刘光伟从“相火”论治慢性肝病患者失眠经验

Clinical Experience of LIU Guangwei in Treating Insomnia with Chronic Liver Disease from the Theory of‘Ministerial Fire’

失眠是慢性肝病患者的常见症状,病因主要为毒邪侵袭、饮食失宜、情志内伤;病机为乙木郁久,阳失阴制,相火妄动。临症时需辨疾病虚实,明病变部位,采用健脾养血、滋补肝肾之法以明君火、安相位,相火安居其位,则阴阳自和,失眠自愈。

Insomnia is a common clinical symptom in patients with chronic liver disease.The mainly etiology is external invasion of toxin,improper diet,and affect-mind internal damage.The mechanism of disease is wood has been depressed for a long time,Yang lose the constraints of Yin,and result in minister fire floats out.It should be done when clinically is that distinguish deficiency and excess,and identify the location of disease.Therapeutically,the methods of invigorating spleen to nourish blood and nourish liver and kidney are mostly used to honor the ruler fire and position the minister fire.The minister fire relies on its position,then Yin-Yang restore harmony,and finally insomnia could be improved.