张效科从“风神相关”论治顽固性失眠经验
Zhang Xiaoke's Experience in Treating Intractable Insomnia from the Perspective of"Wind Relating to Spirit"
DOI:10.16368/j.issn.1674-8999.2021.11.493
扫 描 看 全 文
1.陕西中医药大学,陕西 咸阳 712046
扫 描 看 全 文
孔程程, 张效科, 张欢. 张效科从“风神相关”论治顽固性失眠经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16368/j.issn.1674-8999.2021.11.493
KONG Chengcheng, ZHANG Xiaoke, ZHANG Huan. Zhang Xiaoke's Experience in Treating Intractable Insomnia from the Perspective of"Wind Relating to Spirit"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16368/j.issn.1674-8999.2021.11.493
孔程程, 张效科, 张欢. 张效科从“风神相关”论治顽固性失眠经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16368/j.issn.1674-8999.2021.11.493 DOI:
KONG Chengcheng, ZHANG Xiaoke, ZHANG Huan. Zhang Xiaoke's Experience in Treating Intractable Insomnia from the Perspective of"Wind Relating to Spirit"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16368/j.issn.1674-8999.2021.11.493 DOI:
顽固性失眠久治不愈,究其根本在于内风扰乱心神,即所谓的“风神相关”。顽固性失眠反复发作,病情变化迅速,阴阳气血及脏腑功能失调,故扰及心神之风,多以内风为主。在治疗顽固性失眠方面,张效科教授紧紧围绕“风神相关”这一关键,重点关注熄风安神、滋阴降火方法的运用,自拟三三安神合剂(地黄40 g,姜黄20 g,天竺黄15 g,延胡索30 g,山萸肉30 g,百合30 g)滋阴降火。巧用藤类风药熄风安神,随证加减,临床疗效显著。
Intractable insomnia can not be cured for a long time.Its root lies in the internal wind disturbing the heart-mind, that is, the so-called "wind relating to spirit". Intractable insomnia occurs repeatedly, the condition changes rapidly, and the functions of yin and yang, qi and blood and zang-fu viscera lose balance.Therefore, the wind that disturbs the heart-mind is mostly the internal wind.In the treatment of intractable insomnia, Professor Zhang Xiaoke closely focused on the key pathogenesis of "wind relating to spirit", focusing on the application of methods of extinguish wind for tranquillization, nourishing yin and reducing fire, and prepared Sansan Anshen mixture[(Dihuang(Rehmannia glutinosa) 40 g, Jianghuang(Rhizoma Curcumae Longae) 20 g, Tianzhuhuang(Geranium) 15 g, Yanhusuo(Rhizoma Corydalis) 30 g, Shanyurou(Cornus officinalis) 30 g, Baihe(Lily) 30 g) ]to nourish yin and reduce fire.Professor Zhang Xiaoke skillfully used rattan wind medicine to extinguish wind for tranquillization, add and sub-tract with the syndrome, and the clinical effect is remarkable.
顽固性失眠风神相关三三安神合剂熄风安神滋阴降火张效科
intractable insomniawind relating to spiritSansan Anshen Mixtureextinguish wind for tranquillizationnourishing yin and reducing fireZhang Xiaoke
失眠定义、诊断及药物治疗共识专家组.失眠定义、诊断及药物治疗专家共识(草案)[J].中华神经科杂志,2006,39(2):141-143.
赵忠新,张照环.应给予睡眠更多的关注[J].中华神经科杂志,2011,44(8):513-515.
MORIN C M,BéLANGER L,LEBLANC M,et al.The natural history of insomnia[J].Arch Intern Med,2009,169(5):447.
SOLDATOS C R,ALLAERT F A,OHTA T,et al.How do individuals sleep around the world?Results from a single-day survey in ten countries[J].Sleep Med,2005,6(1):5-13.
邓爱军,姜瑞雪,马作峰.不寐的中医证型及证素分布特点的文献研究[J].中国中医药现代远程教育,2015,13(7):147-149.
陈宇,张明钊.针刀头针疗法治疗顽固性失眠的临床疗效及对患者睡眠质量的影响[J].世界睡眠医学杂志,2021,8(4):618-619.
李鑫,马阳阳,吴秋玲.从中焦脾胃论治失眠经验[J].环球中医药,2021,14(8):1490-1492.
黄旭晖,林举择.王昌俊治疗顽固性失眠经验[J].湖南中医杂志,2021,37(3):25-26.
刘珍珠,黄薰莹,张宁,等.从中医神、魂、魄理论释梦[J].中医学报,2020,35(2):254-256,290.
司富春.失眠中医证型和方药分析[J].世界中西医结合杂志,2007,2(9):520-523.
贾海忠.贾海忠中医体悟[M].3版.北京:中国中医药出版社,2019: 212-213.
张效科,赵文景,张华东.藤类风药的临床应用体会[N].中国中医药报,2016-10-27(4).
孙思邈.备急千金要方[M].北京:人民卫生出版社,1982: 180.
王佑,陈昭遇,郑奇,等.太平圣惠方[M].北京:人民卫生出版社,1958: 278-279.
王庆其.顽病不妨治风[J].中国医药学报,1997,12(1):45-46.
裘庆元.三三医书[M].北京:中国中医药出版社,1998: 509-536.
贺用和.内风概论[J].中国中医基础医学杂志,2005,11(11):124-126.
黄志英.叶天士全书[M].北京:中国中医药出版社,2015: 170-174,238.
王娣.滋阴泻火法治疗顽固性失眠的理论研究和临床观察[D].济南:山东中医药大学,2006: 11-13.
尚坤,李敬文,常美月,等.延胡索药理作用研究[J].吉林中医药,2019,39(1):108-110.
曾明,李守汉,曾爽,等.兰州百合抗运动性疲劳的实验研究[J].山西师大体育学院学报,2005,20(1):110-112.
吴琼.基于数据挖掘技术研究张喜奎教授治疗慢性肾炎的“风药”用药规律[D].福州:福建中医药大学,2021.
王玺,张智勇,仇萍,等.青风藤、青藤碱及其相关制剂的研究进展[J].中国药学杂志,2021,56(2):85-93.
刘艳菊,文莉,黄丽,等.海风藤挥发油抗风湿作用的药效学[J].中国医院药学杂志,2007,27(2):218-219.
张欢,张效科.试述藤类风药在消渴痹证应用中的点睛之处[J].辽宁中医杂志,2020,47(6):65-67.
罗林明,裴刚,覃丽,等.中药百合化学成分及药理作用研究进展[J].中药新药与临床药理,2017,28(6):824-837.
吴谦.医宗金鉴[M].郑金生,整理.北京:人民卫生出版社,2005: 161.
0
浏览量
4
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构