摘要
目的通过中医期刊文献了解中医对阳虚失眠的辨治认识。方法检索1979年3月至2010年2月维普全文数据库、中国生物医学文献数据库和中国学术期刊全文数据库,收集中医期刊中从阳虚论治失眠的文献,应用内容分析法分别从辨治思路、辨治依据、治疗法则、常用方剂等方面分析文献对阳虚失眠的论治。结果共纳入符合标准文献60篇。从阳虚论治失眠辨治思路以辨病思维(27篇)和辨病结合辨证(25篇)为主,其依据主要是阳虚症状及舌脉象(39篇)、伤阳(气)因素(14篇),所用治法主要是温阳安神法(32篇)、温阳补益法(22篇),使用最多的方剂是桂枝汤类(17篇),其次为自拟方(11篇)、四逆汤类(9篇)、肾气丸类(7篇)。结论中医对阳虚失眠辨治积累了一定的理论认识和实践经验,但是从文献数量来看,其总体认识不足。
Objective To research the syndrome identification and treatment administration of insomnia with yang deficiency syndrome in Chinese medicine journals. Methods Literature on treating insomnia from yang deficiency in Chinese medicine journals was searched from VIP database, Chinese Biomedical Literature Database （CBM） and China National Knowledge In ternet （CNKI） from March 1979 to February 2010. The syndrome identification and treatment administration of insomnia with yang deficiency syndrome was analyzed with content analysis method from treating ideas, treating basis, treating rule and com- monly used prescriptions. Results Sixty articles were selected according to the standard. The main treating ideas of insomnia from yang deficiency were disease identification （27 articles） and disease identification combined with syndrome identification （25 articles）. The treating basis was symptoms of yang deficiency, tongue image and pulse （39 articles） and damage to yang and qi （14 articles）. The commonly used treating rule was warming yang and quieting the spirit （32 articles） and warming yang and supplementing （22 articles）. The commonly used prescriptions were Guizhi Decoction （Cinnamon Twig Decoction, 17 arti ties） and self-made formulas （11 articles）, Sini Decoction （Decoction for Resuscitation, 9 articles）, and Shenqi Wan （Pill for Tonifying Kidney-qi, 7 articles）. Conclusion Chinese medicine has theoretical knowledge and practical experience in treating insomnia with yang deficiency. However, it is lake of overall knowledge from the literature amount.
出处
《中医杂志》
CSCD
北大核心
2012年第16期1412-1415,共4页
Journal of Traditional Chinese Medicine
基金
广东省科学技术厅资助项目(20070330036)
广东省中医院中医药科学技术研究专项
关键词
阳虚
失眠
内容分析法
文献研究
yang deficiency
insomnia
content analysis method
literature study
