崔述生的手法治疗失眠的经验总结.doc

崔述生的手法治疗失眠的经验总结 　　摘要：失眠是影响生活?|量的重要因素，长期睡眠不足不仅影响人们日常生活，更会导致各种精神疾病。随着社会经济不断发展及生活和工作方式的改变，有睡眠障碍的人也越来越多。目前治疗失眠的方法大多以镇静、安神的西药为主，但不良反应大，且长期使用会有耐药性和成瘾性。北京第四批百名名老中医崔述生教授依据中医对失眠病因病机的认识，结合推拿手法的作用特点，总结了“头部按摩十法”。该法具有轻而不浮、重而不痛、和缓有力的特点，其主要施术部位在头面部，可以直接舒缓头皮、疏通头面部经络气血，又因施术者在意念上引导患者宁心静气、意守丹田、舒缓身体，故整套手法能够达到调和阴阳、镇静、安神的效果。 　　关键词：名医经验；崔述生；手法；失眠 　　DOI：10.3969/j.issn.1005-5304.2017.07.026 　　中图分类号：R256.23 文献标识码：A 文章编号：1005-5304（2017）07-0108-03 　　Abstract： Insomnia is the important factor affecting people’s lives. The long-term lacking of sleep can not only affects people’s daily life， but also can lead to a variety of mental illness. With the development of society， the life and working styles of people have changed a lot， and the number of patients with insomnia is increasing. However， the main therapy of insomnia is the Western medicine with calming and sedative efficacy. This kind of medicine has side effects， and long-term application can cause resistance and addiction. This article introduced the fourth batch of 100 old TCM doctors Professor CUI Shu-sheng’s profound understanding of insomnia etiology and pathogenesis. Combined with the function features of Tuina， he summarized the “Ten methods of head massage”. The “Ten methods of head massage” has the characteristics which are light but not float， heavy but not hurt， and gentle and strong. The main operation places are head and face； thus， it can relieve the scalp and dredge qi and blood of head and face. Because the doctor can guide patients to calm down and focus on their public region and soothe their body， it has the effects of harmonizing yin and yang， calming， and soothing. 　　Key words： experience of famous doctors； CUI Shu-sheng； practice； insomnia 　　崔述生教授系北京第四批百名名老中医，从事临 　　床与教学工作40余年，善以推拿手法治疗内科、骨伤科疾患，其手法动作轻巧柔和而力量厚重。在治疗失眠方面，崔教授继古承新，根据自己多年的临证经 　　验，形成了以“头部按摩十法”为基础的系统治疗方法。笔者有幸师从崔教授学习多年，现将其治疗失眠经验整理如下，以飨同道。 　　1 病因病机 　　失眠是以经常不能获得正常睡眠为特征的一类病症，属中医学“不寐”“不得眠”“不得卧”“目不瞑”范畴，主要表现为睡眠时间、深度不足，轻者入睡困难，或寐而不酣，时寐时醒，或醒后不能再寐，重则彻夜不寐。中医学认为，