi Xianyang 712046,China;
2.Affiliated Hospital of Shaanxi University of Chinese medicine,Shaanxi Xianyang 712000,China
关键词:
关键词:沈舒文不寐六法精神调摄
Keywords:
Key words:SHEN ShuwenInsomniaSix methodsMental adjustment
分类号:
R256.23
DOI:
10.13424/j.cnki.mtcm.2022.04.019
文献标志码:
A
摘要:
摘 要: 不寐可见于多种疾病中,沈舒文教授认为心神安藏,神安则寐,不寐为心不藏神的病理表现,但与心、肝胆、肾、脾胃等多个脏腑功能失常有密切关系。经过多年临床实践,沈舒文教授总结出治不寐六法,即健脾养心、益气镇惊、交通心肾、疏肝养血、清化痰热、和胃导滞;同时注意精神卫生,加强精神调摄,临床效果颇佳。
Abstract:
Abstract:Insomnia can be seen in a variety of diseases. Professor SHEN Shuwen believes that when the heart mind is calm,and the sleep will be is normal. Insomnia is the pathological manifestation of the heart not containing the mind,but it is closely related to the dysfunction of the heart,liver,gallbladder,kidney,spleen and stomach and other viscera. After years of clinical practice,Professor SHEN Shuwen summarized six methods for insomnia,namely,strengthening the spleen and nourishing the heart,supplementing Qi and calming,communicating the heart and kidney,soothing the liver and nourishing blood,clearing phlegm and heat,and regulating the stomach;at the same time,we should pay attention to mental health and strengthen mental adjustment. The clinical effect is quite good.

参考文献/References:

[1]张伯礼,吴勉华.中医内科学[M].4版.北京:中国中医药出版社,2017:107.
[2]JANSSON FR JMARK M,NORELL-CLARKE A.Thecognitive treatment components and therapies of cognitive behavioral therapy for insomnia:a systematic review[J].Sleep Med Rev,2018(42):19-36.
[3]中华医学会神经病学分会,中华医学会神经病学分会睡眠障碍学组.中国成人失眠诊断与治疗指南(2017版)[J].中华神经科杂志,2018,51(5):324-335.
[4]洪秋阳,杨惠民,赵吉平,等.火针五脏俞加膈俞配合毫针治疗慢性失眠症临床疗效观察[J].中国全科医学,2019,22(3):336-340.
[5]中国睡眠研究会.中国失眠症诊断和治疗指南[J].中华医学杂志,2017,97(24):1844-1856.
[6]SIRIWARDEN A AN,APEKEY T,TILLIN G M,et al.General practitioners,preferences for managing insomnia and opportunities for reducing hypnotic prescribing[J].J Eval Clin Pract,2016,16(4):731-737.
[7]孙烨琨,师乐,陈斯婧,等.镇静催眠药物治疗对失眠患者认知功能的影响[J].中国神经精神疾病杂志,2017,43(11):701-704.
[8]KRIPKE D F.Hypnotic drug risks of mortality,infection,depression,and cancer:but lack of benefit[J].F1000research,2016,(5):918.
[9]高金赢,顾健华,向澍,等.心脾两虚型失眠的中医药治疗概述[J].中医药临床杂志,2018,30(10):1937-1941.
[10]赵阳,柏强.归脾汤加减治疗心脾两虚型失眠随机对照试验荟萃分析[J].辽宁中医药大学学报,2018,20(4):182-185.
[11]沈舒文.中医内科病证治法[M].北京:人民卫生出版社,1991:143.
[12]王淑静,谷松,孙明祎,等.基于“心肾不交”论黄连阿胶汤的临床应用[J].陕西中医,2021,42(1):96-98.
[13]李萍,唐远山.加味酸枣仁汤治疗肝血亏虚证失眠50例[J].陕西中医,2014,35(12):1616-1617.
[14]吕明强,王文娟.沈舒文运用交泰丸治疗顽固性失眠经验[J].河北中医,2010,32(9):1286-1287.
[15]唐容川.血证论[M].谷建军.校注.北京:中国医药科技出版社,2011:101.
[16]贾晓东,鱼涛.黄连温胆汤加减治疗脾胃湿热型痞满的临床疗效[J].临床医学研究与实践,2018,3(9):107-108.
[17]魏立晓,杨晓轶.从脾胃论治失眠的思路分析[J].中医临床研究,2021,32(13):115-117.
[18]曹云松,韩振蕴,王育纯,等.心肝同调治疗焦虑与抑郁障碍的探析和经验浅谈[J].环球中医药,2020,13(7):1221-1224.
[19]陈琛,邹忆怀,宁艳哲,等.基于“神主睡眠”探讨辨神论治失眠的诊治思路[J].环球中医药,2020,13(12):2124-2127.
[20]王艳阳,孙倩.张怀亮从君相火论治不寐经验介绍[J].新中医,2020,52(21):179-181.

备注/Memo

备注/Memo:
基金项目:咸阳市2020年重点研发计划项目(2020k02-113);第六批全国老中医药专家学术经验继承工作项目(国中医药人教发[2017]29号)
更新日期/Last Update: 2022-08-03