基于"形神一体"观从心辨治失眠伴汗出异常OA
Discussion on the Treatment of Insomnia with Abnormal Sweating from the Heart Based on the Holism of Body and Spirit
心藏神,汗为心之液,心为形神统一之脏.失眠是临床上常见的慢性顽固性疾病,除了有入睡困难、寐浅易醒、多梦等症状外,其发作常伴汗出异常.心不藏神则失眠,心体失用则汗出异常,而二者往往病损相存,形神互扰,在现代医学角度上,其都与交感神经功能的紊乱有关.治疗上立足于"形神一体"观,从心辨治,调形以虚实为纲,调神以情志为要,又不拘泥于心,多法并举,临床上取得了一定的疗效,并附一则验案以佐证,为"形神一体"理论的推广和应用提供新思路.
The heart hides the spirit,sweat is the fluid of the heart,and the heart is the organ that unites form and spirit.Insomnia is a common chronic and stubborn disease in clinical practice.In addition to symptoms such as diffi-culty falling asleep,easy awakening,and excessive dreaming,its attacks are often accompanied by abnormal sweating.If the heart does not hide the spirit,there will be insomnia,and if the mind and body are ineffective,there will be ab-normal sweating.The two diseases often coexist,and the body and mind interfere with each other.From the perspective of modern medicine,they are both related to the disorder of sympathetic nervous function.The treatment is based on the concept of"integration of form and spirit",differentiates and treats from the heart,adjusts the form based on deficiency and excess,and adjusts the mind based on emotions and will,without being limited to the heart,using multiple methods simultaneously,and has achieved certain clinical effects.A case study is attached as evidence,providing new ideas for the promotion and application of the theory of"integration of form and spirit".
高金铭;吴佳凝;董宏利
南京中医药大学附属苏州市中医医院 江苏苏州 215000
中医学
失眠汗出异常形神一体观心
InsomniaAbnormal sweatingView of the unity of form and spiritHeart
《中医药临床杂志》 2024 (006)
1060-1064 / 5
江苏省中医药管理局面上项目(YB2020056);南京中医药大学自然科学基金项目(XZR2020035);姑苏卫生重点人才项目(GSWS2020080)
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