马云枝从三焦论治顽固性失眠经验

MA Yunzhi's Experience on Diagnosing and Treating Intractable Insomnia from Triple-jiao

马云枝教授认为,三焦气机不畅、心肾不交是导致顽固性失眠的主要病机,与心火亢盛、寒湿中阻、相火妄动等密切相关。治疗重在调畅三焦气机与清心火、祛寒湿、摄相火等同治,临证发挥,屡获良效。

Professor MA Yunzhi holds that inhibited qi movement of triple-jiao and non-interaction of the heart and kidney are the main pathological mechanism of intractable insomnia,which is closely related to hyperactive heart fire,cold-dampness causing internal obstruction and frenetic stirring of the ministerial fire. Therefore,the treatment should be focused on regulating qi movement of triple-jiao,eliminating the heart-fire,removing cold-dampness,and controlling ministerial fire. Applying this principle in clinical practice always achieves good effectiveness.