TCM-Universität Chengdu: Die Klassiker in der täglichen Praxis CN [DE]

Obstinate insomnia (also called chronic insomnia) is a common clinical severe sleep disturbance. As a common physiological and psychological disease, it is mainly characterized by a severe lack of sleep time and/or a significant decrease in sleep quality, recurrent symptoms, a disease duration greater than 6 months, and failure to stabilize after systematic treatment with two or more different types of drugs, which seriously affects the patient's physical and mental health and the secondary development of a variety of diseases (such as immune decline, cardiovascular and cerebrovascular diseases, female ovarian hypofunction, etc.). Professor Jiang Yong adheres to the idea of "differentiation of disease and pattern" and starts from the theory of "liver stores blood and blood sheds the soul". She thinks that “the deficiency of liver blood” is the common pathogenesis of obstinate insomnia, and selects Zhang Zhongjing's "Synopsis of Golden Chamber" as the basic formula, and carefully adds and reduces the formula according to different clinical symptoms (depression, anxiety, cervicogenic insomnia, cardiac and cerebral ischemia, premature ovarian failure, etc.) to improve the therapeutic effect.

中文简介：
顽固性失眠（又叫慢性失眠），是临床常见的一种重症睡眠障碍。作为常见的生理心理疾病，主要表现为睡眠时间严重不足和（或）睡眠质量显著下降，症状反复发作，病程大于6个月，经两种以上不同种类的药物系统治疗仍不能稳定，严重影响患者身心健康及继发多种疾病（如免疫下降，心脑血管疾病，女性卵巢功能低下等）。江泳教授秉承“病证结合”思想，从“肝藏血血舍魂”理论入手，认为肝血不足为顽固性失眠的共性病机，精选张仲景《金匮要略》中酸枣仁汤为基础方，并根据临床具体病证表现为抑郁焦虑症，还是颈性失眠，还是心脑缺血，还是卵巢早衰等细化加减化裁辨证论治，以提高疗效。

Abstract: Herpes zoster is characterized by severe pain,which seriously affects the life of patients. Although western medicine treatment takes effect quickly,it is easy to produce adverse reactions when the pain is reduced to half of the initial degree,and the effect is not good in preventing and controlling its complications.Using the "person-symptom-disease-pattern" system of TCM master Guo Ziguang, Professor Jiang Yong takes disease as the key link, grasps the common core pathogenesis of herpes zoster,which is blood deficiency of liver collateral,heat toxin with dampness and blood stasis of liver collateral;Taking into account the personality,combined with the personality pathogenesis of patients with different syndrome types,the treatment was divided into different types.Taking "softening the liver and purging fire, detoxifying and eliminating dampness,dredging collaterals and relieving pain" as the basic treatment pricinple,the prescription of "purging toxin and dredging collaterals" was created as the basic empirical prescription.The combination of disease and syndrome can maximize the clinical curative effect and give full play to the characteristic advantages of traditional Chinese medicine.

中文简介：
带状疱疹以剧烈疼痛为其特点，严重影响患者生活。西医治疗虽起效较快但使疼痛降低至初始程度一半时较易产生不良反应，且在防止及控制其并发症方面效果不佳。江泳教授运用国医大师郭子光教授“人－症－病－证”体系，以病为纲，抓住带状疱疹以肝络血虚，热毒湿浊瘀滞肝络为其共性核心病机；兼顾个性，结合患者不同证型的个性病机进行分型论治。以“柔肝泻火，解毒除湿，通络止痛”为基本治则，创制“泻毒通络”方为基础验方，以此方为基，分人分型分期加减治疗。病证结合，最大化地优化临床疗效，更能发挥中医特色优势。