主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2020, Vol. 27 ›› Issue (2): 20-23.doi: 10.3969/j.issn.2095-6606.2020.02.006

• 名老中医经验 • 上一篇    下一篇

蔡连香主任医师治疗妊娠失眠症临证经验*

胥丽霞, 朱馥丽, 黄欲晓#   

  1. 中国中医科学院西苑医院妇科 北京 100091
  • 收稿日期:2019-10-13 出版日期:2020-03-30 发布日期:2020-04-13
  • 通讯作者: #黄欲晓,女,硕士,主任医师,博士生导师,E-mail:hyx12386@163.com
  • 作者简介:胥丽霞,女,硕士,副主任医师
  • 基金资助:
    *国家中医药管理局全国名老中医药专家传承工作室建设项目,北京中医药“薪火传承3+3工程”室站建设项目

Chief physician Cai lianxiang's clinical experience with gestational insomnia*

Xu Lixia, Zhu Fuli, Huang Yuxiao#   

  1. Gynecology Department, Xiyuan Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100091
  • Received:2019-10-13 Online:2020-03-30 Published:2020-04-13

摘要: 失眠症属中医“不寐”的范畴。发生在妊娠期间的睡眠障碍为妊娠失眠症,妊娠失眠症临床发生率高,对母婴均可造成多种不良影响。蔡连香主任医师认为阴血亏虚、虚火上扰心神是该病的主要病因病机。蔡老师临证中重视精血理论,治以滋阴养血、宁心安神;以黄连阿胶汤为主方,衷中参西,随证加减;注重心理疏导,兼顾饮食情志调节。结合临床病例对蔡老师治疗妊娠失眠症的诊疗思路和用药经验进行介绍。

关键词: 妊娠失眠症, 黄连阿胶汤, 名医经验, 蔡连香

Abstract: Insomnia belongs to the category of “unable to sleep” in traditional Chinese medicine. The sleep disorder during pregnancy is called “gestational insomnia”. The clinical incidence of gestational insomnia is high, which can cause various adverse reactions on the mother and baby. Cai Lianxiang, chief physician, thinks that deficiency of yin and blood and disturbance of mind caused by deficiency fire are the basic causes and pathogenesis of the disease. Cai attached great importance to the theory of blood essence in clinical treatment. As for treatment, it was centered on enriching yin and nourishing blood, calming the mind; Huanglian Ejiao Decoction was used as the main prescription, based on Chinese medicine and Western medicine, added or subtracted along with the syndrome. Meanwhile she paid attention to psychological guidance and took into consideration dietary regulation and emotion adjustment. Combined with clinical cases, this paper introduced Cai's thinking and experience in the treatment of gestational insomnia.

Key words: gestational insomnia, Huanglian Ejiao Decoction, famous doctor's experience, Cai Lianxiang

中图分类号: 

  • R271.1