李建民以天雄散加减治疗慢性肾衰竭患者失眠的临证经验
Chinese Journal of Basic Medicine in Traditional Chinese Medicine（2020）
Abstract
阳入于阴是睡眠活动的本质,阳虚神失所养、浮阳独留于外是阳虚失眠的根本病机.慢性肾衰竭患者常被失眠所扰,严重影响患者的生活质量.与久病气虚涉阳、肾阳虚衰、精神失养、湿热瘀毒等实邪积聚、阳入于阴的道路被阻有关.天雄散出自《金匮要略》,由附子、白术、桂枝、龙骨组成,能温一身阳气之根本,补一身之气,兼潜上浮之阳,与慢性肾衰竭患者失眠病机相合,李建民教授应用其加减治疗慢性肾衰竭患者气虚涉阳、阳气虚损、精神失养、阳不入于阴所致的失眠有显著的临床疗效.
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