严光俊教授运用“三论五法”治疗脾胃系疾病伴失眠的临证经验

Professor YAN Guangjun’s experience in treating diseases of spleen and stomach with insomnia by“three theories and five methods”

探析严光俊教授拓展其自创的“三论五法”于辨治脾胃系疾病伴失眠的思维方式,总结严师从“气机论、培土论、湿热论”认识失眠病证的临证经验。严光俊教授以“胃不和则卧不安”为切入点,着重从脾胃论治失眠,以“消、补、生、化、和”五法为基本治法,并将五法拓展至行气降逆、健脾利水、清热化湿(涤痰)等法以治疗脾胃系疾病伴失眠。

This paper explores Professor YAN Guangjun’s thinking mode of“three theories and five methods”to distinguish and treat diseases of spleen and stomach with insomnia,and summarizes YAN’s clinical experience in understanding insomnia syndrome from“theory of Qi movement(气机),theory of soil cultivation,and theory of dampness and heat”.Professor YAN takes“disharmony in the stomach leads to restlessness”as the breakthrough point,focuses on the treatment of insomnia from the spleen and stomach,takes“elimination,tonifying,rejuvenation,rejuvenation and harmony”as the basic treatment methods,and extends the five methods to the application of promoting Qi movement to reduce adverse rising energy,invigorating the spleen,excreting dampness,and clearing heat and dampness(cleaning phlegm)to treat diseases of spleen and stomach with insomnia.