摘要
顽固性失眠是临床常见病之一,发病机制复杂,反复难愈,西医用药不良反应大。脾胃为后天之本,气机升降之枢纽,气机失调,则百病生。刘剑锋教授基于“阳明逆故不得卧”论治,以脾胃气机失常为基础,将其病因病机分为中焦气逆,肝郁化火;脾胃失和,痰热扰心;脾胃失常,心肾不交;脾胃失运,瘀血阻络。临床上从调理脾胃气机入手辨证论治,治疗效果显著,为顽固性失眠的治疗提供新的思路和方法。
Intractable insomnia is a common clinical condition with a complex pathogenesis,often characterized by recurrence and resistance to treatment,while Western medications frequently entail significant adverse effects.The spleen and stomach serve as the foundation of postnatal health and the pivotal hub of Qi movement;dysregulation of Qi dynamics can lead to various disorders.Professor Liu Jianfeng bases his treatment on the principle that“Yangming counterflow causes sleeplessness”,attributing the etiology and pathogenesis to dysfunction of spleen-stomach Qi movement.The condition is classified into four patterns:counterflow of middle-Jiao Qi with liver depression transforming into fire;spleen-stomach disharmony leading to phlegm-heat disturbing the heart;spleen-stomach dysfunction resulting in heart-kidney non-interaction;and impaired spleen-stomach transportation causing blood stasis obstructing the collaterals.Clinical treatment focuses on regulating the Qi movement of the spleen and stomach through syndrome differentiation,demonstrating remarkable therapeutic outcomes and providing a novel approach and methodology for managing intractable insomnia.
作者
张婷玉
朱婷钰
张丽君
ZHANG Tingyu;ZHU Tingyu;ZHANG Lijun(China Institute for History of Medicine and Medical Literature,China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处
《中国中医基础医学杂志》
2025年第10期1797-1800,共4页
JOURNAL OF BASIC CHINESE MEDICINE
基金
中央级公益性科研院所基本科研业务费专项(ZZ180507)。
关键词
刘剑锋
阳明逆故不得卧
顽固性失眠
临床经验
Liu Jianfeng
Yangming counterflow causes sleeplessness
Intractable insomnia
Clinical experience
