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桂枝加龙骨牡蛎汤出自《金匮要略》,其方为辛温平剂,有调和阴阳(气血)、升发阳气、温通经脉、安神、补虚等作用。笔者临床用本方治疗失眠、多寐、遗精、阳萎、局部多汗、肠鸣如雷、荨麻疹等,取得了较好的疗效。现举例如下: 一、失眠孔××,男,34岁。1979年7月26日就诊。顽固性失眠已三年,每晚睡眠最多3～4小时,一般为2～3小时,梦多,心烦不宁,上午头昏,记忆力减退。开始服用一片安眠酮可睡5～6小时,因乏效而渐增至4片,但疗效欠佳。因怕长期服用引起肝脏损害而改用中药治疗,前后曾服养心安神、滋阴清火剂,用温胆汤等药,疗效均不满意。胃纳一般’两便和调,舌苔薄白,舌质略红,脉细弦。辨证:阴阳失调,心火偏旺。
Guizhi plus keel oyster soup from the “Golden Chamber”, the side for the Xin Wen Ping agent, there is reconciliation of yin and yang (blood), rising hair yang, Wentong meridians, soothe the nerves, tonic and other effects. The author clinically used this prescription to treat insomnia, multiple spasms, nocturnal emission, impotence, local hyperhidrosis, bowel, thunder, urticaria, etc., and achieved good results. Examples are as follows: First, insomnia hole × ×, male, 34 years old. July 26, 1979 treatment. Obstinate insomnia has been three years, sleep up to 3 to 4 hours per night, usually 2 to 3 hours, dreams, upset, restless morning, dizziness, memory loss. The beginning of taking a hypnotic ketone can sleep 5-6 hours, due to lack of effectiveness and gradually increased to 4, but the efficacy is not good. Due to fear of long-term use of liver damage caused by the switch to traditional Chinese medicine treatment, before and after serving with Yangxin Anshen, Ziyinqinghuo agent, with warm bile soup and other drugs, the efficacy is not satisfied. Appetite is generally ’two will be tone, thin white tongue coating, slightly red tongue, pulse string. Syndrome: yin and yang disorders, heart fire lean.