王琦教授应用“交合安魂汤”治疗失眠

Professor WANG Qi’s experiences in treatment of insomnia with jiaohe anhun decoction

王琦教授在治疗疾病时倡导“主病主方”,特别强调,中医临床既要辨西医之病,也要辨中医之病,还要辨症状论治。辨西医之病时要融中医之论、扬中医之长、辨中医之证以及特异治疗。主病主方“四级”制方思路,既体现辨病与辨证、辨体有机结合,又不失目标指归明确、执简驭繁,为中医临床诊疗模式注入了新的内涵。失眠具有高发病率和高共患病性的特点,这一公共健康问题已经成为国际社会关注的焦点。王琦教授在失眠症的治疗方面,结合失眠的病机:阴阳失调、阳不交阴,应用“交合安魂汤”为失眠的主方,疗效卓著,其中半夏与夏枯草为一对药,百合和苏叶为一对药,主要作用是交会阴阳,使营卫运行恢复常度,从而维持机体睡眠与觉醒的规律。

Professor Wang Qi advocated“main prescription for primary diseases”in the treatment.He particularly emphasized that the clinical physicians of TCM should not only identify the disease with Western medicine,but also with TCM or determine the treating principle based on symptom differentiation.When analyzing the disease with clear diagnosis of Western medicine,the theory and the advantages of TCM should be integrated and the treatment should be provided particularly in terms of the TCM pattern identification.The idea of“four-level”prescription of the“main prescription for primary diseases”embodies the organic combination of differentiation of disease,differentiation of TCM pattern and physical constitution so as to achieve the target treatment.It is a new connotation in the model of clinical diagnosis and treatment of TCM.Insomnia has the characteristics of high morbidity and high comorbidity.This public health issue has become the focus in the international community.In association with the pathogenesis of insomnia,i.e.imbalance of yin and yang,disharmony of yin and yang,professor WANG Qi uses jiaohe anhun decoction as the main prescription.The significant effect has been achieved.In the formula,pinellia ternata and prunella vulgaris are a pair of herbs,lilium brownii and herbal perilliae are a pair,acting on the interconnection of yin and yang to recovery the normal function of the nutrient and defensive systems and maintain the regular sleeping-awakening cycle.