陈士铎《辨证奇闻》不寐辨治刍议

Discussion on the Syndrome Differentiation and Treatment of Chen Shiduo for Insomnia in Bian Zheng Qi Wen

不寐为临床常见病,其病机复杂,古今医家对其多有所阐释。梳理《辨证奇闻》可知,陈士铎辨不寐为心肾不交、肝郁血燥、胆虚气怯、肝虚火扰、胆虚风袭5类。临证精于五行生克的具体运用,立论治法贯五行以达旁通,视脏腑以导用药。其方多自撰,少袭前人书,方后多卓效。

Insomnia is a common clinical disease.Its pathogenesis is complex,and many ancient and modern doctors have explained it.By sorting out the book of Bian Zheng Qi Wen,it was found that Chen Shiduo identified insomnia as five types:heart and kidney disjunction,liver depression and blood dryness,gallbladder deficiency and qi deficiency,liver deficiency and fire disturbance,and gallbladder deficiency and wind.Clinicians are proficient in the specific application of the restriction among the five elements,and the theory and treatment are carried out through the five elements to reach the full comprehension,and the viscera are shown to guide the medication.Most of his prescriptions are written by himself,and few of his predecessors’books are copied,with outstanding efficacy.