虢周科教授治疗失眠伴焦虑状态临床经验

The clinical experience of GUO Zhouke in treating insomnia with anxiety

本文旨在归纳和总结虢周科教授治疗失眠伴焦虑状态的临床经验和学术思想。虢周科教授为广东省名中医,他认为失眠伴焦虑状态以肝经郁热,阴血不足为核心病机,在治疗上当充分发挥中医药的优势,提出以“解郁安神、滋阴清热”为基本治疗原则。虢教授经过数十年临床经验的积累,凝练出郁乐冲剂作为底方,并兼顾个体症状差异,加减化裁,精准用药,同时注重心理疏导和临床状态的改善,在失眠伴焦虑状态治疗上取得良好疗效。现通过介绍失眠伴焦虑状态的定义、病因病机、遣方用药以及临床医案,总结虢周科教授治疗失眠伴焦虑状态的经验,将名医经验指导临床实践,为临床上治疗该病开拓新思路。

This article aims to summarize the clinical experience and academic thoughts of Professor GUO Zhouke in treating insomnia with anxiety.Professor GUO Zhouke is a famous traditional Chinese medicine doctor in Guangdong province.He believes that the core pathogenesis of insomnia with anxiety is stagnation and heat in the liver channel and insufficient yin and blood.We should give full play to the advantages of traditional Chinese medicine in treatment,and he proposes the basic treatment principle,which is to“relieve depression and soothe the nerves,nourish yin and clear heat”.After decades of clinical experience,Professor GUO Zhouke has condensed Yule granules as a basic prescription,taking into account the differences in individual symptoms,addition and subtraction,precise medication,and at the same time paying attention to psychological counseling and improvement of clinical conditions.The treatment has achieved good results.This article will introduce the definition,etiology and pathogenesis,prescriptions and medications,and clinical medical records of insomnia with anxiety to summarize Professor GUO Zhouke’s experience in treating insomnia with anxiety,which is for better guide in the clinical practice and opening up new ideas in the clinical treatment of the disease.