高立珍应用黄连阿胶汤治疗失眠举隅

GAO Lizhen’s experience in treating insomnia with the Huanglian Ejiao decoction

失眠主要是指入睡难或睡后易醒,醒后难以再次入睡甚至整夜无法入睡而导致睡眠质量欠佳的症状,是临床上非常常见的一种睡眠障碍性疾病。随着生活节奏的加快,各种各样的压力导致更多的人被失眠困扰。对于失眠的治疗,现代医学药物多以镇静催眠为主,但西药带来的不良反应,如头晕乏力、情绪低落、记忆力减退、肝肾损伤、消化道症状、骨骼肌松弛、药物依赖性等也困扰着失眠患者。因此,越来越多的人因为中药的不良反应小、疗效显著、无药物依赖性的优势而选择中医治疗。高立珍主任曾先后师从赵和平、黄煌等名家,学习了各位名家的诊疗思路及治疗经验,擅长应用经方治疗各种常见疾病。高师结合多年临床治疗经验认为失眠病机主要在于阴阳失衡,心肾不交,故治疗上应以交通心肾为法,使心肾相交,阴阳达到平衡,从而使失眠得到治愈,方药首选黄连阿胶汤。同时高立珍主任还强调,在辨证用药的同时,还须嘱咐患者平常要注重调护,保持心情舒畅,注意劳逸结合,避免熬夜,睡前避免饮用咖啡、浓茶等,以期得到更好的睡眠。本文归纳总结高立珍主任医师临床应用《伤寒论》中的经方黄连阿胶汤治疗失眠的经验,并附加医案一则佐证。

Insomnia mainly refers to the symptoms of difficulty in falling asleep or waking up after sleep,difficulty in falling asleep again after waking up or even not being able to sleep all night,resulting in poor sleep quality,which is a very common clinical sleep disorder.With the accelerated pace of life,all kinds of pressures lead to more people being troubled by insomnia.For the treatment of insomnia,modern medical drugs are mostly sedative-hypnotic,but the side effects brought by western drugs such as dizziness and weakness,depression,memory loss,liver and kidney damage,gastrointestinal symptoms,skeletal muscle relaxation,and drug dependence also plague insomnia patients.Therefore,more and more people are choosing TCM medicine because of fewer side effects,significant efficacy and no drug dependence.Director GAO Lizhen has studied under famous masters such as ZHAO Heping and HUANG Huang,and has learned the treatment ideas and experience of them,and is good at applying sutra prescriptions to treat various common diseases.He believes that the main cause of insomnia lies in the imbalance of Yin and Yang and the lack of intercourse between heart and kidney,so the treatment should be based on the method of intercourse between heart and kidney,so that Yin and Yang can be balanced and thus insomnia can be cured.At the same time,Director GAO Lizhen also emphasized that,in addition to the identification of medicine,patients should also be instructed to pay attention to the usual care,keep a relaxed mood,pay attention to the combination of work and rest,avoid staying up late,and avoid drinking coffee and strong tea before going to bed,in order to get a better sleep.This article summarizes Dr.GAO Lizhen's clinical experience in treating insomnia by applying the classic prescription-the Huanglian Ejiao decoction(黄连阿胶汤)from Shanghan Lun(《伤寒论》),with an additional medical case to support it.