从少阳论治失眠症的临证体悟

Clinical experience of the treatment of insomnia from Shaoyang

失眠症是临床常见的疾病,严重影响患者的生活质量,中医称之为“不寐”等,目前用西药治疗失眠症有较多的副作用。刘龙涛教授对该病的治疗有着丰富的经验,他从《伤寒论》及《内经》中汲取精华,同时结合临床经验,认为失眠症的病机与少阳枢机不利密切相关,应从少阳论治,并采用少阳病篇主方小柴胡汤加减以和解少阳,治疗失眠,收到了良好的临床效果,值得推广。笔者有幸跟师学习,收获颇丰,现就其从少阳论治失眠症经验进行探讨。

Insomnia is a common clinical disease,which seriously affects the quality of life of patients.Traditional Chinese medicine calls it“unswerving”,and currently there are more side effects in the treatment of insomnia with western medicine.Professor Liu Longtao has extensive experience in the treatment of this disease.He draws the essence from Treatise on Febrile Diseases and Nei Jing,and combined with clinical experience,he believes that the pathogenesis of insomnia is closely related to the failure of Shaoyang Shuji operation,and should be treated from Shaoyang.And the using of Xiaochaihu Decoction addition and subtraction,the main prescription of Shaoyang disease,to reconcile Shaoyang can achieve good clinical results,which is worth promoting.The author is fortunate to learn from the teacher and have gained a lot.Now the author discusses Professor Liu's experience of treating insomnia from Shaoyang.