2023-08-04
失眠多為情志所(suo)傷,久病(bing)體虛(xu),飲(yin)食不節,勞逸失度(du)等引起陰陽失調,陽不人(ren)陰而發。病(bing)位主要在心(xin)(xin)(xin)(xin)(xin),涉及肝(gan)、膽、脾(pi)、胃、腎。病(bing)性有(you)虛(xu)實(shi)之分。其(qi)實(shi)證者,多因心(xin)(xin)(xin)(xin)(xin)火(huo)(huo)偏亢,肝(gan)郁化火(huo)(huo),痰熱(re)內(nei)擾,胃氣(qi)失和(he),引起心(xin)(xin)(xin)(xin)(xin)神(shen)(shen)(shen)不安(an)所(suo)致,治(zhi)當清心(xin)(xin)(xin)(xin)(xin)瀉火(huo)(huo),清肝(gan)瀉火(huo)(huo),清化痰熱(re),和(he)中(zhong)導滯,佐以安(an)神(shen)(shen)(shen)寧心(xin)(xin)(xin)(xin)(xin)。其(qi)虛(xu)證者,多由陰虛(xu)火(huo)(huo)旺,心(xin)(xin)(xin)(xin)(xin)脾(pi)兩(liang)虛(xu),心(xin)(xin)(xin)(xin)(xin)膽氣(qi)虛(xu)引起心(xin)(xin)(xin)(xin)(xin)神(shen)(shen)(shen)失養(yang)所(suo)致,治(zhi)當滋陰降火(huo)(huo),補益心(xin)(xin)(xin)(xin)(xin)脾(pi),益氣(qi)鎮驚,佐以養(yang)心(xin)(xin)(xin)(xin)(xin)安(an)神(shen)(shen)(shen)。
牛黃清(qing)熱解(jie)毒,化痰(tan)定驚,珍(zhen)珠鎮心(xin)(xin)安(an)神(shen)(shen),養陰熄風(feng),清(qing)熱墜痰(tan),兩藥合(he)用(yong),清(qing)熱定驚化痰(tan),共為君藥。三(san)黃清(qing)臟腑熱,水牛角青黛清(qing)血(xue)分熱。冰(bing)片、朱砂,清(qing)熱開(kai)竅安(an)神(shen)(shen)。天竺黃除清(qing)肺中之(zhi)熱痰(tan)外(wai),還能(neng)(neng)清(qing)心(xin)(xin)平肝、使(shi)神(shen)(shen)志能(neng)(neng)清(qing),竹瀝尚能(neng)(neng)治痰(tan)在經絡四肢皮(pi)(pi)里膜(mo)(mo)外(wai),膽南星善(shan)祛腦竅風(feng)痰(tan),石菖蒲能(neng)(neng)“開(kai)心(xin)(xin)孔,利九(jiu)竅”。諸藥合(he)用(yong)共為臣(chen)藥。石菖蒲性溫,平衡眾多苦寒藥物,且(qie)(qie)能(neng)(neng)化濕(shi)(shi)開(kai)胃(wei)、開(kai)竅豁痰(tan)、醒神(shen)(shen)益智,兼為佐(zuo)藥。郁(yu)金活(huo)血(xue)行(xing)氣推(tui)動(dong)諸藥到達(da)病所,且(qie)(qie)能(neng)(neng)止痛解(jie)郁(yu)、清(qing)心(xin)(xin)涼血(xue)、利膽退黃,為使(shi)藥。通(tong)過君臣(chen)佐(zuo)使(shi)的(de)最佳(jia)組合(he),珍(zhen)黃安(an)宮片能(neng)(neng)清(qing)氣分血(xue)分及臟腑之(zhi)熱,能(neng)(neng)祛心(xin)(xin)、肝、肺、腦、經路、四肢及皮(pi)(pi)里膜(mo)(mo)外(wai)之(zhi)痰(tan)濕(shi)(shi)兼有活(huo)血(xue)行(xing)氣之(zhi)藥的(de)助推(tui),能(neng)(neng)開(kai)竅能(neng)(neng)透熱,能(neng)(neng)鎮靜能(neng)(neng)安(an)神(shen)(shen)。故能(neng)(neng)治療失眠屬實(shi)證者。