肖承悰自拟更欣汤治疗女性更年期失眠症经验

Experience of XIAO Chengcong in Treating Female Menopausal Insomnia with Gengxin Decoction (更欣汤)

肖承悰认为,女性更年期失眠症的发病主要由肾、肝、心三脏脏腑功能失调导致,以心肾不交、肝肾阴虚为基本病机。女子绝经前后肾精亏虚,肾水不足,不能上济心火,致使心火独亢于上,扰乱心神;肝肾同源,肾水亏虚累及肝血不足,致肝失柔养,发为失眠。以二至丸、百合知母汤、百合地黄汤等方加减化裁而成更欣汤,从肾、肝、心三脏着手治疗,滋肾养肝、交通心肾,以肾为主,兼顾心肝。

XIAO Chengcong believes that menopausal insomnia is mainly caused by dysfunction of kidney, liver and heart, taking heart and kidney disharmony and yin deficiency of liver and kidney as basic pathogenesis. For women before and after menopause, kidney essence is deficient and kidney yin-water is not sufficient, failing to coordinate heart fire upwards, which leads to single heart fire hyperactivity in the upper, disturbing heart spirit. According to homogeny of liver and kidney, kidney-yin water deficiency leads to liver blood insufficiency, failing to soften and nourish liver and causing insomnia. Gengxin Decoction(更欣汤) is composed of modified Erzhi Pills(二至丸). Baihe Zhimu Decoction(百合知母汤), Baihe Dihuang Decoction(百合地黄汤). The treatment is focused on kindney, liver and heart, nourishing kidney and liver, restoring normal coordination between heart and kidney, giving priority to kidney, and paying attention to heart and liver.