刘志龙教授运用归脾汤治疗顽固性失眠经验

Professor LIU Zhilong’s experience in treating intractable insomnia with the Guipi decoction

文章探讨刘志龙教授运用归脾汤治疗顽固性失眠的经验、对于顽固性失眠病位病机的认识以及对归脾汤的理解应用等。顽固性失眠病位在心、肝、脾,病机以心脾两虚为主,治疗首当养心血,健脾气,舒肝郁,方用归脾汤为主进行治疗。刘志龙教授抓住归脾汤滋补心脾,益气养血,疏肝宁神,从心肝脾论治,补其不足,根据兼杂因素泻其有余,从而治疗顽固性失眠,以获得良好效果。

In this article,experience of Professor LIU Zhilong in treating intractable insomnia with the Guipi decoction(归脾汤)was explored.The understanding of Professor LIU Zhilong on disease location and pathogenesis of intractable insomnia,and the application of the Guipi decoction were discussed.Intractable insomnia is located in the heart,liver and spleen.The pathogenesis is mainly deficiency of both heart and spleen.The treatment should be to nourish heart blood,strengthen spleen Qi(气),and soothe liver depression first.It is treated with the Guipi decoction mainly.Professor LIU Zhilong holds that the Guipi decoction can nourish the heart and spleen,replenish Qi and blood,soothe liver and tranquilize the spirit,then treats the disease from the aspects of the heart,liver,and spleen for nourishing and purging excess according to the miscellaneous factors,so as to achieve good results.