丁雷辨治失眠经验撷菁

Ding Lei’s Experience in Treating Insomnia Based on Syndrome Differentiation

丁雷教授深耕内科临床30余载,对内科杂病的诊治经验丰富。丁教授认为失眠是多种原因综合作用产生的一类病症,阴阳失衡、阳不入阴是发病根本,瘀血内阻、化热伤阴是病机关键,脾肾不足、精亏痰扰是重要诱因,治疗上应采用"滋耗伤之阴,潜浮越之阳""疏肝气之郁,配化瘀之法""补脾肾之虚,消已成之痰"的综合辨治方法,并明确了各种方法的适应证及方药,同时重视情志、饮食、运动等辅助治疗,在失眠的治疗上取得了显著效果。总结丁教授辨治失眠经验,并附典型医案一则,以飨同道。

Professor Ding Lei has a deep knowledge of internal medicine for more than 30 years and has extensive experience in the diagnosis and treatment of internal medicine diseases.Master Ding believes that insomnia is a type of disease caused by a combination of many reasons.Imbalance between yin and yang and the failure of yang to enter yin are the root causes of the disease.Internal resistance to blood stasis and heat and yin are the key to the pathogenesis.Insufficiency of the spleen and kidneys,deficiency of essence and phlegm disturbance It is an important inducement.In the treatment,the comprehensive diagnosis and treatment of“the yin of nourishing wounds,the yang of submerging and floating”“the method of soothing the stagnation of liver qi and dissipating blood stasis”“tonifying the deficiency of the spleen and kidney,eliminating the already formed phlegm”has been established in treatment.Methods,and clarified the indications and prescriptions of various methods,and paid attention to the participation of emotional,diet,exercise and other therapies,and achieved significant results in the treatment of insomnia.Attached is a typical medical record for the same purpose.