张明学术思想治疗新冠后期不寐病的应用体会  

Application Experience of ZHANG Ming′s Academic Thoughts in the Treatment of Insomnia in the Late Stage of COVID-19

作　　者：高利民 张明[1] 秦瑀 李悦[1] 李瑞玲[2] 孙喜蓉 裴瑜 GAO Limin;ZHANG Ming;QIN Yu;LI Yue;LI Ruiling;SUN Xirong;PEI Yu(Clinical Research Center of Mental Disorders,Tongji University,Shanghai 200124,China;Outpatient Department,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]同济大学精神疾病临床研究中心,上海200124 [2]上海中医药大学门诊部,上海201203

出　　处：《世界睡眠医学杂志》2021年第9期1530-1533,共4页World Journal of Sleep Medicine

基　　金：上海市浦东新区卫生和计划生育委员会“失眠症(不寐病)中医临床特色优势品牌培育项目”(PDZY-2019-0207);上海市浦东新区卫生与计划生育委员会上海市浦东新区医学临床高原学科建设项目(PWYgy2018-10)。

摘　　要：张明主任临证主张辨病、辨证、辨体质相结合,从根本上治疗不寐病。他认为“阴阳失交,阳不入阴”为不寐病的总病机,其主要病症分虚、实两类,在新冠疫情后期,不寐病患者以肝郁化火证、心脾两虚证和心胆气虚证多见,因此在临床治疗中我们以柴胡舒肝散、归脾汤和朱砂安神丸加减为主,同时结合耳穴、心理治疗、文化疗愈等方法,取得较好的临床疗效,长期疗效较好,复发率低。Professor ZHANG Ming advocates the combination of disease differentiation,syndrome differentiation and constitution differentiation to treat insomnia fundamentally.He believes that“disjunction of yin and yang,failure of yang to enter yin”is the general pathogenesis of insomnia,and its main symptoms are divided into deficiency and excess.Late in the COVID-19 outbreaks,insomnia patients with liver depression transforming into fire,deficiency of both heart and spleen,deficiency of heart and gallbladder qi are more common.In clinical treatment,we mainly use Chaihu Shugan san,Guipi decoction and Zhusha Anshen pill,combined with auricular acupoint,psychological therapy,cultural therapy and other methods,achieving good clinical efficacy,long-term efficacy and low recurrence rate.

关 键 词：不寐病 新冠肺炎 中医药疗法 心理疗法 文化疗愈 

分 类 号：R511[医药卫生—内科学]