期刊论文

中文

中医学报

1674-8999

2020

35

4

742-745

10.16368/j.issn.1674-8999.2020.04.165

国家自然科学基金项目（81603600） 2017年度湖南中医药大学校级科研基金（自然类）项目{[2018]1号}

本校为第一机构

失眠的根本原因是阴阳不交,在治疗上多注重交通阴阳、调和营卫。张仲景集前人之大成,创辛开苦降法,将辛温与苦寒两种性味截然不同的药物共同配伍使用,以燮理阴阳、调畅气机。张仲景在《伤寒杂病论》中多处运用辛开苦降法治疗失眠:邪气未解而入里化热、上扰心神而致烦躁不得眠,方选栀子豉汤以清宣郁热;肝血亏虚、心神失养,且血虚生热、上扰心神而见虚烦不得眠,方选酸枣仁汤以养阴清热、安神助眠;湿热内壅、热毒炽盛、烦扰心神而不得眠,方选甘草泻心汤以清热解毒、和中祛湿;胸阳不振、痰浊壅塞胸中、闭阻心脉,以致胸痛喘息不得卧眠,方选瓜蒌薤白半夏汤以通阳散结、豁痰行气宽胸。辛开苦降法寒温并...

The root cause of insomnia is the loss of communation of Yin and Yang.In terms of treatment,more attention should be paid to communate Yin and Yang and to reconcile Ying Qi and Wei Qi.Zhang Zhongjing gathers the achievements of his predecessors and created a new method of Xin Kai Ku Jiang,namely,he used two kinds of drugs with different tastes,i.e.drugs with Xin Wen and Ku Han in character,to manage the Yin and Yang balance and to regulate the Qi activity.In his Shang Han Za BingLun,Zhongjingused used this method to treat insomnia in many cases:when the Evil Qi went into the body to form Heat,...