摘要
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.
作者
贾林娜
汤玲
肖承悰(指导)
JIA Linna;TANG Ling(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing,100700)
出处
《中医杂志》
CSCD
北大核心
2020年第6期479-481,共3页
Journal of Traditional Chinese Medicine
基金
北京中医药新奥奖励基金(1000062720063/007/009)。
关键词
更年期失眠症
心肾不交
肝肾阴虚
更欣汤
名医经验
肖承悰
menopausal insomnia
disharmony between heart and kidney
yin deficiency of liver and kidney
Gengxin Decoction(更欣汤)
experience of famous doctors
XIAO Chengcong