DOU Yongqi's experience in treating gastralgia combined with insomnia from the perspective of phlegm and dampness

ZHONG Lingzhi; LI Xiao; WANG Yuguo; YU Hongyang; DOU Yongqi

doi:10.16025/j.1674-1307.2025.09.014

您当前的位置：

首页 >

文章列表页 >

DOU Yongqi's experience in treating gastralgia combined with insomnia from the perspective of phlegm and dampness

更新时间：2025-11-25

- DOU Yongqi's experience in treating gastralgia combined with insomnia from the perspective of phlegm and dampness
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 9, Pages: 1154-1157(2025)
- 作者机构：
  
  1.中国人民解放军总医院研究生院，北京 100853
  2.中国人民解放军71901部队，聊城 252004
  3.中国人民解放军总医院第六医学中心，北京 100048
  4.中国人民解放军医学院，北京 100853
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.09.014
  CLC：
- Received：04 December 2024，
  
  Published：25 September 2025
- 稿件说明：
移动端阅览
仲苓芝，李潇，王毓国，等.窦永起从痰湿论治胃痛合并不寐经验［J］.北京中医药，2025，44（9）：1154-1157.

ZHONG Lingzhi,LI Xiao,WANG Yuguo,et al.DOU Yongqi's experience in treating gastralgia combined with insomnia from the perspective of phlegm and dampness[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(09):1154-1157.
仲苓芝，李潇，王毓国，等.窦永起从痰湿论治胃痛合并不寐经验［J］.北京中医药，2025，44（9）：1154-1157. DOI： 10.16025/j.1674-1307.2025.09.014.

ZHONG Lingzhi,LI Xiao,WANG Yuguo,et al.DOU Yongqi's experience in treating gastralgia combined with insomnia from the perspective of phlegm and dampness[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(09):1154-1157. DOI： 10.16025/j.1674-1307.2025.09.014.

摘要

“胃不和则卧不安”，胃痛和不寐均为多发病、常见病，两者伴发的情况十分常见，且反复发作，迁延难愈。临床常将这两种病症分开治疗，效果多不理想。窦永起教授根据多年的临床实践发现，此类患者病情常相互影响，治疗需同时考虑，且其病因病机存在一定联系，即“湿滞中焦、胃失和降，湿邪夹热、痰热扰心”，湿邪是其关键病因，故常采用半夏泻心汤与温胆汤类方加减治疗，常可取得显著效果。

Abstract

"Stomach discord leads to lying re

stless". Gastralgia and insomnia are both common and frequently occurring conditions， and their co-occurrence is very common， often recurrent and difficult to resolve. In clinical practice， these two conditions are often treated separately， resulting in suboptimal outcomes. Based on years of clinical experience， Professor DOU Yongqi has found that these conditions often influence each other and should be treated concurrently. Moreover， their etiology and pathogenesis are interconnected， characterized by "dampness stagnating in the middle Jiao， leading to gastric disharmony and downward movement； dampness-heat complex， phlegm-heat disturbing the heart"， with dampness identified as the key etiological factor. Therefore， modified prescriptions based on

Banxia Xiexin Decoction

and

Huanglian Wendan Decoction

are frequently applied， often achieving remarkable therapeutic effects.

关键词

Keywords

references

王金 , 刘珊珊 , 王雪 . 慢性萎缩性胃炎患者相关危险因素调查研究 [J ] . 护理实践与研究 , 2019 , 16 ( 21 ): 10 - 12 .

谌剑飞 , 谭薇 , 严颂琴 , 等 . 失眠与幽门螺旋杆菌感染关系研究及中西医病机探讨 [J ] . 中华中医药学刊 , 2007 , 25 ( 12 ): 2466 - 2467 .

李平康 . 慢性萎缩性胃炎伴与不伴睡眠障碍患者中医体质特点研究 [D ] . 上海 : 上海中医药大学 , 2021 .

伊凡 . 慢性萎缩性胃炎合并躯体化障碍的中医证型及相关背景因素调查研究 [J ] . 乌鲁木齐:新疆医科大学 , 2016 .

徐杰军 . 慢性胃肠疾病与失眠的关系及其治疗原则浅识:附336例临床分析 [J ] . 中国中医基础医学杂志 , 1997 , 3 ( S3 ): 111 - 112 .

