于睿从肝论治失眠合并焦虑经验掬萃

韩薪燃; 于睿; 张欢; 郑一

doi:10.13729/j.issn.1671-7813.Z20200798

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于睿从肝论治失眠合并焦虑经验掬萃

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于睿从肝论治失眠合并焦虑经验掬萃
Professor YU Rui's Experience on Treating Insomnia with Anxiety from Liver
1.辽宁中医药大学，辽宁　沈阳　110847
DOI：10.13729/j.issn.1671-7813.Z20200798

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韩薪燃, 于睿, 张欢, 等. 于睿从肝论治失眠合并焦虑经验掬萃[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20200798

HAN Xinran, YU Rui, ZHANG Huan, et al. Professor YU Rui's Experience on Treating Insomnia with Anxiety from Liver[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20200798
韩薪燃, 于睿, 张欢, 等. 于睿从肝论治失眠合并焦虑经验掬萃[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20200798 DOI：

HAN Xinran, YU Rui, ZHANG Huan, et al. Professor YU Rui's Experience on Treating Insomnia with Anxiety from Liver[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20200798 DOI：

摘要

失眠和焦虑都是临床上常见的疾病，二者在中医学中分别属“不寐”和“郁证”范畴。现代医学治疗效果并不理想，不良反应颇多，并且失眠和焦虑存在恶性循环的倾向。近年来，中医药在治疗焦虑性失眠症方面取得很大进展，安全有效，弥补了西医的不足。于睿教授认为失眠合并焦虑病因多以情志失调为主，故当以肝论治，常配以“扶正祛邪、宣肝化郁、调和阴阳、潜阳安神”等法，选取仲景之柴胡加龙骨牡蛎汤，化裁加减，用药同时还嘱患者重视生活调摄及精神疏导，打破不寐和焦虑的恶性循环，效果甚佳，使得众多患者受益。

Abstract

Insomnia and anxiety are both common clinical diseases, and they respectively belong to the category of "insomnia" and "depression syndrome" in traditional Chinese medicine. However, the effect of modern medical treatment is not ideal, there are many adverse reactions, and the tendency of insomnia and anxiety is a vicious circle. In recent years, traditional Chinese medicine has made great progress on the treatment of anxiety-induced insomnia. It is safe and effective, making up for the shortcomings of western medicine. Professor YU Rui believes that the main cause of insomnia combined with anxiety is emotional disturbance. Therefore, the liver should be used for treatment, often accompanied by the methods of "strengthening the body to eliminate evil, promoting the liver and resolving depression, reconciling Yin and Yang, and calming Yang to calm the nerves". Chaihu plus Longgu Muli Decoction (柴胡加龙骨牡蛎汤) can be used and patients should be advised to pay attention to life adjustment and mental guidance, breaking the vicious circle of insomnia and anxiety. The effect is very good, benefiting many patients.

关键词

失眠焦虑从肝论治阴平阳秘病因病机疏肝解郁柴胡加龙骨牡蛎汤名中医经验于睿

Keywords

insomniaanxietytreatment based on liverbalance of Yin and Yangetiology and pathogenesissoothing liver and relieving depressionChaihui plus Longgu Muli Decoction (柴胡加龙骨牡蛎汤)famous traditional Chinese medicine physicians’experienceYU Rui

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