马云枝运用镇肝熄风汤治疗失眠症经验

Experience of MA Yun-zhi in the treatment of refractory insomnia with Zhengan Xifeng Decoction

文章主要介绍马云枝教授运用镇肝熄风汤治疗失眠症经验,分析失眠症的病因病机,详细阐述了失眠从养阴平肝法治疗的立论依据,认为不寐是由于情志所伤、饮食失节、劳逸失调、久病体虚等原因致脏腑机能紊乱、气血失和、阴阳失调、阴虚不能纳阳或阳虚不得入于阴,总与肝脾密切相关。从肝肾阴虚进行辨证治疗,介绍镇肝熄风汤的组成、功用、主要适应症并附医案予以分析,总结得出失眠症凡证属阴虚阳亢证者均可使用镇肝熄风汤加减治疗。

This article introduced the experience of professor MA Yun-zhi in the treatment of refractory insomnia with Zhengan Xifeng Decoction. It also analyzed the etiology and pathogenesis of insomnia. And it provided a theoretical basis for the method of nourishing yin and tranquillizing liver yang for treating insomnia in detail. The main pathogenesis of insomnia is the viscera function disorder, blood loss, imbalance of yin and yang, deficiency of yin and yang can not be satisfied or not enter yin yang. There are many factors for insomnia, such as, emotional factors, improper diet, overwork disorders, chronic diseases and so on. In a word, insomnia is closely related to liver and spleen. In addition, this paper introduces the composition, function, main indications of Zhengan Xifeng Decoction and provides a medical record to be analyzed. Lastly come to a conclusion that insomnia, differentiated as the syndrome of yin deficiency and yang hyperactivity, can be treated with the Zhengan Xifeng Decoction.