路波教授辨治难治性失眠经验撷要

Professor Lu Bo’s Experience in Treating Refractory Insomnia

难治性失眠是临床中常见的重症睡眠障碍,其病因病机相对复杂且治疗困难。路波教授基于长安米氏内科流派学术思想“临证优选法”的指导,提出本病是以心、肝、脾为本,瘀、痰、热为标,辨证总结将其分为肝胆郁热、痰热扰神、心脾两虚、心阴不足四型。治疗上多种中医疗法并进,尤以针药结合为主,注重调肝,善用潜降之法。

Refractory insomnia,a common severe sleep disorder in clinical practice,is difficult to be cured due to the complex etiology and pathogenesis.According to the method of optimizing therapy based on syndrome of Chang’an school of internal medicine,Professor Lu Bo concluded that this disease is caused by stasis,phlegm,and heat in the heart,liver,and spleen,and emphasized symptom differentiation and treatment.The syndromes of refractory insomnia included stagnated heat in the liver and gallbladder,phlegm-heat harassing spirit,deficiency of both heart and spleen,and insufficiency of heart yin.Accordingly,this disease can be treated with a variety of traditional Chinese medicine therapies,especially the combination of acupuncture and medicine.It is recommended to focus on regulating liver and making good use of subduing and descending method.