应用五运六气化裁乌梅丸治厥阴不寐验案

Experience in Treating Jueyin Insomnia with Wumei Pill by Wuyun and Luiqi

“辨证有律,重在循机”要辨识疾病的发展规律,根据疾病所处的不同时间规律,制定相应的治疗原则。从有规律的寒热错杂征象中辨证厥阴症;运用五运六气,研究自然界周期性节律变化总结出来的规律,施治有机,要在升降。一日内的生长收藏之律,据六经欲解之时,亦是施治的最好时机。一日之内,厥阴病欲解时为丑时至卯时。从厥阴症之病机,枢机不利,阴阳气顺接不利;病象寒热错杂,亦有在下半夜出现或加重的规律。正值一日阴气将尽,阳气初生。遵循中医治疗“因时制宜”的基本依据,从而司乌梅丸主治厥阴病之根本,据中药升降浮沉之药性,法以“升降”加减化裁,分别于早晚汇聚升阳及藏阴之力,治疗厥阴之不寐,效如桴鼓。

It is believed that syndrome differentiation has discipline and the key is to follow the mechanism.We should identify the development law of the disease,and formulate the corresponding treatment principles according to the different time laws of the disease.Jueyin syndrome differentiated from regular mixed signs of cold and heat;Wuyun and Luiqi are used to study the laws summarized from the periodic rhythm changes in nature.The law of growth and collection in one day is also the best time to treat diseases according to the six meridians.Within one day,the time for resolving Jueyin disease was from ugly to Maoshi.From the pathogenesis of Jueyin disease,it is pointed out that the cardinal is unfavorable and the running connection of yin-yang Qi is unfavorable.The diseases were like the intertwist of cold and heat,and sometimes they appeared or worsened in the middle of the night.In a day when the Yin Qi will be exhausted and the Yang qi will be born.Based on the basic basis of“treatment in accordance with the time”in TCM treatment,thus the root of Jueyin disease treated with Siwumei Pill.According to the property of Chinese medicine that can lift,float and sink,and the method of“lift”modification,the forces of elevating yang and storing yin were gathered in the morning and evening,respectively,for the treatment of Jueyin insomnia,which was as effective as Juegu.