文章摘要
沈元良运用绍派伤寒方剂辨治不寐经验
Shen Yuanliang''s Experience in Treating Insomnia with Febrile Disease of Shao School Prescription
投稿时间:2024-04-25  修订日期:2024-04-25
DOI:
中文关键词: 绍派伤寒方剂  名医经验  沈元良  不寐  对药  医案
英文关键词: febrile disease of Shao school prescription  experience of renowned doctors  professor Shen Yuanliang  insomnia  matched pair of medicine  medical cases.
基金项目:浙江省基层名中医培养项目
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中文摘要:
      沈元良教授认为不寐的病因病机以阴阳失调、五脏失养为主。临床分为心脾两虚、肝郁气滞、心火扰神、脾胃不和、心肾不交5种证型,并选用相应的绍派伤寒方剂治疗,其中:1、七福饮加减治疗心脾两虚型,2、柴胡疏肝散加减治疗肝郁气滞型,3、导赤清心汤加减治疗心火扰神型,4、蒿芩清胆汤加减治疗脾胃不和型,5、左归饮合二阴煎加减治疗心肾不交型。同时,在辨证分型的基础上,再配以相应的对药,可以提高疗效。每个医案后附以按语,对方剂和药物的运用进行阐述,最后是小结。沈教授运用绍派伤寒方剂治疗不寐的辨治经验取得了显著的疗效,用药有一定的特色,为中医药治疗不寐提供了宝贵的经验。
英文摘要:
      Professor Shen Yuanliang believes that etiology and pathogenesis of insomnia are imbalance of yin and yang,and loss of nourishment of the five organs. Clinically,there are five types of insomnia:heart and spleen deficiency,liver depression and qi stagnation,heart fire disturbing the mind,spleen and stomach disharmony,and heart kidney disharmony.Corresponding febrile disease of Shao school prescriptions are used for treatment.Among them,1.modified Qifu Yin is used to treat heart and spleen deficiency;2.modified Chaihu Shugan San is used to treat liver depression and qi stagnation;3.modified Daochi Qingxin Tang is used to treat heart fire disturbance; 4.modified Haoqin Qingdan Tang is used to treat spleen and stomach disharmony; 5.modified Zuo Gui Yin combined with Er Yin decoction is used to treat heart kidney disharmony.At the same time,on the basis of syndrome differentiation and classification,corresponding matched pair of medicine can be added to improve the therapeutic effect.Each medical case is accompanied by a note explaining the use of prescription and medication,followed by a summary.Professor Shen"s experience in using febrile disease of Shao school prescriptions to treat insomnia has achieved significant therapeutic effects,and his medication has certain characteristics,providing valuable experience for the treatment of insomnia with traditional Chinese medicine.
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