赵瑞成教授辨治新型冠状病毒感染后失眠症经验

Summary of Professor Zhao Ruicheng's Experience in Treating Coronasomnia

新型冠状病毒感染(COVID-19)疫情大流行时代结束后,阳性患者转阴后遗留的慢性症候群如失眠、多汗、疲劳等严重影响患者生存质量。针对此种失眠,赵教授认为除符合不寐的一般病机外,表现有以下特点:一为热病后气阴两虚;二为情志不畅,肝气郁滞;三为疠病初愈,余邪未尽。五脏不和,阴阳失调,“寤”“寐”更替失常,故而难以入眠。其倡导扶正祛邪,调畅情志,缓解焦虑,顾护营阴,健脾益气,令五脏各司其职、各安其舍,则神机调畅,“寤”“寐”更替如常。本文将对赵瑞成教授辨治新冠失眠症经验进行阐述。

After the end of the Corona Virus Disease 2019(COVID-19) pandemic,chronic symptoms such as insomnia,hyperhidrosis,and fatigue left over after the nucleic acid test results of positive patients turn negative seriously affect the quality of life of patients.Regarding this kind of insomnia,Professor Zhao Ruicheng believes that in addition to the general pathogenesis of insomnia,it has the following characteristics:deficiency of both qi and yin after febrile disease;moodiness and stagnation of liver qi;still existing residual pathogen after just recovering from pestilence.The difficulty in sleeping is caused by disordered alternation between awake and asleep due to disharmony among the five zang-organs and yin-yang disharmony.Professor Zhao advocates strengthening healthy qi to eliminate pathogenic factors,regulating mood,relieving anxiety,taking care of nutrient yin,and invigorating spleen and qi,so that the five zang-organs perform their respective duties.In this way,vital activity can be regulated,and the alternation between awake and asleep becomes normal.This paper elaborates on Professor Zhao Ruichen's experience in the treatment of coronasomnia.