河南中医2025，Vol.45Issue(5)：706-711,6.DOI:10.16367/j.issn.1003-5028.2025.05.0115
马云枝基于气机升降理论运用柴胡加龙骨牡蛎汤治疗不寐经验
Professor Ma Yunzhi's Experience in Treating Insomnia with Bupleurum Decoction plus Dragon Bones and Oyster Shell Based on the Theory of Qi Ascending and Descending
摘要
Abstract
Professor Ma Yunzhi thinks,based on the theory of qi ascending and descending,that the pathogeneses of insomnia are com-plex.Abnormal qi movement in the liver and gallbladder serve as one of core mechanisms.Dysregulation of the liver-gallbladder pivot disrupts the balance of yin and yang,preventing yang from entering yin,thereby leading to insomnia.The primary treatment principle lies in restoring the balance of qi movement in the liver and gallbladder.Bupleurum Decoction plus Dragon Bones and Oyster Shell,which can regulate liver-gallbladder qi movement balance,unblock the triple energizer,clear heat,and calm the mind,is an effective formula for insomnia.In clinical practice,Professor Ma skillfully applies this formula with modifications tailored to symptoms:For persistent heat damaging yin manifesting as insomnia,restlessness,dry eyes,and blurred vision,Gujingcao(Flos Eriocauli),Qingxiangzi(Semen Celo-siae),and Hehuanhua(Flos Albiziae),etc.are often added.For phlegm harassing the gallbladder leading to insomnia,bitter mouth,pal-pitations,irritability,yellow-greasy tongue coating,and rapid-slippery pulse,Coptis Gallbladder-Warming Decoction can be combined.For excessive blood stasis,Danshen(Radix Salviae Miltiorrhizae),Chishao(Radix Paeoniae Rubra),and Danggui(Radix Angelicae Sinensis)can be added.For excessive dreaming,doses of Zhenzhumu(Concha Margaritiferae Usta),Longyanrou(Arillus Longan),and Shouwuteng(Caulis Polygoni Multiflori)can be increased.For dry mouth and morning bitterness,Gardenia and Fermented Soybean De-coction can be added.For sweating,fatigue,and weakness,Zhihuangqi(Radix Astragali Praeparata cum Melle),Fuxiaomai(Fructus Tritici Levis),and Mahuanggen(Radix et Rhizoma Ephedrae)can be added.For fatigue and poor appetite,Fuling(Poria),Baizhu(Rhizoma Atractylodis Macrocephalae),Guanghuoxiang(Herba Pogostemonis),Muxiang(Radix Aucklandiae),Sharen(Fructus Amo-mi),Shenqu(Massa Fermentata Medicinalis),and Maiya(Fructus Hordei Germinatus)can be added.For constipation,Zhishi(Fructus Aurantii Immaturus)fried with bran,Houpo(Cortex Magnoliae Officinalis),and Huomaren(Semen Cannabis)can be added.The com-bined use of various medicines restores the balance of qi movement in the liver and gallbladder,ensures that qi,blood,yin and yang re-turn to their respective positions and perform their functions,and brings harmony to the five internal organs.In this way,insomnia is cured.关键词
不寐/气机升降理论/柴胡加龙骨牡蛎汤/《伤寒论》/张仲景/马云枝Key words
insomnia/the theory of qi ascending and descending/Bupleurum Decoction plus Dragon Bones and Oyster Shell/Treatise on Cold Damage Diseases/Zhang Zhongjing/Ma Yunzhi分类
中医学引用本文复制引用
付菊花,康超茹,马云枝..马云枝基于气机升降理论运用柴胡加龙骨牡蛎汤治疗不寐经验[J].河南中医,2025,45(5):706-711,6.基金项目
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{豫中医业函[2014]86号} （）
河南医学科技攻关联合共建项目(LHGJ20240766) （LHGJ20240766）
漯河市青年拔尖人才科研课题项目(LBJZ201604) （LBJZ201604）
