李旭成教授运用当归六黄汤治疗阴虚火旺型失眠

Professor Li Xucheng Used Danggui Liuhuang Decoction to Treat Insomnia of Yin Deficiency and Fire Hyperactivity Type

摘要: 失眠是常见的内科疾病，根据其临床表现将其归属于中医“不寐”范畴。阴虚火旺型是临床常见的证型之一，李旭成教授认为阴虚火旺型失眠病位在心，与肝、肾密切相关，由于生活及工作上的压力，人们常常情志不遂，肝疏泄不及或太过，导致肝火旺或肝郁日久化火伤阴，导致肝肾阴虚，肾阴亏虚则不能上济心火，则心火独亢，扰动心神则失眠。治疗上，西医主要是运用苯二氮䓬类药物进行治疗，但该类药物长期运用会产生耐药，且停用会有反跳现象，李旭成教授通过滋阴清热，养心安神之法，运用当归六黄汤加减化裁治疗，取得较好的临床疗效。

Abstract: Insomnia is a common internal medicine disease, according to its clinical manifestations will be-long to the category of traditional Chinese medicine “sleepless”. Yin deficiency and fire hyperac-tivity type is one of the common clinical syndromes. Professor Li Xucheng believes that Yin defi-ciency and fire-exuberant type insomnia are in the heart and closely related to the liver and kid-ney. Due to the pressure of life and work, people often suffer from emotional failure and liver drainage is not sufficient or too much, which leads to liver fire exuberant or liver depression for a long time, which damages Yin, leading to liver and kidney Yin deficiency, also disturbing the mind and cause sleep deficiency. In terms of treatment, Western medicine mainly uses benzodiazepines for treatment. However, long-term use of benzodiazepines may lead to drug resistance and rebound phenomenon after withdrawal. Professor Li Xucheng has achieved good clinical efficacy by using Danggui Liuhuang Decoction to enhance Yin and clear heat, cultivate heart and calm mind.