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

现代中医临床 ›› 2021, Vol. 28 ›› Issue (1): 55-58.doi: 10.3969/j.issn.2095-6606.2021.01.012

• 思路与方法 • 上一篇    下一篇

从肾虚血瘀论治老年失眠症*

杨瑞涵1, 曲淼2, 孙文军2, 王戈2, 唐启盛2#   

  1. 1 北京中医药大学 北京 100029;
    2 北京中医药大学第三附属医院
  • 收稿日期:2020-08-15 出版日期:2021-01-30 发布日期:2021-02-02
  • 通讯作者: #唐启盛,男,博士,教授、主任医师、博士生导师
  • 作者简介:杨瑞涵,女,在读硕士生
  • 基金资助:
    *国家中医药管理局全国名老中医传承工作室建设项目,国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者项目,国家科技部中医药行业专项项目(No.201507001-12),北京中医药薪火传承“3+3”工程基层老中医传承工作室建设项目(No.2018-JC-09)

Treatment of senile insomnia in terms of invigorating the kidney and activating blood circulation*

Yang Ruihan1, Qu Miao2, Sun Wenjun2, Wang Ge2, Tang Qisheng 2#   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029;
    2 The Third Affiliated Hospital of Beijing University of Chinese Medicine
  • Received:2020-08-15 Online:2021-01-30 Published:2021-02-02

摘要: 失眠是以经常不能获得正常睡眠为特征的一类病症。老年失眠症病位核心在肾,涉及心,肾精亏虚是其病机基础,肾虚血瘀为其基本病机,多兼夹心火内炽。肾精亏虚,则不能荣养和涵养心神;瘀血内阻,壅遏神机不能潜藏;心火内炽,扰动心神不得安宁。老年失眠症的治疗应以益肾活血为基本治法。辨治时应强调益肾填精以荣神涵神,活血祛瘀以畅达神机,清心、安神、重镇以安定心神。治疗时应采用益肾填精之品,配用活血祛瘀之品,酌加清心、安神、重镇之药,最终使阴阳相合、眠复如常。

关键词: 老年失眠症, 肾虚血瘀, 益肾填精, 活血祛瘀, 安定心神

Abstract: Insomnia is an illness characterized by frequent inability to get normal sleep. The core disease location for senile insomnia lies in the kidney, involving the heart. Deficiency of kidney essence is the basis of its pathogenesis, and kidney deficiency and blood stasis are its basic pathogenesis, often with intense heart fire. Deficiency of the kidney essence fails to promote and cultivate the mind; the blood stasis results in internal blockage, and the divine organs cannot be hidden; the heart fire is fierce and disturbs the mind. The treatment of senile insomnia should be based on the method of invigorating the kidney and promoting blood circulation. As for its treatment, emphasis should be placed on invigorating the kidney and filling the essence to honor and contain the spirit, invigorating blood and removing blood stasis to unblock the mind, and clearing the mind, calming the mind, and rejuvenating the mind to quiet the mind. As for treatment, essence-filling and kidney-replenishin products should be used, combined with products for promoting blood circulation and removing blood stasis, and medicines for clearing the heart, soothing the nerves, and rejuvenating, so that yin and yang can be eventually in harmony and sleep can be restored as usual.

Key words: senile insomnia, kidney deficiency and blood stasis, replenishing kidney and filling essence, promoting blood circulation and removing blood stasis, calming the mind

中图分类号: 

  • R256.23