蘇莉雅王鑫婁錫恩0006北京市朝陽(yáng)區(qū)將臺(tái)社區(qū)衛(wèi)生服務(wù)中心中醫(yī)科0009北京中醫(yī)藥大學(xué)第三附屬醫(yī)院內(nèi)分泌科

婁錫恩從心肝火旺論治不寐經(jīng)驗(yàn)(2例報(bào)告)

蘇莉雅1王鑫1婁錫恩2
100016北京市朝陽(yáng)區(qū)將臺(tái)社區(qū)衛(wèi)生服務(wù)中心中醫(yī)科1
100029北京中醫(yī)藥大學(xué)第三附屬醫(yī)院內(nèi)分泌科2

筆者總結(jié)跟隨婁錫恩教授臨床治療“不寐”的辨治經(jīng)驗(yàn)，認(rèn)為“不寐”，尤其是中青年人多心肝火旺，從心肝火旺來(lái)治療，易于把握，療效較好。

不寐；經(jīng)驗(yàn)；心肝火旺

失眠，中醫(yī)稱為“不寐”，指無(wú)法入睡或無(wú)法保持睡眠狀態(tài)，導(dǎo)致睡眠不足，表現(xiàn)為入睡困難、早醒、醒后無(wú)法入睡?，F(xiàn)代醫(yī)家在臨床中，對(duì)于失眠癥的辨證多從氣血陰陽(yáng)入手，以五臟失調(diào)為本分析，多數(shù)醫(yī)家以“五臟致病”立論，部分醫(yī)家由“虛實(shí)”辨析。婁錫恩主任對(duì)于失眠的治療積累了豐富的經(jīng)驗(yàn)，筆者有幸跟隨學(xué)習(xí)，受益匪淺。不寐病因病機(jī)較復(fù)雜，由于當(dāng)今社會(huì)生活節(jié)奏日漸加快，受失眠困擾的患者與日俱增。婁主任認(rèn)為“不寐”，尤其是中青輕人主要從心肝辨證論治。

The author summarizes the experiences in syndrome differentiation of clinical treatment of insomnia following the professor Lou Xi'en.He thinks that insomnia，especially the young peoplemainly are hyperactivity of heart-liver fire.From the hyperactivity ofheart-liver fire for treatment iseasy to grasp，and the curative effect isbetter.

Insomnia；Experience；Hyperactivity ofheart-liver fire

book=112,ebook=114

10.3969/j.issn.1007-614x.2015.22.75

Experience of Lou X i'en from the hyperactivity of heart-liver fire in the treatm ent of insom nia(2 cases of reports) Su Liya1，Wang Xin1，Lou Xi'en2

DepartmentofTraditionalChinese Medicine，JiangtaiCommunity Health Service CenterofChaoyang District，Beijing City 1000161DepartmentofEndocrinology，the Third Affiliated HospitalofBeijing University ofChineseMedicine 1000292