愿君夜夜安枕眠(之三) – 阴虚火旺型失眠的症状、用药和食疗

第三型,阴虚火旺型。

 

阴虚火旺型失眠的症状

 

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。

此证为虚证。由于阴虚造成了“心肾不交”,简单理解就是,心火下不来,肾水上不去,造成了失眠。

更年期妇女的失眠,此证型多发。

这个证型是“心肾不交”失眠中的虚证。就是说,主要矛盾是阴虚,造成虚火,而不是心火偏亢所造成。心火偏亢为“心肾不交”失眠的实症,将在下一篇介绍。

辨证要点:

  1. 心烦;
  2. 五心烦热;
  3. 舌红少苔。

图片来自网络

病因为阴虚,特别是肾阴虚;

阴虚火旺型失眠的用药

治则为“滋阴降火,清心安神“。

方选六味地黄丸黄连阿胶汤

六味地黄丸滋补肾阴;黄连、黄芩直折心火;芍药、阿胶、鸡子黄滋养阴血。两方共奏滋阴降火之效。若心烦心悸,梦遗失精,可加肉桂引火归元,与黄连共用即为交泰丸以交通心肾,则心神可安。

 

阴虚火旺型失眠的食疗

 

燕窝(养阴润燥,益气补中。注意:肺胃虚寒,湿痰停滞及有表邪者忌用

阿胶(既能补血,又能滋阴。注意:脾胃虚弱、消化不良者慎服

猪肉(滋阴和润燥。注意:湿热痰滞内蕴者慎服

 

参考:

《中医内科学》第五节 失眠

阿胶

 

如有错误,欢迎各位网友指正。

服药请务必在中医师指导下进行。

【声明】我不是医生,在文学城论坛和博客的言论皆为网友互相探讨,不构成任何人求医的指南和依据。身体有恙,请看医生。本声明适用于本人在文学城论坛及博客的所有言论。

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bluewave69 发表评论于
谢谢米兰。我不想再吃任何中药了。我在想想别的办法。
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