基于功能衰微态辨证以附子汤加干姜治疗慢性失眠障碍

睡眠是维持机体健康不可或缺的生理过程,良好的睡眠是保证生活质量和学习工作的必要条件。近年来,随着社会节奏加快、生活压力增大、工作竞争激烈,失眠的发病率呈逐年增长的趋势。西药治疗失眠存在成瘾性、耐药性、撤药反应,以及最低必要剂量和最短必要剂量持续时间尚不明确,临床上有时并不推荐使用。中医药治疗失眠具有疗效稳定、用药安全等优势,近年来逐渐受到重视。历代中医家在临床实践中,对于失眠的论治,逐渐形成认识并总结出辨证论治方法。山西门氏杂病流派形成了以功能五态学说论治失眠:临证中,以《伤寒论》思维先辨虚实,功能不足态和功能衰微态属虚证范畴,功能阻滞态属实证范畴,功能不调态属虚实夹杂者;在治疗中,秉《黄帝内经》思维调整阴阳、调和营卫,尤其注重人体的阳气和胃气。本文笔者基于功能衰微态辨证,以附子汤加干姜治疗慢性失眠障碍2例,获效满意,现报道如下,以与同道交流、探讨。

Fuzi Decoction and Dry Ginger in the Treatment of Chronic Insomnia Based on Functional Decline State Syndrome

Sleep is an indispensable physiological process to maintain the health of the body.Good sleep is a necessary condition to ensure the quality of life and learning and work.In recent years,with the acceleration of social rhythm,the increase of life pressure and the fierce competition in work,the incidence of insomnia is increasing year by year.The addiction,drug resistance,withdrawal reaction,the minimum necessary dose and the minimum necessary dose duration of Western medicine in the treatment of insomnia are not clear.Sometimes it is not recommended clinically.In recent years,traditional Chinese medicine has been paid more and more attention to for its advantages of stable curative effect and safe use of medicine.In clinical practice,TCM doctors of all ages have gradually formed their understanding and summarized the methods of syndrome differentiation and treatment for insomnia.The school of Mencius miscellaneous diseases in Shanxi Province has gradually formed the theory of functional five states to treat insomnia:in the clinical syndrome,the thought of Treatise on Cold Pathogenic Diseases is used to distinguish the deficiency and the reality,the deficiency and the decline of the function belong to the category of deficiency,the stagnation of the function belongs to the category of demonstration,and the disorder of the function belongs to the category of the mixture of the deficiency and the reality;in the treatment,the thinking of Huangdi Neijing is used to adjust the Yin and Yang,and to harmonize the health,especially the Yang and the health of the human body Stomach qi.In this paper,the author from the functional decline of syndrome differentiation to Fuzi decoction and ginger treatment of chronic insomnia in 2 cases,there are satisfactory results and reported as follows,in order to communicate with others.