Analysis of the Treatment Regularity of Chaihu Prescriptions in Treatise on Febrile Diseases for Insomnia of Shaoyang Syndrome
10.16466/j.issn1005-5509.2024.12.019
- VernacularTitle:探析《伤寒论》柴胡类方在少阳证不寐中的施治规律
- Author:
Ke REN
1
;
Lei WANG
1
;
Lingyong CAO
1
Author Information
1. 浙江中医药大学基础医学院 杭州 310053
- Publication Type:Journal Article
- Keywords:
insomnia;
Shaoyang disease;
Treatise on Febrile Diseases;
Chaihu prescriptions;
Chaihu Guizhi Ganjiang Decoction;
six meridian syndrome differentiation;
classical prescriptions;
harmonizing Yin and Yang
- From:
Journal of Zhejiang Chinese Medical University
2024;48(12):1600-1603
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the pathogenesis of insomnia in Shaoyang syndrome,and combined with the characteristics of Chaihu prescriptions in Treatise on Febrile Diseases,to explore the rules of treatment regularity of Chaihu prescriptions in Treatise on Febrile Diseases for insomnia of Shaoyang syndrome.[Methods]By analyzing the understanding of insomnia pathogenesis in Huangdi Neijing and Treatise on Febrile Diseases,the theoretical and practical associations between insomnia and Shaoyang disease were explored. Combined with the clinical manifestations and the classification of six-meridian pathogenesis,the application of Chaihu prescriptions in the treatment of insomnia was summarized.[Results]From the perspective of six-meridian syndrome differentiation,there is insomnia of Shaoyang syndrome,whose basic pathogenesis is that the body's nutrient and defense are weak,the exterior pathogen enters the interior,the Shaoyang is blocked,the pivot is unfavorable,the water,fire,Qi and blood are distributed improperly,leading to mental restlessness and uncontrollable. In the Chaihu prescriptions of Treatise on Febrile Diseases,for the pathogen attacking Shaoyang,the treatment principle is to reconcile Shaoyang and regulate the pivot,and mainly uses Xiaochaihu Decoction;for the pathogen attacking Shaoyang and Yangming leading to constipation,the treatment principle is to reconcile Shaoyang and facilitate bowel movement,and mainly uses Dachaihu Decoction;for the pathogen attacking Shaoyang and Jueyin water heat,the treatment principle is to clear away internal depression and purge water heat,and mainly uses Chaihu and Longgu Muli Decoction;for the pathogen attacking Shaoyang and Taiyin water drinking,the treatment principle is to reconcile Shaoyang,reconcile the liver and spleen,and warm and resolve retained fluid,and mainly uses Chaihu Guizhi Ganjiang Decoction.[Conclusion]Insomnia is closely related to Shaoyang syndrome,and the main treatment is to reconcile Shaoyang. To summarize the rules of treatment regularity of Chaihu prescriptions in Treatise on Febrile Diseases for insomnia of Shaoyang syndrome,can provide a new idea and method for clinical diagnosis and treatment of insomnia.
