张立然教授运用“安魂降逆调枢方”治疗不寐的临证经验

Prof. Zhang Li Ran’s Clinical Experience in Treating Insomnia with the Formula of “Soul-Restoring, Reverse-Regulating and Pivot-Adjusting Formula”

摘要: 不寐，即现代医学所称的失眠，是指以入睡困难、睡眠维持障碍、早醒或睡眠质量下降为主要临床表现的病证，随着社会的发展及竞争压力的增加，不寐的发病人群日益增加。张立然教授在多年的临床经验中形成了一套治疗不寐的临证经验，认为不寐的发病多由于心肝血虚，中虚痰阻，则神魂失养，其治疗离不开调理中焦枢纽，运用“安魂降逆调枢方”加减治疗不寐，可有效改善患者失眠症状，提高睡眠质量。总结张立然教授运用“安魂降逆调枢方”治疗不寐的临证经验，列举典型临床病案，以供参考。

Abstract: Undriftiness, or insomnia as it is called in modern medicine, is a disease with difficulty in falling asleep, sleep maintenance disorder, early waking up or decreased sleep quality as the main clinical manifestations. With the development of the society and the increase of competitive pressure, the incidence of undriftiness has been increasing, and the incidence of it is especially significant in the perimenopausal population. Dr. Zhang Liran has formed a set of clinical experience in treating insomnia over the years. He believes that the onset of insomnia is mostly due to the deficiency of the heart, liver and blood, and the loss of nourishment of the soul when there is a deficiency of phlegm and phlegm in the middle, which cannot be treated without the regulation of the middle jiao pivot, and the treatment of insomnia with the addition of the “Soul-restoring, Reverse-regulating and Pivot-adjusting Formula” can effectively improve patients’ insomnia symptoms and enhance sleep quality. To summarize the clinical experience of Prof. Zhang Liran in treating insomnia with “Soul-restoring, Reverse-regulating and Pivot-adjusting Formula”, typical clinical cases are listed for reference.