王中男教授治疗阴虚火旺型不寐合并郁证

Professor WANG Zhongnan in the treatment of insomnia of yin deficiency and fire hyperactivity combined depression

不寐是临床常见的疾病之一,常伴随情绪抑郁难舒,近年来,随着生活节奏的加快不寐和郁证的发病率呈上升趋势。不寐与郁证相互影响,病情迁延难愈,反复发作。临床上常见不寐与郁证合并发病。以阴虚火旺型不寐合并郁证肝气郁滞型较为多见,王中男教授认为治疗不寐合并郁证必溯其本源,审因求本,辨证论治。治疗上以滋阴清热、解郁安神为治法,方药应用黄连阿胶汤随证加减,治疗不寐阴虚火旺型合并郁证肝郁气滞效果显著,降低了疾病复发率。现记录并整理王中男教授临床验案,根据临床分析不寐合并郁症并发的病因病机及相关性,以期有益于同道。

Insomnia is a common disease in clinical practice, which usually accompanies depression. Along with the accelerating pace of life in recent years, the morbidity of insomnia and depression is also on the rise. Insomnia and depression influence each other, which leads the illness to a refractory and protracted state. The syndrome ofyin deficiency and fire hyperactivity and liver disorder resulted in depression are fairly common. Professor WANG holds that in order to cure insomnia which accompanies depression, we have to trace its source. Combining the method of nourishingyin, clearing the heat, releasing depression and comforting the nerve with a prescription ofHuangLian EJiao decoction is a highly effective treatment for it. This thesis records the clinical cases and analyzes the relation between insomnia and depression. Hope it could be helpful to the professions of the colleagues.