贾跃进运用逍遥散合酸枣仁汤加减治疗失眠经验举隅

发布时间：2018-06-28 19:27

本文选题：逍遥散 + 酸枣仁汤　；参考：《中国中医基础医学杂志》2017年02期

【摘要】：国家级名老中医贾跃进主任认为"气郁为百病之先",现代人因为生活、工作压力的增大,情绪波动较大,失眠的患者也日渐增多,很多病人在发病前有明确的不良事件刺激或者情绪变化,笔者将其治疗失眠的案例收集加以整理分析,发现其在治疗失眠病人时多从肝郁血虚论治,主方为逍遥散合酸枣仁汤,疗效满意。逍遥散为中医经典的解郁名方,具有疏肝解郁、健脾养血之功效,主治肝郁血虚脾弱之证。酸枣仁汤为医圣创制之经方,具有养血安神、清热除烦之功效。贾跃进在主方的基础上根据兼证加减化裁,若病程长、久病入络则加入行血活血之品;若肝郁化热则加清热除烦之品;若肝郁日久克伐脾胃、血虚肠燥,则加入健脾养血润肠之药。
[Abstract]:Director Jia Yuejin, a national famous Chinese medicine practitioner, believes that "qi depression is the first of all diseases." because of the increasing pressure of life and work, the mood fluctuates greatly, and the number of patients suffering from insomnia is increasing day by day. Many patients have definite adverse events or emotional changes before the onset of the disease, the author collected and analyzed the cases of insomnia treatment, found that in the treatment of insomnia patients more from the liver stagnation and blood deficiency treatment, the main prescription is Xiaoyao San Suanzao decoction, The curative effect is satisfactory. Xiaoyao Powder is a famous prescription of traditional Chinese medicine, which has the effect of soothing liver and relieving depression, invigorating spleen and nourishing blood, and mainly treating the syndrome of liver depression, blood deficiency and spleen weakness. Suanzaoren decoction is a prescription created by the medical saint, which has the effect of nourishing blood and soothing the mind and clearing away heat and annoyance. Jia Yuejin added blood and activating blood on the basis of the main prescription, if the course of disease was long, he added the product of promoting blood and activating blood if the disease was long; if the liver was debilitating heat, he added the product of clearing away heat; if the liver was depressed day after day, he cut the spleen and stomach with blood deficiency and intestinal dryness. Then add the medicine of strengthening spleen and nourishing blood and nourishing intestines.
【作者单位】：山西中医学院继续教育学院;
【基金】：山西省科技攻关项目(20140313008-4)-基于贝叶斯网络技术的酸枣仁汤方证相应规律研究
【分类号】：R249;R256.23

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