闫咏梅从痰论治不寐的临床经验

Experience of Professor YAN Yongmei on Treating Insomnia from Phlegm

回顾性分析闫咏梅教授对不寐的临床诊断、治则治法、处方用药等独特经验。认为不寐的形成与痰浊内生有关,痰为人体病理产物之一,具有易致病和难治愈的特点,常常累及五脏,导致机体阴阳失调,痰热阻滞,痰瘀阻络,风痰上扰,导致不寐。故从痰治疗不寐,包括清热化痰、祛瘀化痰、息风化痰。并列举三个典型病案,均取得显著疗效。

The unique experience by Professor YAN Yongmei on clinical diagnosis,treatment principle and method,and prescription for insomnia were analyzed retrospectively.It is believed that the occurrence of insomnia is related to the endogenous generation of phlegm turbidity.Phlegm is one of the pathological products of human body,and it tends to cause disease easily and the induced disease is refractory.It usually involves five zang-organs,and leads to imbalance between yin and yang,resulting into phlegm heat blocking,phlegm and stasis blocking the collaterals and up-stirring of wind phlegm,and finally there would be insomnia.Therefore,insomnia should be treated from clearing heat and resolving phlegm,remove stasis and resolving phlegm,extinguishing wind and resolving phlegm.Three typical cases are presented in this paper.