杨建新从肝脾论治失眠症的临床经验

Yang Jianxin's Clinical Experience in Treating Insomnia from the Perspective of Liver and Spleen

失眠症作为常见病、多发病,近年来发病趋于年轻化、慢性化。西医治疗相对局限且不良反应明显,相比中医药治疗具有特色和优势。杨建新主任医师认为情志因素、肝郁脾虚是发病关键,涉及脏腑多为心、肝、脾三脏,临床常见证型为肝郁脾虚、心脾两虚、肝热脾虚及痰热气滞。本文通过介绍失眠的病因病机、辨证论治以及临床案例。总结导师的临床经验,为临床使用中药治疗失眠提供有益的参考。

Insomnia as a common and frequently-occurring disease,the incidence of insomnia tends to be younger and chronic in recent years.Western medicine treatment is relatively limited and adverse reactions are obvious,compared with traditional Chinese medicine treatment has characteristics and advantages.Chief physician Yang Jianxin believes that emotional factors,liver depression and spleen deficiency are the key to the disease,involving heart,liver and spleen.The common clinical syndromes are liver depression and spleen deficiency,liver heat and spleen deficiency and phlegm-heat and qi stagnation.This paper introduces the etiology,pathogenesis,syndrome differentiation and treatment of insomnia as well as clinical cases.Summarize the tutor's clinical experience to provide a useful reference for the clinical use of traditional Chinese medicine in the treatment of insomnia.