安效先运用桂枝加龙骨牡蛎汤治疗小儿睡眠障碍经验

AN Xiaoxian′s Experience in Treating Children Sleep Disorders with Guizhi and Longgu Muli Decoction (桂枝加龙骨牡蛎汤)

介绍安效先治疗小儿睡眠障碍的临证经验。认为睡眠障碍的病位在心、肝两脏,小儿心、肝常有余,阳常有余,若感受外邪、饮食不节、情志拂逆而化火,导致心肝之阳浮越于外,不能潜敛入阴,扰动心神,阳不入阴则发生睡眠障碍。治以调和阴阳,平肝宁心安神为法,临床常用桂枝加龙骨牡蛎汤随证治疗。

The clinical experience of AN Xiaoxian in treating children with sleep disorders was introduced.It is believed that the locations of sleep disorders are in the heart and liver.There is sufficiency in the heart and liver of children,and also in yang qi.Sleep disorder occurs when children contracted with external pathogens,inappropriate diet,adverse emotions transforming into fire,resulting the heart and liver′s yang floating outside,not submerge into yin,and disturb mind and spirits,Yang not accesing into yin.The treatment should be regulating yin and yang,with suppressing the liver,pacifying the heart and calming the mind.Clinically,Guizhi and Longgu Muli Decoction(桂枝加龙骨牡蛎汤)is often used for treatment.