国医大师沈宝藩应用养心汤治疗失眠临床经验分享

〔摘要〕 失眠为临床常见病。长期失眠，严重影响患者的身心健康和生活质量。国医大师沈宝藩从医60余年，擅治内科疾病。对于治疗失眠，积累了丰富的经验。沈宝藩教授认为失眠主要病机为心肝血虚，心神不宁。治疗上以养血安神为法，创立了养心汤，意在养血安神、调肝养心，临床收效颇佳，附验案两则加以阐明。

〔关键词〕 沈宝藩；失眠；心肝血虚；养血安神；养心汤

〔中图分类号〕R256.23         〔文献标志码〕A          〔文章编号〕doi：10.3969/j.issn.1674－070X.２０24.05.002

National TCM master SHEN Baofan's clinical experience in treating

insomnia with Yangxin Decoction

HU Jinxia， SHEN Baofan*

Xinjiang Uygur Autonomous Region Hospital of Chinese medicine， Urumchi， Xinjiang 830000， China

〔Ａｂｓｔｒａｃｔ〕 Insomnia is a common clinical disease. Long-term insomnia seriously affects patients' physical and mental health as well as their quality of life. Professor SHEN Baofan， the National TCM Master， has been practicing medicine for over 60 years and is skilled in treating internal diseases. He has accumulated rich experience in treating insomnia， and he believes that the main pathogenesis of insomnia is blood deficiency of the heart and liver and disquieted heart spirit. In treatment， he emphasizes  nourishing blood and calming the mind， and has created Yangxin Decoction， aiming to nourish blood and calm the mind， regulate the liver and nourish the heart， which has achieved good clinical efficacy. In addition， two cases are attached for further illustration.

〔Ｋｅｙｗｏｒｄｓ〕 SHEN Baofan; insomnia; blood deficiency of the heart and liver; nourishing blood and calming the mind; Yangxin Decoction

失眠属于中医学“不寐”“不得眠”范畴，是指不能正常睡眠，表现为入睡困难、睡眠浅、易醒、早醒、梦多，导致睡眠时间不足，睡眠质量明显下降，从而造成躯体和心理受损的一类常见病[1]。（剩余8360字）