徐峰教授论脾治疗失眠病案3则

Prof. Xu Feng's Experiences in the Treatment of 3 Cases of Insomnia Based on the Spleen Theory

徐峰教授对失眠的治疗有独到的见解与方法,以及丰富的临床诊治经验。其认为失眠患者可分为虚实两大类,虚证患者当以脾脏论治,实证患者当以肝脏论治。而临床上虚证患者居多,且病程较长,往往由虚证转为实证,或者出现虚实夹杂的症状。因此,治疗失眠要谨记以调理、固护脾胃为主要原则,且根据失眠患者夹瘀、夹热以及夹湿的不同,需四诊合参,辨证论治,并在方药中合以祛瘀、清热、利湿之方药进行加减治疗,使患者达到邪祛病安,脾胃健运,气血不受扰而得以化生之目的,同时嘱咐患者注意饮食调节,规律节制,合理膳食,以培护脾土,使脏腑强健、气血充足、阴阳调和,避免失眠发生。

Prof. Xu Feng has unique understanding in the treatment of insomnia and has accumulated rich clinical experiences. Prof. Xu believes that insomnia is divided into two categories,the deficiency and the excess. The deficiency pattern may be transformed into the excess one,or the mixture of both happens.The treatment of insomnia should focus on regulating and consolidating the spleen and the stomach functions.The four diagnostic methods and differentiation should be considered accordingly in the cases of blood stagnation,heat accumulation and damp involved. The modified herbal formulas are used to removing stasis,clearing heat and reducing damp so as to eliminate the pathogens and strengthen the spleen and stomach. As a result,the qi and blood circulation is regulated and the function of spleen and stomach in transformation and transportation is benefited. Additionally,the advice on the proper diet and regulate food intake should be given to cultivate the function of spleen for strengthening the functions of zangfu organs,supplementing qi and blood and harmonizing yin and yang. Consequently,insomnia is prevented.