国医大师严世芸通督宁神法治疗颈源性失眠经验

National TCM master Yan Shiyun's experience of treating cervicogenic insomnia with Tongdu Ningshen method

颈源性失眠为颈椎退行性改变合并(或)颈动脉粥样硬化导致的多因性失眠。国医大师严世芸基于藏象辨证论治理论体系,指出本病责之于督脉失和、神藏不宁,主张以通督宁神法治疗本病,临证多用补气活血、温肾益髓药物。通过探析严世芸教授通督宁神法辨治颈源性失眠的学术思想与临证经验,为临床实践提供思路与方法。

Cervicogenic insomnia is a multifactorial insomnia caused by cervical degenerative changes and/or carotid atherosclerosis.Based on the diagnostic system of the visceral manifestation theory,Yan Shiyun,a national master of traditional Chinese medicine(TCM),attributes the root of cervicogenic insomnia to a disharmony in the governor vessel and a disturbance of the stored spirit.He advocates the use of Tongdu Ningshen method(unblocking the governor vessel and pacifying the spirit method)to treat this disease,prescribing medications that supplement qi,activate blood,warm the kidneys,and nourish the marrow for effective clinical results.This article analyses Professor Yan Shiyun's academic thoughts and clinical experience in diagnosing and treating cervicogenic insomnia with Tongdu Ningshen method,providing insights and methodologies for clinical practice.