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虚劳失眠证治方药分析
庞稳泰1,2, 杨丰文1,2, 黄宇虹3
1.天津中医药大学循证医学中心, 天津 301617;2.国家药品监督管理局中医药循证评价重点实验室, 天津 301617;3.天津中医药大学第二附属医院, 天津 300250
摘要:
失眠是困扰人类日常生活的主要疾病之一,会导致系列身心问题,对患者的生命健康产生显著影响。针对失眠,国医大师张伯礼教授创立了三型辨治理论,将其归纳为“阳不入阴”“阴不敛阳”“精不养神”3型,针对“阴不敛阳”提出“虚劳失眠”概念,并形成了完整的证治方药理论体系。文章对虚劳失眠的概念、病因、病机、证候特征、治则治法,以及针对该病创制的中药方剂安神方、中成药制剂安神滴丸进行介绍,以期为该病的临床诊疗提供参考。
关键词:  虚劳失眠  心肝血虚  中医理论  证治  方药
DOI:10.11656/j.issn.1672-1519.2025.12.08
分类号:R256.23
基金项目:癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项(2023ZD0502801)。
Analysis of traditional Chinese medicine syndrome,treatment and prescriptions for Xulao insomnia
PANG Wentai1,2, YANG Fengwen1,2, HUANG Yuhong3
1.Evidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.Key Laboratory of Evidence-Based Evaluation for Traditional Chinese Medicine, National Medical Products Administration, Tianjin 301617, China;3.The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China
Abstract:
Insomnia is one of the major diseases that plague human daily life,which can lead to a series of physical and mental problems and exert a significant impact on patients’ life and health. In response to insomnia,Professor ZHANG Boli,established the theory of three-type syndrome and treatment,classifying insomnia into three types:“yang failing to enter yin”,“yin failing to astringe yang”,and “essence failing to nourish spirit”. Specifically,the concept of “Xulao insomnia” was proposed,targeting the type of “yin failing to astringe yang” and developed a complete theoretical system of syndrome differentiation,treatment and prescriptions. This paper introduces the concept,etiology,pathogenesis,syndrome characteristics,therapeutic principles and methods of Xulao insomnia,as well as the traditional Chinese medicine formula Anshen Formula and the proprietary traditional Chinese medicine preparation Anshen Dropping Pills developed for this disease,aiming to provide references for the clinical diagnosis and treatment of Xulao insomnia.
Key words:  Xulao insomnia  liver-blood and heart-blood deficiency  traditional Chinese medicine theory  syndrome differentiation  treatment and prescriptions
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