新安王氏内科辨治不寐经验探析

Experience of Xin'an WANGs' internal medicine school in treating insomnia

新安王氏内科在临床辨治内科杂病方面经验丰富,遣方用药别具一格。新安王氏内科认为不寐病位在脑,脏腑关系上重视心、脾、肝、肾;脏腑失调,阴阳失交是病机关键;治疗总以调整脏腑阴阳偏颇为主:从脑入手,补肾填髓,养心安脑宁神、肝肾同治,注意精神调护、交通心肾,调节阴阳升降、重视心脾,不忘痰热扰神;临证善用对药,疗效显著。文章通过文献整理,从病因病机、辨治经验、用药特色、验案分析等方面剖析新安王氏内科论治不寐的临床经验。

Xin’an WANGs’ internal medicine has a rich experience in the clinical diagnosis and treatment of miscellaneous internal diseases. Besides, the prescriptions of Xin’an WANGs’ internal medicine are unique. The theory of Xin’an WANG internal medicine considers that the position of the disease is not only in the brain. WANGs’ internal medicine puts emphasis on the heart, spleen, liver and kidney in the relationship of viscera and thinks that the pathogenesis of insomnia is the dissonance of the viscera and the incompatibility of yin and yang. The main treatment is to adjust the biases of yin and yang of the viscera: starting from the brain, invigorating the kidney and filling the marrow, nourishing the heart and tranquilizing the mind, treating both liver and kidney, paying attention to mental care, communicating the heart and kidney, adjusting the lifting and lowering of yin and yang, attaching importance to the heart and spleen, and not forgetting internal disturbance of phlegmheat;using couplet medicines properly in clinical practice with remarkable effect. This article has gathered various literatures summarized the experience of Xin’an WANGs’ internal medicine in treating insomnia from the pathogenesis, diagnosis and the characteristics of medication.