杨志敏运用桃苓汤论治失眠伴焦虑状态经验介绍

[关键词］失眠；焦虑状态；桃苓汤；杨志敏

[中图分类号］R256.23 [文献标志码］A [文章编号]0256-7415（2025）22-0209-05

DOl：10.13457/j.cnki.jncm.2025.22.038

Introduction to Experience of YANG Zhimin in Treating Insomnia Complicated by Anxiety with Taoling Decoction

GAO Yu1 ，HUANG Shiya²，ZHANG Xiaoxuan³，GUAN Huahua³， YUAN Jiamin³，XU Fuping³Instructor： YANG Zhimin³ 1.TheSecondClinicalMedicalCoege，GuangzhouUniversityofChineseMedicine，GuangzhouGuangdong510405，China；2.Guangzhou FirstPeople'sHosalGangzGandog45，i;3.codfledspitalfangUiesityici Guangzhou Guangdong 510120，China

Abstract：Professor YANG Zhimin's clinical experience in treating insomnia complicated by anxiety with Taoling Decoction is presented.Professor YANG holdsthatinsomnia isroted indisharmonybetween nutritiveqianddefensive qi，whereasanxiety is typically marked byyin deficiency with efulgent fire.Patients with insomniacomplicated by anxietyoften presentacomplex interplayof water-fire，cold-heat imbalance；internalfirescorches nutrient-bloodand leads to impeded bloodflow，while water-damp obstructsthecirculationof nutritiveqiand defensive qi and impairs qiblood movement.Over time，blood may stagnate locallyand generate static blood，ultimately producingacomplicated pathogenesis characterized by internal fire depresion with intermingled phlegm，turbidity，dampness，and static blood.Administration of Taoling Decoction can efectively improve insomnia，anxiety，and related somatic symptoms.

Keywords：Insomnia；Anxiety；TaolingDecoction；YANG Zhimin

杨志敏教授为广东省名中医，广东省医学领军人才，中国中医科学院中青年名中医，第三批全国老中医药专家学术经验继承工作继承人，第三批全国优秀中医临床人才，长期从事中医睡眠学、中医治未病研究，临证尤擅治难治性失眠、各类疑难杂病。（剩余6804字）