周德生教授从营卫失和论治失眠的临床经验

Professor Zhou Desheng's Clinical Experience in Treatment of Insomnia Based on Disharmony Between Nutrient Qi and Defensive Qi

人之寤寐,取决于卫气,卫气昼行于阳,动而为寤,夜行于阴,静而为寐。营卫失和引起失眠,病机分为阳不入阴,邪气阻滞,营卫虚衰。周德生教授临床上基于脏腑辨病辨证施治,注重从营卫盛衰、营卫交会、邪气性质、兼病兼证综合考虑,调和营卫法有益营卫、和营卫、畅营卫之侧重不同,联合使用辛甘、苦平、温润、动静药性兼有或者动静相伍的药物,同时掌握各类药物的使用特点。

Waking and sleeping of a human being depend on defensive Qi,which flows in the Yang meridians during the day to help people stay awake and flows in the Yin meridians during the night to help them sleep. Disharmony between nutrient Qi and defensive Qi may cause insomnia,and its pathogeneses include Yang failing to enter Yin,pathogenic Qi stagnation,and deficiency of nutrient Qi and defensive Qi. Professor Zhou Desheng's experience focuses on the treatment based on disease differentiation and syndrome differentiation of viscera and bowels and emphasize the overall consideration of the rise and fall of nutrient Qi and defensive Qi,communication of nutrient Qi and defensive Qi,nature of pathogenic Qi,and concurrent diseases and syndromes. The methods for the harmonization of nutrient Qi and defensive Qi include tonifying,regulating,and unblocking with different emphases. The combination of pungent and sweet,bitter and neutral,and warm and humid medicines with both dynamic and static natures or compatible dynamic and static natures can be used,and the features of each drug should be fully understood.