谢军教授临床诊治不寐经验总结

Experience of Professor XieJun in the Treatment of Insomnia

不寐在现代医学中多被称为失眠,容易诱发焦虑症、心血管等疾病,在治疗上大多采用镇静类药物,长期服用较易成瘾,导致戒断综合征。而中医药治疗没有此等顾虑,通过调和患者整体阴阳的平衡,使阳入阴出,夜寐可安。文章总结谢军教授运用五运六气理论指导应用司天方治疗失眠的临证经验。认为不寐病因除考虑饮食不节、情志失调、劳逸过度外,仍需考虑到患者出生及发病年月的运气情况对患者体质及病情的影响。认为病机在于心之阴阳失衡;治宜调其阴阳,安神定志。可酌情选取司天方调和阴阳,制化脏腑五行,并根据临床症候不同具体加减。

BuMei is often called insomnia in modern medicine,it is easy to induce anxiety,cardiovascular and other diseases.Most of them are treated with sedative drugs.Long term use of these drugs can lead to addiction,and finally,withdrawal syndrome.But traditional Chinese medicine treatment does not have these concerns,by harmonizing the patient's overall balance of yin and Yang,let the Yang enter and the Yin go out,in the end,the patient will be able to fall asleep.This article summarizes Professor Xie Jun's clinical experience in treating insomnia with SiTianFang in the guidance of the theory of Five Circuits and Six Qi.The professor believes that the cause of insomnia is not only due to improper diet,emotional disorder and excessive overwork,it is still necessary to consider the specific situation of Five Circuits and Six QI in the patient's birth year or sick year.And it is believed that the pathogenesis of insomnia is due to the imbalance of yin and Yang.So,the treatment should balance the Yin and Yang of the heart and calm the mind.If appropriate,we can choose to use SiTianFang or other Chinese Herbs to treat insomnia,achieve the goal of balancing Yin Yang and five elements of harmony.