刘海英教授从阳虚论治失眠经验浅析  

Experience of Professor Liu Haiying in Treating Insomnia from Yang Deficiency

作　　者：张云凤 刘海英[2] 马晓辉[2] ZHANG Yunfeng;LIU Haiying;MA Xiaohui(The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250355,China;Department of Encephalopathy,Weifang Hospital of Traditional Chinese Medicine,Shandong Province,Weifang 261000,China)

机构地区：[1]山东中医药大学第一临床医学院,山东济南250355 [2]潍坊市中医院脑病五科,山东潍坊261000

出　　处：《中国中医药现代远程教育》2025年第3期63-66,共4页Chinese Medicine Modern Distance Education of China

摘　　要：失眠是常见的睡眠障碍。中医对失眠的诊治常从阳盛、阴衰两方面入手,然效果时有不佳。刘海英教授基于多年临床经验,通过对古今文献及阳气在睡眠中作用的认识,指出“阳虚亦可导致不寐”,临床辨证应不拘泥于已有证型,从五脏阳虚入手进行辨证,审因施治;治疗上倡导中医内、外治法结合并注重患者的自我调摄,临床效果显著。现将刘海英教授对阳虚失眠的病因病机及辨治思路总结如下,并附医案一则,以供临床治疗参考。Insomnia,is a common sleep disorder,the diagnosis and treatment of insomnia in traditional Chinese medicine often from the yang flourishing and yin failure,but the curative effect is not good.Based on many years of clinical experience,through the ancient and modern literature and understanding of the spirit in sleep,Professor Liu Haiying pointed out that"yang deficiency can also lead to insomnia",clinical syndrome differentiation should not be confined to the existing syndrome type,syndrome differentiation should start from the five zang organs yang deficiency,the cause of treatment,advocating the combination of internal and extemal treatment of traditional Chinese medicine and pay attention to the patient's self-adjustment.The clinical effect is significant.The etiology,patho-genesis and treatment ideas of Professor Liu Haiying on yang deficiency insomnia were summarized as follows,and a medical case was attached to provide reference for clinical treatment of insomnia.

关 键 词：不寐 失眠 阳虚证 刘海英 临证经验 

分 类 号：R256.23[医药卫生—中医内科学] R249[医药卫生—中医学]