张春馀主任医师从五脏论治失眠经验  

Experience of Chief Physician Zhang Chunyu in Treating Insomnia from the Five Zang-organs

作　　者：杨彩云 谌建平 钟小微 YANG Caiyun;CHEN Jianping;ZHONG Xiaowei(Department of Endocrinology,Nanchang Hongdu Hospital of Traditional Chinese Medicine Affiliated to Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330008,China;Department of Proctology of Traditional Chinese Medicine,Nanchang Hongdu Hospital of Traditional Chinese Medicine Affiliated to Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330008,China;Grade 2022 Graduate,Clinical School of Chinese Medicine,Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330004,China)

机构地区：[1]江西中医药大学附属洪都中医院内分泌二科,江西南昌330008 [2]江西中医药大学附属洪都中医院中医肛肠科,江西南昌330008 [3]江西中医药大学中医临床学院,江西南昌330004

出　　处：《中国中医药现代远程教育》2025年第4期65-68,共4页Chinese Medicine Modern Distance Education of China

基　　金：国家中医药管理局第七批全国老中医药专家学术经验继承工作项目[No.国中医药人教函[2022]76号]。

摘　　要：失眠是指患者对睡眠时间和(或)质量不满足并影响日间社会功能的一种主观体验。因其迁延性、顽固性,已经成为临床医学的一大难题。中医药擅长辨证论治,坚持形神一体观、五脏一体观,多从整体出发调治失眠,具有独特优势。张春馀主任医师认为“五脏均能让人不寐”,其病机归根结底为五脏功能失调、神不归位。因此提倡病证结合、首辨虚实,从五脏论治失眠。五脏中,张师最重视调心,倡导祛邪补虚以养心、宁心。同时,重视服药时间、心理因素和安神药的合理使用,临证取得了确切疗效。Insomnia refers to a subjective experience in which a patient is dissatisfied with the duration and/or quality of sleep and af-fects daytime social function.Due to its persistence and stubbornness,it has become a major challenge in clinical medicine.Traditional Chinese medicine is skilled in treating diseases based on differentiation of symptoms and signs,adhering to the concept of integrating form and spirit,and the concept of integrating the five organs.It has unique advantages in treating insomnia from a holistic perspective.Zhang Chunyu believes that“all five organs can make people stay awake”,and its pathogenesis ultimately lies in the dysfunction of the five organs and the inability to return to their original state of mind.Advocating the combination of disease and syndrome,distinguishing deficiency and excess,and treating them from the five zang organs.Among the five zang organs,Chief physician Zhang attaches the most importance to the heart,advocating for expelling evil and supplementing deficiency to nourish and calm the heart.At the same time,em-phasis was placed on medication duration,psychological factors,and the rational use of sedatives,achieving precise clinical efficacy.

关 键 词：不寐 失眠 五脏论治 张春馀 名医经验 

分 类 号：R24[医药卫生—中医临床基础]