王琦辨体-辨病-辨证治疗失眠经验
WANG Qi's Experience in Treating Insomnia Based on Body, Disease and Syndrome Differentiation
DOI:10.13288/j.11-2166/r.2020.17.007
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1.北京大学人民医院,北京市西城区西直门南大街11号,100044
2.北京中医药大学
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冯淬灵, 王琦. 王琦辨体-辨病-辨证治疗失眠经验[DB/OL].(2021-11-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2020.17.007
Cuiling FENG. WANG Qi's Experience in Treating Insomnia Based on Body, Disease and Syndrome Differentiation[DB/OL].(2021-11-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2020.17.007
冯淬灵, 王琦. 王琦辨体-辨病-辨证治疗失眠经验[DB/OL].(2021-11-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2020.17.007 DOI:
Cuiling FENG. WANG Qi's Experience in Treating Insomnia Based on Body, Disease and Syndrome Differentiation[DB/OL].(2021-11-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13288/j.11-2166/r.2020.17.007 DOI:
王琦教授认为失眠总病机为阴阳失交、营卫失和,自拟交合安魂汤以交合阴阳,调和营卫。总结失眠常见痰热交阻、瘀血阻滞、阴血亏虚、心胆不宁、肝郁血虚、肝胃不和、心肾不交七种证型,并依此辨证遣方用药。失眠最常见的体质是气郁质和血瘀质,提出临证以体质为中心,辨体-辨病-辨证相结合灵活施治,同时强调服药时间为16:00至17:00点及21:00。
Professor WANG Qi believes that the pathogenesis of insomnia is the imbalance of, yin, and, yang, disharmony between nutrient, qi, and defensive, qi,.Self-prepared, Jiaohe Anhun Decoction,(交合安魂汤)is made to blend, yin, and, yang, and to reconcile nutrient, qi, and defensive, qi,.Seven common syndrome types of insomnia including phlegm-heat obstruction, blood stasis obstruction,yin, and blood deficiency, restless of heart and gallbladder, liver stagnation and blood deficiency, liver-stomach disharmony, heart-kidney incompatibility are summarized, and prescriptions are selected based on the syndrome types.The most common physiques for insomnia are, qi, stagnation and blood stasis.It is proposed that the clinical syndrome is centered on the constitution, combined with body, disease and syndrome differentiation, and flexible treatment.Meanwhile the author emphasizes that the medication time is from 16:00 to 17:00 and 21:00.
失眠调和营卫辨体辨病辨证名医经验王琦
insomniareconciling nutrient qi and defensive qibody differentiationdisease differentiationsyndrome differentiationexperience of famous doctorWANG Qi
American Academy of Sleep Medicine.International Classification of Sleep Disorders(3rd ed.)[M].Darien, IL:American Academy of Sleeduiyp Medicine,2014:30.
SMITH MT, PERLIS ML, PARK A, et al.Comparative meta: analysis of pharmacotherapy and behavior therapy for persistent insomnia[J].Am J Psychiat,2002,159(1):5-11.
XIANG YT, MA X, CAI ZJ, et al.The prevalence of insomnia,its soeiodemographie and clinical correlates,and treatment in rural and urban regions of Beijing,China:a general population-based survey[J].Sleep,2008,31(12):1655-1662.
SCHUTTE-RODIN S, BROCH L, BUYSSE D, et al.Clinical guideline for the evaluation and management of chronic insomnia in adults[J].J Clin Sleep Med,2008,4(5):487-504.
RIEMANN D, SPIEGELHALDER K, FEIGE B, et al.The hyperarousal model of insomnia:a review of the concept and its evidence[J].Sleep Med Rev,2010,14(1):19-31.
高荣林,徐凌云.中医睡眠学说及其科学内涵[J].中国中医基础医学杂志,1995,1(1):16-17.
李玲孺,倪诚,张妍,等.更新失眠治疗的思路与方法[J].中医药通报,2013,12(6):4-9.
姜敏.浅谈王琦教授治疗失眠的经验与思路[J].北京中医药大学学报,2010,33(6):425-426.
中华中医药学会.中医体质分类与判定(ZYYXH/T157-2009)[J].世界中西医结合杂志,2009,4(4):303-304.
闫雪,王琦.试论中医体质与失眠的相关性[J].中医杂志,2011,52(10):832-833.
张锡纯.医学衷中参西录[M].石家庄∶河北人民出版社,2017:263-264.
王红,田明,王淼,等.延胡索现代药理及临床研究进展[J].中医药学报,2010,38(6):108-111.
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