摘要
整理张仲景《伤寒论》《金匮要略》有关不寐的病因病机及治法方药的论述,其中有多种象思维模式的指导运用,归纳为运用物象立祛风宁心安神,道象创引阳入阴安神,比象制心肾相交安神,法象定特异靶药安神等四大类方法。运用象思维指导不寐的辨证论治,是张仲景对“天人合一”观的传承创新,更是对四诊八纲体系的拓展和完善,丰富和弥补了传统辨证论治的局限和未备,扩大了治疗不寐方药的功效选择。
This paper compiles ZHANG Zhongjing's discussions on the etiology,pathogenesis,treatment methods,and prescriptions for insomnia in his works Shang Han Lun(Treatise on Cold Damage)and Jin Gui Yao Lve(Essentials from the Golden Cabinet).It highlights the application of various Xiang-thinking modes,which can be summarized into four major methods:utilizing Wu-Xiang to dispel wind,rest the heart and calm the mind,employing Dao-Xiang to guide yang into yin for calming the mind,using Bi-Xiang to harmonize the heart and kidney for calming the mind,and determining specific target medicine for calming the mind based on Fa-Xiang.The application of Xiangthinking in guiding the differentiation and treatment of insomnia represents ZHANG Zhongjing's inheritance and innovation of the concept of"the unity of heaven and man",as well as an expansion and improvement of the fourexamination and eight-principle system.It enriches and compensates for the limitations and inadequacies of traditional syndrome differentiation and treatment,broadening the efficacy options for treating insomnia with prescriptions.
作者
王建康
邓颖萍
张婷素
陈璐佳
张徐
夏煜听
WANG Jiankang;DENG Yingping;ZHANG Tingsu;CHEN Lujia;ZHANG Xu;XIA Yuting(Ningbo Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Ningbo Zhejiang 315010,China;Jiangkou Branch of Ningbo Fenghua Hospital of Traditional Chinese Medicine,Ningbo Zhejiang 315500,China;School of Traditional Chinese Medicine,Macao University of Science and Technology,Macao 999078,China)
出处
《新中医》
2025年第5期169-173,共5页
New Chinese Medicine
基金
全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号)
宁波市卫生健康青年技术骨干人才培养专项(甬卫发〔2023〕87号)。
关键词
张仲景
不寐
象思维
临床运用
ZHANG Zhongjing
Insomnia
Xiang-thinking
Clinical application
作者简介
王建康(1959-),男,主任中医师,教授,E-mail:wjk7009@126.com;通信作者:邓颖萍(1985-),女,副主任中医师,E-mail:dengyingping@sina.com。
