| 孙莹,刘强.“形神兼顾 虚实并调”治疗心脑血管病共病性失眠的临床实践[J].浙江中西医结合杂志,2022,32(8): |
| “形神兼顾 虚实并调”治疗心脑血管病共病性失眠的临床实践 |
| The Clinical Practice of Treating Cardio-cerebrovascular Comorbid Insomnia by |
| 投稿时间：2021-12-10 修订日期：2022-02-02 |
| DOI： |
| 中文关键词: 共病性失眠 心脑血管病 形神兼顾 虚实并调 散结消窠 |
| 英文关键词:comorbid insomnia cardio-cerebrovascular disease giving consideration to both the body and mind co-regulating the deficiency and excess dissipating mass and resolving stagnation |
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| 中文摘要: |
| [目的]总结心脑血管病共病性失眠的临床实践经验,归纳诊治思路及用药规律。[方法]通过整理心脑血管病共病性失眠的临床验案,结合中医基础理论及相关文献查阅,探讨对心脑血管病共病性失眠的中医认识,分析并归纳临床诊治思路及用药规律,并列举心脑血管共病性失眠的典型医案各一则加以论述。[结果]心脑血管病共病性失眠以血脉为共同病位,表现为以气血营卫体用关系为基础的形神共病,病机关键在于血脉窠囊内生,而致虚实夹杂,心神受扰或心神失养。治疗上基于病机共性,以形神兼顾、虚实并调为原则,以散结消窠以复血脉、调和营卫以安神明为大法。并辅以临床验案进行具体论述。[结论]心脑血管病共病性失眠属形神俱病,以虚实夹杂为病性特点,临床实践中宜紧扣病机共性,形神兼顾、虚实并调,以通血脉、调营卫、安神志,达到“血脉和利、精神乃居”。 |
| 英文摘要: |
| [Objective] To summarize the clinical experience of cardio-cerebrovascular comorbid insomnia, summarize the diagnosis and treatment ideas and medication rules for reference. [Method] Through sorting out clinical cases of cardio-cerebrovascular comorbid insomnia, combining the basic theory of TCM and related literature review, this paper discusses the understanding of cardio-cerebrovascular comorbid insomnia, analyzes and summarizes the clinical diagnosis and treatment ideas and medication rules, and lists two typical medical case to prove. [Results] The common pathological manifestation of Cardio-cerebrovascular disease and insomnia is pulse.Comorbidity insomnia is the comorbidity of body and spirit based on the relationship between qi, blood, nourishment and defense. The key of pathogenesis lies in the endogenesis of the sac and anxiety, which is characterized by the inclusion of deficiency and excess.The treatment is based on the common characteristics of the pathogenesis, and the principle of giving consideration to both the physical and mental aspects, as well as the deficiency and excess. The two cases selected were insomnia comorbidities of coronary heart disease and ischemic stroke, which just reflected the above argument. [Conclusion] Cardio-cerebrovascular disease comorbid insomnia is characteristic with the body and spirit comorbidity, deficiency and excess include. In clinical practice, we should seize the disease mechanism commonness, take both the body and spirit into account, as well as the deficiency and excess, to fill the purpose of“smooth blood flow leading to normal mind”. |
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