心系:不寐 Flashcards

1
Q

不寐多梦,甚则彻夜不眠,急躁易怒,伴头晕头张,目赤耳鸣,口干而苦,便秘,舌红苔黄,脉弦而数。

A

肝火扰心证

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2
Q

肝火扰心证的治法与代表方

A

治法:疏肝泻火,镇心安神

方药:龙胆泻肝汤加减

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3
Q

不寐的定义

A

不寐是以经常不能获得正常睡眠为特征的一类病证,主要表现为睡眠时间、深度的不足,轻者入睡困难,或寐而不酣,时寐时醒,或醒后不能再寐。重者彻夜不寐,常影响人们的正常工作、生活、学习和健康。

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4
Q

症状:心烦不寐,躁扰不宁,怔忡,口干舌燥,小便短赤,口舌生疮,舌尖红,苔薄黄,脉细数。

A

不寐:心火偏亢

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5
Q

不寐:心火偏亢的治法与方药

A

治法:清心泻火,宁心安神。

方药:朱砂安神丸。

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6
Q

症状:不寐,胸闷心烦,泛恶,嗳气,伴有头重目眩,口苦,舌红苔黄腻,脉滑数。

A

·不寐:痰热内扰

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7
Q

不寐:·痰热内扰的治法与代表方

A

治法:清化痰热,和中安神。

方药:黄连温胆汤。

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8
Q

症状:不寐,脘腹胀满,胸闷嗳气,嗳腐吞酸,或见恶心呕吐,大便不爽,舌苔腻,脉滑。

A

不寐:胃气失和

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9
Q

·不寐:胃气失和的治则与代表方

A

治法:和胃化滞,宁心安神。

方药:保和丸。

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10
Q

症状:心烦不寐,心悸不安,腰酸足软,伴头晕,耳鸣,健忘,遗精,口干津少,五心烦热,舌红少苔,脉细而数。

A

不寐:阴虚火旺

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11
Q

不寐:阴虚火旺的治则与代表方

A

治法:滋阴降火,清心安神。

方药:六味地黄丸合黄连阿胶汤。

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12
Q

症状:多梦易醒,心悸健忘,神疲食少,头晕目眩,伴有四肢倦怠,面色少华,舌淡苔薄,脉细无力。

A

不寐:心脾两虚

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13
Q

不寐:心脾两虚的治则与代表方

A

治法:补益心脾,养心安神。

方药:归脾汤。

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14
Q

症状:心烦不寐,多梦易醒,胆怯心悸,触事易惊,伴有气短自汗,倦怠乏力,舌淡,脉弦细。;

A

不寐:心胆气虚

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15
Q

不寐:心胆气虚的治法与代表方

A

治法:益气镇惊,安神定志。

方药:安神定志丸合酸枣仁汤。

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16
Q

不寐的针灸治疗

A

神门, 内关,百会,安眠等穴以调和阴阳宁心安神。随证加减。