疏肝健脾方治疗肝郁脾虚型不寐经验

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AbstractXULiang'sclinicalaproachtoinsomniaisgroundedintheprincipleoftreatingfromtheliveremployingtheforula ShuganJianpiFang（Liver-Sothingand Splee-ForifingDecoction）tomanageinsomniaduetoliverdepressonandspleendeficiency.Thissyndrometypediffrsfromthetraditional textbokclasificationsbutaligns wellwithmodernclinicalrealities.In treating insomiaccompaniedbyspleendeficiency，XULiangadoptsaolisticperspective，dentifngsuchassaslrdepre sionandspleen-deficiencytype.Drawingontephysiologicalfunctionsand interelationsofteliverandspleen，heconcluesthat soothingtheliverpromotes thefreeflowofqiandrelievesstagnation，whilestrengthening thesplenharmonizesthebloodand clears themind-thus，egulatingbothorgansharmonizesqiandblood，leadingtorestfulsleep.Inpractice，XULiangofendds Chai Hu（Radix Bupleuri），Sang Ye（Folium Mori），andFoShou（Fructus Citri Sarcodactylis）to soothetheliverand relieve stagnation，promotingtheproperregulationofhepaticq，motionalase，andsmoothqi-bloodcirculation.Tostrengthenthespleen，he usesSheng MaiYa（GerminatedBarley），Jiao Shan Zha（Charred Hawthorn），Jiao Shen Qu（CharredMedicatedLeaven），and ShanYao（Rhizoma Dioscoreae），toprotectthespleenandstomach，restorepropertransformationandtransportation，andesure thegenerationofqiandblood.When thebrainorficesarenourishedandthemindbecomesclear，thepatientsleepspeacefully.XULiang believesthatsothing theliverharmonizesqimovement，and whenqiflowssmoothly，qiandbloodarebalanced.Strengthening the spleenensures propertransformationoffood essenceand fluid metabolism；whenqiand blood havea sufficient source and flow harmoniously，yin and yang are balanced，resulting in restful sleep.

KeywordsInsomnia;；Traditional Chinese medicine；XULiang；Liverdepresionand splee deficiency；Liver-spleen theory; Syndrome differentiation and treatment； Case study 中图分类号：R338.63 文献标识码：B doi：10.3969/j. issn.2095 -7130.2025.08.063

吾师许良主任从事中医内科医、教、研工作37年，主攻中医内科、睡眠疾病临床研究，擅长中医治疗以失眠为主症的内科杂病和相关身心疾病，以及心理指导和养生保健。（剩余6646字）