储水鑫运用引阳入阴理论辨治不寐经验介绍

Experience Introduction of CHU Shuixin in Syndrome Differentiation and Treatment of Insomnia with Theory of Conducting Yang Entering Yin

介绍储水鑫主任中医师运用引阳入阴理论辨治不寐的临床经验。储水鑫主任认为,不寐的疾病病机主要在于阴阳失调,阳不入阴。关系最为密切的脏腑当属脾胃和心肾。脾胃不和、升降失司,心肾不交、出入无序,皆可使阳不入阴,导致不寐的发生。故治疗上当以引阳入阴为最终目标,治法有健脾以升、和胃以降、壮心以出、滋肾以入。遣方用药,临证辨治常用9种引阳入阴之药对:炒酸枣仁-五味子,煅龙骨-煅牡蛎,煅赭石-煅磁石,黄连-肉桂,半夏-秫米,炒麦芽-炒稻芽,石菖蒲-制远志,黄芪-桂枝-芍药,夜交藤-合欢皮-茯神。

The paper introduces the clinical experience of chief Chinese medicine practitioner CHU Shuixin in treating insomnia with the theory of conducting yang entering yin. CHU holds that the pathogenesis of insomnia mainly lies in yin-yang disharmony and the failure of yang entering yin. The most closely related viscera and bowels are the spleen and stomach,and the heart and kidney. The failure of yang entering yin can be caused by spleen-stomach disharmony,dysfunction of ascending and descending qi movement,non-interaction between the heart and the kidney,and unordered exiting and entering qi movement, thus inducing the occurrence of insomnia. Therefore, the ultimate goal of treatment is to conduct yang entering yin;the treatment methods include fortifying the spleen to promote the ascent,harmonizing the stomach to help the descent,strengthening the heart to advance exit,and nourishing the kidney to contribute entering. As for the prescriptions and medication, nine couplet medicinals that can conduct yang entering yin are usually used in clinical syndrome differentiation and treatment,namely stir-bake Ziziphi Spinosae Semen and Schisandrae Chinensis Fructus,calcine Os Draconis and calcine Concha Ostreae, calcine Haematitum and calcine Magnetitum, Coptidis Rhizoma and Cinnamomi Cortex,Pinelliae Rhizoma and husked sorghum,stir-bake Hordei Fructus Germinatus and stir-bake Oryzae Fructus Germinatus, Acori Tatarinowii Rhizoma and Polygalae Praeparata Radix, Astragali Radix, Cinnamomi Ramulus and Paeoniae Radix, and Caulis Polygoni Multiflori, Albiziae Cortex and Sclerotium Poriae Pararadicis.