主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2020, Vol. 27 ›› Issue (4): 46-49.doi: 10.3969/j.issn.2095-6606.2020.04.011

• 名老中医经验 • 上一篇    下一篇

韩祖成教授治疗不寐的临床经验*

王渊1, 王翠2#, 指导:韩祖成2   

  1. 1 陕西中医药大学 陕西 712046;
    2 陕西省中医医院脑病科
  • 发布日期:2020-07-30
  • 通讯作者: #王翠,女,在读博士生,主治医师,E-mail:nancy96808@126.com
  • 作者简介:王渊,男,在读硕士生
  • 基金资助:
    *陕西省中医管理局平台类项目(No.LCPT011),陕西省重点研发计划项目(No.2019SF-315)

Prof. Han Zucheng's clinical experience with insomnia treatment*

Wang Yuan1, Wang Cui2#, Tutor: Han Zucheng2   

  1. 1 Shaanxi University of Chinese Medicine, Shaanxi 712046;
    2 Department of Dermatology, Shaanxi Provincial Hospital of Traditional Chinsese Medicine
  • Published:2020-07-30

摘要: 不寐是以不能获得正常睡眠为特征的一类病证,相当于西医的原发性失眠。韩祖成教授对不寐的辨证论治具有独特见解。韩教授认为不寐的辨证应首辨虚和实,治疗应以补虚泻实、调整脏腑阴阳为治疗大法。将不寐分为心火扰神、肝经郁热、肝郁脾虚、肝阳上亢和心脾两虚等5种证候。心火扰神证,治以清心火、养心阴、宁心神为法,方选自拟五心宁心汤。肝经郁热证,治以疏肝清热、养血安神为法,方选自拟解郁安神方。肝郁脾虚证,治以疏肝健脾、养血安神为法,方选自拟理气安神方。肝阳上亢证,治以补益肝肾、平肝安神为法,方选天麻钩藤饮加减。心脾两虚证,治以健脾宁心、养血安神为法,方选归脾汤加减。结合临床病案对韩教授治疗不寐的诊疗思路和用药经验进行介绍。

关键词: 不寐, 中医, 辨证论治, 名医经验, 韩祖成

Abstract: Insomnia is characterized by inability to obtain normal sleep, which is equivalent to primary insomnia in Western medicine. Professor Han Zucheng has unique views on the syndrome differentiation and treatment of insomnia. Professor Han believes that the principal syndrome differentiation of insomnia should be the differentiation of deficiency and excess and the major treatment method should be the tonification of deficiency, purgation of the excess and adjustment of the visceral yin and yang. In his opinion, insomnia is divided into five patterns such as patterns of heart fire harrassing the spirit, liver heat, liver depression and spleen deficiency, liver yang hyperactivity and heart and spleen deficiency. For the pattern of heart fire harrassing the spirit, its treatment is to clear the heart fire, nourish heart yin and quiet the mind, and the suggested formula is the self-made Wuxin Ningxin Decoction. For the pattern of liver heat, its treatment is to soothe the liver and clear heat, nourish blood and quiet the mind and the suggested formula is the self-made Jieyu Anshen Formula.For the pattern of liver depression and spleen deficiency, its treatment is to soothe the liver and fortify the spleen, nourish the blood and quiet the mind, and the suggested formula is the self-made Liqi Anshen Formula. For the pattern of liver yang hyperactivity, its treatment is to tonify and replenish the liver and kidney, pacify the liver and quiet the mind and the suggested formula is the modified Tianma Gouteng Beverage. For the pattern of heart and spleen deficiency, its treatment is to fortify the spleen and calm the heart, nourish the blood and quiet the mind and the suggested formula is the modified Guipi Decoction.Combined with the case records, this paper introduced Professor Han's train of thoughts about the diagnosis and treatment for insomnia as well as his clinical experience with the use of medicinals.

Key words: insomnia, traditional Chinese medicine, syndrome differentiation and treatment, famous doctor's experience, Han Zucheng

中图分类号: 

  • R256.23