摘要
[目的]探讨马伟明主任治疗不寐的临证经验。[方法]通过跟师临诊抄方,收集临床所见不同证型的不寐案例,体悟马师对不寐病因病机之认识,探索马师遣方用药之规律,总结马师运用经典方剂、辨证治疗不寐的学术经验。[结果]马师认为诸事扰心,心神动摇,致肝藏魂的功能亦出现异常,神魂难安而致不寐,多伴随梦扰纷纭,故临床辨证注重"梦诊"。治疗当宁心神、安肝魂,心肝同治。临证用药善用花类药条畅气机。又认为不寐为患,久病必入络致瘀,故临证善用虫类药搜剔通络祛风,净化清窍,促进睡眠。[结论]马伟明主任根据不寐病因,"辨梦"施治,善用经典方剂,结合自身独特临证经验辨治不寐病症,遣方用药疗效显著,值得学习推广。
[Objective] To explore the clinical experience of Ma Weiming in the treatment of insomnia.[Method] By following the teacher clinic, the author summarizes chief physician Ma Weiming＇s academic experience of treatment of insomnia with classical prescriptions. [Results] In Ma Weiming＇s opinion,everything harasses the heart, mind vacillation, inducing liver＇s function of storing soul abnormal, the spirit restless is due to insomnia with much dream.So teacher Ma pays attention to ＂dream diagnosis＂.The treatment of insomnia must be combined with heart and liver, making the mind quiet and the liver comfortable. He likes using flowers to balance Qi. In Ma Weiming＇s opinion, collaterals are invaded by prolonged illness, due to blood stasis. The treatment should use insect drugs to dispell wind and remove obstruction in the meridians, purifying orifices, promoting sleep. [Conclusion] According to the etiology of insomnia to distinguish among different dreams, teacher Ma uses classical prescriptions and combines with his own unique clinical experience on treating insomnia, which has significant effect and worth generalizing.
出处
《浙江中医药大学学报》
CAS
2015年第10期753-755,共3页
Journal of Zhejiang Chinese Medical University
关键词
马伟明
失眠
不寐
心肝同治
虫类药
名医经验
Ma Weiming
insomnia
treat both heart and liver
insect drugs
famous doctor＇s experience
