基于肝藏血舍魂理论探讨从肝论治失眠

发布时间：2019-02-22 18:52

【摘要】：失眠属中医学"不寐"范畴,为临床常见病、多发病。经查阅经典文献,结合藏象学说,基于"肝藏血,血舍魂"理论指出本病的发生与肝密切相关,以肝藏血舍魂功能失司为病机之关键。文章从调理肝脏入手,以辨证论治为核心,临证归为阴血亏虚,神魂失荣不得眠、肝郁血瘀,魂不安藏不得眠及阴血下虚,肝阳亢逆,扰魂惊神不得眠三类病机。分别采用补养肝血,宁心安神、理气解郁,化瘀安神及清肝降逆,柔肝潜阳,除烦宁神治疗,获得较好疗效,并辅以验案。
[Abstract]:Insomnia belongs to the category of insomnia in traditional Chinese medicine. Based on the theory of "liver hiding blood, blood house soul", it is pointed out that the occurrence of this disease is closely related to the liver, and the key to the pathogenesis is the loss of the function of the liver storing blood house soul in combination with the theory of Tibetan image. The article starts with regulating the liver, regards differentiation and treatment as the core, the clinical syndrome is classified as yin and blood deficiency, the spirit and soul lose glory can not sleep, the liver is depressed and blood stasis, the soul uneasiness can not sleep and Yin blood is deficiency, the liver yang is hyperactive, and the soul is afraid of God can not sleep three kinds of pathogenesis. Nourishing liver and blood, tranquilizing the mind, regulating qi and relieving depression, resolving blood stasis and clearing the liver and lowering the reverse, soothing the liver and nourishing yang, removing boredom and tranquilizing the spirit, obtaining better curative effect, and assisting with the case.
【作者单位】：南京中医药大学第二附属医院;南京中医药大学第一临床医学院;
【基金】：江苏省中医药局科技研究项目(No.YB2015052) 南京中医药大学校级重点学科建设项目(No.南京医大科字[2013]5号) 南京中医药大学第二附属医院科研基金项目(No.SEZJJP201601)~~
【分类号】：R249;R256.23

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