川连茯苓汤加减方治疗湿热兼燥型不寐的临床经验

Clinical Experience of Chuanlian Fuling Decoction with Reduced Formula in Treating Insomnia of Damp Heat and Dryness Type

摘要: 不寐是现代人的常见病之一，并且易继发其他疾病，如肥胖症、消渴、高血压、心脑血管相关疾病、焦虑、抑郁等。西医对其治疗手段有限，同时存在一定程度的副作用，然而中医在其治疗方面却有着巨大的优势。马国庆教授在临床工作中总结出湿热兼燥型不寐，并指出这类证型病机演变过程中病理产物包括湿、热、燥三类，涉及心、脾、肾三脏，证属虚实夹杂，以健脾利湿、清热润燥、宁心安神立法。文章主要介绍了马国庆教授运用五运六气方——川连茯苓汤治疗湿热兼燥型不寐的临床经验。川连茯苓汤虽为六丙年运气方，然并非仅局限于当年气运，湿、热、燥即为关键因素。

Abstract: Insomnia is one of the common diseases of modern people, and it is easy to be secondary to other diseases, such as obesity, thirst, hypertension, cardiovascular and cerebrovascular diseases, anxiety, depression and so on. Professor Ma Guoqing summarized the damp heat and dryness type of insom-nia in his clinical work, and pointed out that the pathological products in the evolution of the path-ogenesis of this type of syndrome include three categories: damp, heat and dryness, involving the heart, spleen and kidney. The syndrome is mixed with deficiency and excess, and the legislation is to strengthen the spleen and diuresis, clear away heat and moisten dryness, calm the heart and calm the mind. This article mainly introduces Professor Ma Guoqing’s clinical experience in treating insomnia of damp heat and dryness type with Chuan Lian Fu Ling decoction. Although Chuanlian Fu-ling decoction is a luck prescription for six or three years, it is not limited to the current year’s Qi, and humidity, heat and dryness are the key factors.