胡国恒教授基于“五脏皆令人不寐”论治失眠经验

Professor Hu Guoheng's Clinical Experience Based on theTheory of“All Five Internal Organs Lead to Insomnia”

失眠是临床常见的睡眠障碍,随着现今生活压力的增大,失眠症发病率逐年升高,已成为一种难治性疾病,严重威胁人类的身心健康。失眠症发病机制较为复杂,目前尚缺乏统一认识及疗效确切的诊疗方案。基于失眠症诊疗现状,论述国家级名老中医胡国恒教授论治失眠的经验,旨在为临床提供参考。胡国恒教授认为失眠与神志相关,核心病机为阴阳失调,提出“五脏皆令人不寐”的学术观点,以补虚泻实、调整五脏阴阳为基本治则,常用桂枝甘草龙骨牡蛎汤、小柴胡汤、泻心汤、泻白散、干姜附子汤等经方加减治疗,注重整体观念,不拘泥于生克脏之扰,重视气机及五脏相关在诊疗中的作用,发挥中医药防治失眠的优势,临床上多有效验。

Insomnia is a common sleep disorder in clinical practice,and with the increase of life pressure,the incidence of insomnia is increasing year by year,and it gradually develops into a refractory disease,which seriously threatens the physical and mental safety of human beings.The pathogenesis of insomnia is complex,and there is still a lack of unified understanding and effective diagnosis and treatment plans.Based on the current situation of diagnosis and treatment of insomnia,this paper discusses the experience of Professor Hu Guoheng,in the treatment of this disease,aiming to provide reference for clinical practice.Professor Hu believes that insomnia is related to mental consciousness,and the core lies in the imbalance of yin and yang,and put forward the academic view that“All five internal organs lead to sleeplessness”,with the basic principle of replenishing deficiency and laxative,adjusting the Yin and Yang of the five organs,and commonly using the addition and subtraction of traditional Chinese medicine in the prevention and treatment of insomnia,and emphasizing the overall concept,not sticking to the disturbance of sheng keen,attaching importance to the role of qi and the five organs in diagnosis and treatment,and giving full play to the advantages of traditional Chinese medicine in the prevention and treatment of insomnia,which is more effective in clinical practice.