[1]陈冬真,虢周科,王建军,等.虢周科教授治疗失眠伴焦虑状态临床经验[J].陕西中医,2022,(8):1095-1098.[doi:DOI:10.3969/j.issn.1000-7369.2022.08.026]
　CHEN Dongzhen,GUO Zhouke,WANG Jianjun,et al.The clinical experience of GUO Zhouke in treating insomnia with anxiety[J].,2022,(8):1095-1098.[doi:DOI:10.3969/j.issn.1000-7369.2022.08.026]
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虢周科教授治疗失眠伴焦虑状态临床经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年8期
页码:
1095-1098
栏目:
名中医经验
出版日期:
2022-08-05

文章信息/Info

Title:
The clinical experience of GUO Zhouke in treating insomnia with anxiety
作者:
陈冬真1; 虢周科2; 王建军2; 郑浩涛2
(1.广州中医药大学第四临床医学院,广东 深圳 518033; 2.深圳市中医院脑病与心理病科,广东 深圳 518033)
Author(s):
CHEN Dongzhen; GUO Zhouke; WANG Jianjun; ZHENG Haotao
(The Fourth Clinical Medical School,Guangzhou University of Chinese Medicine,Shenzhen 518033,China)
关键词:
失眠;  焦虑状态;  郁乐冲剂;  身心同治;  解郁安神
Keywords:
Insomnia;  Anxiety;  Yule granules;  Mind and body treatment;  Relieve depression and soothe the nerves
分类号:
R 256.23
DOI:
DOI:10.3969/j.issn.1000-7369.2022.08.026
文献标志码:
A
摘要:
本文旨在归纳和总结虢周科教授治疗失眠伴焦虑状态的临床经验和学术思想。虢周科教授为广东省名中医,他认为失眠伴焦虑状态以肝经郁热,阴血不足为核心病机,在治疗上当充分发挥中医药的优势,提出以“解郁安神、滋阴清热”为基本治疗原则。虢教授经过数十年临床经验的积累,凝练出郁乐冲剂作为底方,并兼顾个体症状差异,加减化裁,精准用药,同时注重心理疏导和临床状态的改善,在失眠伴焦虑状态治疗上取得良好疗效。现通过介绍失眠伴焦虑状态的定义、病因病机、遣方用药以及临床医案,总结虢周科教授治疗失眠伴焦虑状态的经验,将名医经验指导临床实践,为临床上治疗该病开拓新思路。
Abstract:
This article aims to summarize the clinical experience and academic thoughts of Professor GUO Zhouke in treating insomnia with anxiety.Professor GUO Zhouke is a famous traditional Chinese medicine doctor in Guangdong province.He believes that the core pathogenesis of insomnia with anxiety is stagnation and heat in the liver channel and insufficient yin and blood.We should give full play to the advantages of traditional Chinese medicine in treatment,and he proposes the basic treatment principle,which is to “relieve depression and soothe the nerves,nourish yin and clear heat”.After decades of clinical experience,Professor GUO Zhouke has condensed Yule granules as a basic prescription,taking into account the differences in individual symptoms,addition and subtraction,precise medication,and at the same time paying attention to psychological counseling and improvement of clinical conditions.The treatment has achieved good results.This article will introduce the definition,etiology and pathogenesis,prescriptions and medications,and clinical medical records of insomnia with anxiety to summarize Professor GUO Zhouke's experience in treating insomnia with anxiety,which is for better guide in the clinical practice and opening up new ideas in the clinical treatment of the disease.

参考文献/References:

[1] 张 斌.中国睡眠研究会继续教育培训教程睡眠医学新进展[M].北京:人民卫生出版社,2018:33.
[2] 侯杰军,路亚娥,吕 予,等.中医药治疗失眠临床研究进展[J].陕西中医,2019,40(2):270-272.
[3] Brasure M,Fuchs E,Donald R,et al.Psychological and behavioral interventions for managing insomnia disorder:An evidence report for a clinical practice guideline by the american college of physicians[J].Annals of Internal Medicine,2016,165(2):113-124.
[4] Eric O,Johnson TR,Naomi B.The association of insomnia with anxiety disorders and depression:Exploration of the direction of risk[J].Journal of Psychiatric Research,2006,40(8):700-708.
[5] 王筱君,阎 红,李 俊.失眠与焦虑、抑郁相关性的临床研究[J].中国误诊学杂志,2009,9(22):5325-5326.
[6] Alvaro PK,Roberts RM,Harris JK.A systematic review assessing bidirectionality between sleep disturbances,anxiety,and depression[J].Sleep,2013,36(7):1059-1068.
[7] 王奎玲,陈 澳,张 辰.中西医治疗失眠症的研究进展[J].科技风,2020,33(23):188,194.
[8] 林文馨,周建华.中医药治疗失眠伴焦虑状态研究进展[J].实用中医内科杂志,2021,35(6):109-112.
[9] 吴玉秋,刘 颖.中西医治疗焦虑性失眠经验浅析[J].光明中医,2019,34(6):943-945.
[10] 贺 嵘,张梅奎,胡龙涛.张建夫教授从肝论治失眠经验[J].陕西中医,2014,35(10):1390-1392.
[11] 吴立明.酸枣仁本草及功用考证[J].中药材,2005,28(5):432-434.
[12] 解玉军,李 泽,崔小芳,等.酸枣化学成分及药理作用研究进展[J].中成药,2021,43(5):1269-1275.
[13] 马欣悦,李瑞海,贾天柱.柏子仁总萜类成分药理活性及提取工艺研究[J].实用药物与临床,2017,20(1):65-68.
[14] 李中国,方 兰.酸枣仁汤方药解析及其助眠机制[J].中国民间疗法,2020,28(16):110-111.
[15] 刘 梅,郭小红,孙 全,等.温郁金的化学成分和药理作用研究进展[J].现代药物与临床,2021,36(1):204-208.
[16] 张 文,占翠芹,朱倩芸.加味酸枣仁汤联合地西泮治疗焦虑性失眠的临床研究[J].天津中医药,2019,36(10):955-958.
[17] 王慧超,张 威,李铁军,等.不同炮制法白芍制品的芍药苷含量检测对比及其镇痛效果研究[J].陕西中医,2018,39(5):672-674.
[18] 孙洲亮,文 莉.夜交藤不同提取物对抗焦虑作用的比较[J].中国医院药学杂志,2008,28(2):164-165.
[19] 文 莉.远志抗焦虑作用部位的筛选[J].中国中医药科技,2006,13(6):401-402.
[20] 徐良雄,石聿树,熊昌娥,等.认知行为团体治疗对广泛性焦虑障碍患者生活质量改善作用[J].中国健康心理学杂志,2020,28(4):486-489.

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备注/Memo

备注/Memo:
基金项目:广东省医学科研基金资助项目(A2020370); 广东省中医药管理局基金资助项目(20211328)
更新日期/Last Update: 2022-08-10