郭建生 , 李绵绵 , 林国清 . 不寐病机“阳不入阴”探析 [J ] . 中医学报 , 2023 , 38 ( 7 ): 1423 - 1427 .

臧镭镭 , 于清茜 , 王若冲 , 等 . 基于“治中焦如衡”的半夏泻心汤在脾胃病中的临床应用 [J ] . 中国医药指南 , 2023 , 21 ( 16 ): 128 - 131 .

陈希 , 高伟 , 宿芳 , 等 . 半夏泻心汤合麻子仁丸加减治疗寒热错杂型功能性便秘的疗效观察 [J ] . 北京中医药 , 2024 , 43 ( 7 ): 772 - 775 .

黎卫东 , 张振华 . 半夏泻心汤治疗寒热错杂型老年不寐临床观察 [J ] . 光明中医 , 2023 , 38 ( 22 ): 4401 - 4404 .

张楚楚 , 刘莹 , 李海燕 , 等 . 经典名方半夏泻心汤古今临床应用衍变分析 [J ] . 中国中医基础医学杂志 , 2023 , 29 ( 3 ): 452 - 456 .

薛振明 . 半夏泻心汤合黄连温胆汤加减治疗室性早搏（痰火扰心证）的临床观察 [D ] . 长春 : 长春中医药大学 , 2023 .

李军虎 , 曹晓丁 , 冶尕西 . 《伤寒杂病论》中半夏交通阴阳之功用探析 [J ] . 北京中医药 , 2024 , 43 ( 6 ): 710 - 712 .

任小宁 , 郭晓黎 , 崔淑兰 , 等 . 半夏泻心汤在脾胃病辨治中的应用研究 [J ] . 生物化工 , 2022 , 8 ( 5 ): 176 - 179 .

田芳 , 陈婷 . 半夏现代研究进展 [J ] . 广东化工 , 2022 , 49 ( 14 ): 75 - 76,107 .

郭少英 , 程发峰 , 钟相根 , 等 . 黄芩苷的体外抗氧化研究 [J ] . 时珍国医国药 , 2011 , 22 ( 1 ): 9 - 11 .

刘晓龙 , 李春燕 , 肖先 , 等 . 黄连主要活性成分及药理作用研究进展 [J ] . 新乡医学院学报 , 2023 , 40 ( 8 ): 784 - 790 .

蒋苏贞 , 廖康 . 干姜醇提取物对实验性胃溃疡的影响 [J ] . 中国民族民间医药 , 2010 , 19 ( 8 ): 79 - 80 .

黄玲 . 黄连化学成分及有效成分药理活性的研究进展 [J ] . 中西医结合心血管病电子杂志 , 2020 , 8 ( 17 ): 136 - 137 .

周媛 , 柳淑青 . 针刺辨证联合茯苓竹茹汤对脑卒中后抑郁患者5-HT影响 [J ] . 中国临床研究 , 2020 , 33 ( 6 ): 835 - 838 .

李鹏英 , 俞年军 , 李勇 , 等 . 半夏在神经系统疾病中应用的研究进展 [J ] . 中国现代中药 , 2016 , 18 ( 3 ): 390 - 395 .

杨杰 , 刘运琴 , 林丽 . 基于“心脑共主神明”理论从“祛痰开窍法”探讨抑郁症的研究进展 [J ] . 湖北中医药大学学报 , 2022 , 24 ( 6 ): 119 - 122 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Pathogenesis and treatment of aplastic anemia based on the theory of "essence and blood homology"

WANG Shuchen's experience in treating lung cancer with drug pairs from "form, qi, and spirit"

TCM master LYU Renhe's experience on clinical application of Gypsum Fibrosum from six diagnosis and treatment principles

SHE Jing's differentiation and treatment of heart failure from qi transformation of triple Jiao

JIN Zhe's experience in treating thin endometrial infertility based on the Dili theory

Related Author

SHI Ying

QIAN Yuxiao

LANG Haiyan

WEI Diu

CHEN Xinyi

HUANG Xiaohua

YANG Lu

SU Wenwen

Related Institution

Dongzhimen Hospital， Beijing University of Chinese Medicine

The First Clinical Medical School of Beijing University of Chinese Medicine

Graduate School， Beijing University of Chinese Medicine

Department of Pulmonary Diseases， Xiyuan Hospital， China Academy of Chinese Medical Sciences

Department of Nephrology and Endocrinology， Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine

⁰