“阳明四法”治疗失眠

‘Yangming four methods’in the treatment of insomnia

现代人生活方式及饮食结构的改变,易出现胃肠道和精神方面的双重疾患,阳明热盛证成为失眠常见证型。经方名家许家栋根据药物性味而总结治疗阳明病之辛寒、苦寒、咸寒、酸寒四法,杨志敏教授在辨治失眠过程中灵活运用"阳明四法"而常获佳效。文章通过对"阳明四法"应用指征阐述并加以杨志敏教授临证验案举证,旨在对"阳明四法"治疗失眠的机制进行深一步探究,以求辨证论治有章可循、法度森严。

The change of lifestyle and dietary structure of modern people is prone to double diseases of gastrointestinal tract and mental aspects.Intense heat of yangming syndrome has become a common type of insomnia.XU Jia-dong,a famous master of classical prescription,summed up the four methods(pungent cold,bitter cold,salty cold,sour coud)for treating yangming disease according to the medicinal taste,and professor YANG Zhi-min used the four methods flexibly in the differentiation and treatment of insomnia and often achieved good results.This paper expounds the application indications of yangming four methods and proves the case of professor YANG Zhi-min,aiming to further explore the mechanism of of yangming four methods in the treatment of insomnia,in order to have rules to follow and strict laws to treat the syndrome differentiation.