罗翌教授针药并举治疗失眠的临床经验

LUO Yi's clinical experience on treatment of insomnia with acupuncture combined with Chinese medicine

罗翌教授临证重视脾在失眠发病中的地位,强调失眠病机以脾虚为本,脾虚则诸邪生,阻滞脏腑气机升降,阴阳失交,最终导致神不归舍发为失眠。据此总结出失眠常见五种证型。治疗上提出"以脾为本,通调脏腑"的基本大法,辨证用药;同时遵腹针疗法的神阙布气假说理论,取"引气归元、通调脏腑"大法,选取针刺腹部相关穴位。于此,病证结合、针药并举进行辨治,选方用药准确,加减调针精良,临床效果明显。

Professor LUO Yi attached importance to spleen in the pathogenesis of insomnia status, stressed that the pathogenesis of insomnia was spleen deficiency, which induced all evils, retarded Qi movement of viscera, broke the balance of Yin and Yang, eventually leaded to insomnia. According to the conclusion, five syndromes were concluded. In treatment, ＇spleen as basis, regulating viscera＇ was basic law, combining with Shenque point Qi distribution hypothesis, ＇guiding Qi and returning to origin＇ as fundamental rule, and selecting and acupunctudng related point in belly. As a result, in clinic, combined needle and drug, differentiating disease and syndrome, accurate applying medicine, will achieve obvious effects.