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邓颖萍,王建康,王杨帆,徐程,张辽.张仲景运用风药治疗失眠方法探讨[J].浙江中西医结合杂志,2022,32(10):
张仲景运用风药治疗失眠方法探讨
Zhang Zhongjing's application of wind medicine in the treatment of insomnia
投稿时间:2022-02-28  修订日期:2022-04-27
DOI:
中文关键词:  风药  不寐  张仲景  名医经验  中医治疗
英文关键词:wind medicine  Insomnia  Zhang Zhongjing  Experience of famous doctors  TCM Treatment
基金项目:
作者单位E-mail
邓颖萍 浙江省宁波市中医院 dengyingpingping@163.com 
王建康* 浙江省宁波市中医院 wjk7009@126.com 
王杨帆 浙江省宁波市奉化区溪口医院  
徐程 浙江省宁波市中医院  
张辽 浙江省宁波市中医院  
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中文摘要:
      不寐是脏腑功能紊乱,阴阳失调的一类病证。风邪则是不可忽视的致病因素。张仲景在《伤寒杂病论》中治疗失眠有八方,分别采用养阴祛风、养心祛风、泄热祛风、泻火祛风、温阳祛风、制水祛风、破瘀祛风及散寒祛风八法。治疗特色为治病求本,审因施治,不以神安神;整体观念,系统循证,不以心安心;动静相济,以动达静,不以静安静。风药的作用不局限于疏风解表,还可振奋心阳、宣发肺气、运脾化湿、调畅肝气、温肾化气、升发阳气、发散火郁等,在情志病特别是失眠的治疗中具有独特的作用,张仲景运用辛味风药治疗失眠的八方八法独辟蹊径,值得进一步深入探讨与运用。
英文摘要:
      Insomnia is a kind of disease syndrome with dysfunction of Zang Fu organs and imbalance of yin and Yang. Wind evil is a pathogenic factor that can not be ignored. In Treatise on Febrile and miscellaneous diseases, Zhang Zhongjing has eight ways to treat insomnia: Nourishing Yin and expelling wind, nourishing heart and expelling wind, relieving heat and expelling wind, purging fire and expelling wind, warming yang and expelling wind, making water and expelling wind, breaking blood stasis and expelling wind, and dispersing cold and expelling wind. The treatment is characterized by seeking the root cause of disease treatment, judging the cause of treatment, and not calming the mind with God; Overall concept, systematic evidence-based, not at ease; The combination of movement and stillness, to achieve stillness with movement, not with stillness. The function of wind medicine is not limited to relieving the wind and relieving the surface, but also can stimulate the heart Yang, publicize the lung qi, transport the spleen and remove the dampness, regulate the liver qi, warm the kidney and remove the Qi, promote the Yang Qi, spread the fire depression, etc. it has a unique role in the treatment of emotional diseases, especially insomnia. Zhang Zhongjing's eight ways and eight methods of using pungent wind medicine to treat insomnia are unique, which is worthy of further discussion and application.
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