川连茯苓汤治疗不寐的临床经验分享及解析

Clinical Experience Sharing and Analysis of Chuanlian Fuling Decoction in the Treatment of Insomnia

摘要: 不寐是临床常见的睡眠障碍性疾病，其主要特征是在具备合适睡眠条件的情况下，仍难以入睡或维持睡眠，以致睡眠时间不足或睡眠质量下降。随着社会节奏加快、工作压力增大，情志不畅、作息紊乱、饮食失宜者日益增多，失眠发病率亦呈逐年升高趋势。失眠病因多样，病机复杂，常涉及心理、生理、环境、药物、生活习惯及躯体疾病等多种因素。中医药治疗失眠历史悠久，在整体调理体质与维持长期疗效方面具有独特优势。颜丙春教授治学严谨，既深研经典，又不拘泥古方。临证之时以病机为要，遣方用药灵活严谨，在临床治疗失眠时，司天、司人、司病证，三者结合，力求病机明晰。其用药以平为期，旨在调节脏腑气化，恢复气血阴阳平衡，临床常用川连茯苓汤加减施治，疗效显著。同时配合外治疗法及心理疏导，身心并调，内外兼治，临床效果良好，深受患者认可。本文现将颜教授的主要临证心得梳理如下，以资借鉴。

Abstract: Insomnia is a common clinical sleep disorder, primarily characterized by difficulty falling asleep or maintaining sleep despite having appropriate sleep conditions, leading to insufficient sleep duration or reduced sleep quality. With the acceleration of social pace and increased work pressure, more people are experiencing emotional disturbances, irregular daily routines, and improper diets, and the incidence of insomnia shows an increasing trend year by year. The causes of insomnia are diverse and its mechanisms complex, often involving psychological, physiological, environmental, medicinal, lifestyle, and physical disease factors. Traditional Chinese medicine (TCM) has a long history in treating insomnia and has unique advantages in holistic regulation and maintaining long-term efficacy. Professor Yan Bingchun is rigorous in his academic approach, deeply studying the classics while not being confined by ancient prescriptions. In clinical practice, he focuses on the underlying mechanisms of the disease, applying prescriptions and medications flexibly and rigorously. In treating insomnia, he integrates the perspectives of governing heaven, governing humans, and governing disease patterns to clarify the pathogenesis. His medication approach aims at balance, regulating organ qi transformation to restore the balance of qi, blood, yin, and yang. He frequently applies the modified Chuanlian Fuling Decoction in treatment, achieving remarkable efficacy. Additionally, he combines external therapies and psychological guidance to harmonize body and mind, simultaneously treating both internal and external aspects, achieving good clinical results and being highly recognized by patients. This article summarizes Professor Yan’s main clinical insights for reference.