1.北京中医药大学 北京 100029
2.中国中医科学院西苑医院
3.中国中医科学院老年医学研究所
张瑶,女,在读硕士生
#徐凤芹,女,博士,主任医师、教授,博士生导师,E-mail:doctorxu@aliyun.com
纸质出版日期:2023-03-30,
收稿日期:2021-11-02,
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张瑶, 梅俊, 徐凤芹, 等. 运用引火汤治疗不寐的辨治思路探讨[J]. 现代中医临床, 2023,30(2):109-112.
ZHANG Yao, MEI Jun, XU Fengqin, et al. Thoughts on the pattern identification and treatment of insomnia with Yinhuo Tang[J]. Modern Chinese Clinical Medicine, 2023,30(2):109-112.
张瑶, 梅俊, 徐凤芹, 等. 运用引火汤治疗不寐的辨治思路探讨[J]. 现代中医临床, 2023,30(2):109-112. DOI: 10.3969/j.issn.2095-6606.2023.02.023.
ZHANG Yao, MEI Jun, XU Fengqin, et al. Thoughts on the pattern identification and treatment of insomnia with Yinhuo Tang[J]. Modern Chinese Clinical Medicine, 2023,30(2):109-112. DOI: 10.3969/j.issn.2095-6606.2023.02.023.
不寐是由多种原因引起的心神失养、心神不宁而导致不能获得正常睡眠的病症。引火汤源自陈士铎《辨证录》一书,原为治疗“阴蛾”所创,全方由熟地黄、巴戟天、茯苓、麦冬、五味子组成。引火汤所治证候的病机为肾水亏虚、相火妄动,中焦脾胃升降失司,三焦气化失常。后世医家经过临床实践与探索,拓展了引火汤的应用范围,发现引火汤治疗不寐心肾不交证效果颇佳。心肾不交是不寐常见的证候,引火汤可滋阴潜阳、引火下行、交通心肾、阴阳同治,与不寐心肾不交证的病机相契合。临床治疗不寐时,常根据病情对引火汤进行适当加减以增强疗效。结合临床病例对运用引火汤治疗不寐的辨治思路、用药特点进行介绍。
Insomnia is characterized by an inability to obtain enough sleep
which is caused by heart spirit with inadequate nourishment and disquieted mind. Yinhuo Tang (YHT) has its origin in
Record of Pattern Identification
written by Chen Shiduo. It was originally used as a prescription for the treatment of "
Yin E
"
composed of Shudihuang (Radix Rehmanniae Praeparata)
Bajitian (Morindae Officinalis Radix)
Fuling (Poria)
Maidong (Ophiopogons Radix)
Wuweizi (Schisandrae Chinensis Fructus). The pathogenesis of the syndrome treated by YHT is the kidney water deficiency
the frenetic stirring of the ministerial fire
the spleen-stomach disharmony
and the abnormal vaporizing of the triple energizer. After clinical practice and exploration
doctors of later generations expanded the application scope of YHT. It is found that YHT has good effects on insomnia with disharmony of the heart and kidney. The disharmony of the heart and kidney is a common syndrome of insomnia. YHT could nourish Yin for suppressing hyperactive Yang
return fire to the origin
coordinate the heart and the kidney. It is consistent with the pathogenesis of insomnia with the disharmony of the heart and kidney. According to the condition
doctors often modify YHT to strengthen the curative effect
in the treatment of insomnia. Combined with clinical cases
this article introduces thoughts on pattern identification and treatment and medication characteristics of treating insomnia with YHT.
心肾不交失眠症引火汤
disharmony of the heart and kidneyinsomniaYinhuo Tang
周仲瑛.中医内科学[M].北京:中国中医药出版社,2003: 154.
陈士铎.辨证录[M].王小芸,王象礼,刘德兴,等,校注.北京:中国中医药出版社,2007: 83-84.
彭子益.圆运动的古中医学[M].李可,主校.北京:中国中医药出版社,2007: 5.
李中梓.诊家正眼[M].包来发,校注.北京:中国中医药出版社,2008: 14.
陈士铎.本草新编[M].柳长华,徐春波,校注.北京:中国医药科技出版社,2008.
张介宾.景岳全书[M].夏之秋,校注.北京:中国中医药出版社,1994: 671.
叶桂.温热论[M].北京:人民卫生出版社,2016: 17.
董暄.不寐心肾不交证的证治理论研究[D].沈阳:辽宁中医药大学,2013.
李中梓.雷公炮制药性解[M].张家玮,赵文慧,校注.北京:人民军医出版社,2013: 45.
陈佳.张怀亮教授从相火论治疗不寐经验探讨[D].郑州:河南中医药大学,2014.
林锦韬,宫凤英,李永春.引火汤加味对青少年自闭症行为及生活质量的影响[J].中华中医药学刊,2019,37(11): 2741-2743.
陈萍,王淼,何凤玲.李氏引火汤联合经方治疗女性更年期不寐108例[J].西部中医药,2016,29(12): 66-67.
燕飞如.浅析引火汤的配伍规律及应用方法[J].当代医药论丛,2014,12(8): 43-44.
周妍妍,周晓洁,闫博文,等.巴戟天化学成分及药理作用研究进展[J].辽宁中医药大学学报,2021,23(10): 1-5.
陈思琦,李佳欣,吴鑫宇,等.熟地黄的药理学研究进展[J].化学工程师,2019,33(11): 46-50.
迟宇昊,李暘,申远.麦冬化学成分及药理作用研究进展[J].新乡医学院学报,2021,38(2): 189-192.
董培良,刘浃祺,韩华.五味子及其药对的研究进展[J].中医药信息,2021,38(7): 69-73.
伊金月,张悦,邱琦,等.引火汤改善长期OVX小鼠焦虑样行为的机制研究[J].中医药信息,2020,37(5): 27-32.
周月,刘欢.巴戟天提取物联合GABA/茶氨酸改善小鼠睡眠作用的研究[J].天津医科大学学报,2020,26(2): 114-117.
李贺,李宁,刘聪,等.五味子乙素对ICR小鼠的抗焦虑作用及其作用机制[J].吉林大学学报(医学版),2018,44(1): 78-82.
赵天国.茯苓多糖对小鼠镇静、催眠作用的研究[J].畜牧与饲料科学,2017,38(4): 73-74.
赵博,吴长健,高鸿,等.麦冬对小鼠镇静催眠作用的初步探讨[J].咸宁学院学报(医学版),2008,22(4): 282-284.
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