张锡纯治疗不寐的经验采菁

ZHANG Xichun's experience in treating insomnia

张锡纯被称为近代中西医汇通的巨擘,但后世对其在中医传统辨证方面的功力和成就认识有所不足。笔者通过研读和分析张锡纯治疗不寐的论述及医案,体会到张锡纯对于不寐的治疗是遵循中医辨证论治的原则的,处处以五脏相关的理论为指导,圆机活法,而非执套方来治病。通过对张锡纯治疗不寐的理念特色进行分析总结,以期对临床有所启迪。

ZHANG Xichun was known as an expert of modern Chinese and western medicine.However,later generations had failed to have full recognition to his merits and achievements in traditional Chinese medicine syndrome differentiation.By studying and analyzing ZHANG Xichun’s theories and medical cases of insomnia,the author realized that his treatment of insomnia was based on the principle of differentiation of syndromes of traditional Chinese medical science and was directed by the theory of the five viscera.ZHANG Xichun’s treatment of insomnia differs according to the syndromes of the diseases instead of using the same prescription.In the following thesis,the author analyses and summarizes the characteristics of ZHANG Xichun’s treatment of insomnia with a view to the clinical enlightenment.