《王仲奇医案》之不寐案选介

The Insomnia of “WANG Zhongqi's Medical Records”

对《王仲奇医案·不寐》中三则医案进行分析,探讨新安医家王仲奇先生治疗不寐的用药经验以及辨证特色。认为先生治疗不寐,于脏腑来讲,尤其重视心、肝、肾三脏;临证时明辨标本缓急;在面对女性不寐患者时,又常联系妇人特殊的生理病理特点;善用介、石类药物,以重镇安神、平抑肝阳、滋阴潜阳,辅以酸甘之药以养阴清热。学习先生临证经验,可以为临床治疗不寐提供更多思路。

This article analyzes three medical cases in Wang Zhongqi＇s medical record and insomnia, and discusses the medication experience and dialectical characteristics of Wang Zhongqi, a doctor in Xin＇an. It is believed that the treatment of insomnia, especially in the viscera, attaches great importance to the three organs of the heart, the liver and the kidney; in the face of the syndrome, it is urgent to identify the specimens; in the face of the insomnia of women, the special physiological and pathological characteristics of the women are often associated with the women. Heat. Learning from clinical experience can provide more ideas for clinical treatment of insomnia.