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从“开阖枢”理论探析乌梅丸对厥阴失眠症的治疗
曾璇1, 郭宁2, 戴红芳1
1.广州中医药大学附属广东中西医结合医院, 佛山 528200;2.暨南大学中医学院, 广州 510000
摘要:
失眠病机复杂,总属阴阳失交,厥阴经为两阴交尽之经,阴寒极盛。厥阴病所致失眠大多顽固,缠绵难愈。通过“开阖枢”理论及“六经欲解时”对失眠进行探讨,明确厥阴阖机不利成因,及其所导致的上热下寒型失眠的特点。运用“开阖枢”理论及“六经欲解时”对乌梅丸及其所主病症进行分析,明确该方治疗失眠的原理及临床疗效,为临床治疗厥阴上热下寒型失眠症提供理论依据,临床上可辨证运用。
关键词:  开阖枢  乌梅丸  厥阴失眠
DOI:10.11656/j.issn.1672-1519.2024.09.08
分类号:R256.23
基金项目:
To explore the treatment of Jueyin insomnia with Wumei Pills from the theory of “opening and closing pivot”
ZENG Xuan1, GUO Ning2, DAI Hongfang1
1.Guangdong Hospital of Integrated Traditional and Western Medicine Affiliated to Guangzhou University of Chinese Medicine, Foshan 528200, China;2.College of Traditional Chinese Medicine, Jinan University, Guangzhou 510000, China
Abstract:
The pathogenesis of insomnia is complex,which is the loss of yin and yang. Jueyin meridian is the meridian of two yin. Jueyindisease caused by insomnia is mostly stubborn,lingering difficult to cure. By discussing the theory of “opening and closing pivot” and “the recovery time of six meridians”,the causes of adverse Jueyin closing mechanism and the characteristics of upper heat and lower cold type of sleep loss are clarified. Based on the theory of “opening and closing pivot” and “the recovery time of six meridians”,the author analyzed Wumei Pill and its main symptoms,clarified the principle and clinical effect of this prescription in the treatment of insomnia, and provided theoretical basis for the clinical treatment of Jueyin insomnia with upper heat and lower cold.
Key words:  opening and closing pivot  Wumei Pill  Jueyin insomnia
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