谭超

〔摘要〕 失眠是以经常不能获得正常睡眠为主要临床表现的一类病证。中医学认为失眠由心神失养或心神不安所致，常分虚实论治。对于一些有特殊兼症的失眠，常规治疗往往疗效不佳而渐成疑难病。国医大师熊继柏运用《黄帝内经》“谨察间甚”“间者并行”的理论辨治妊娠虚烦失眠、药物流产后失眠、长期足挛急失眠、舌上烧灼心烦失眠，均取得了较好的疗效。

〔关键词〕 失眠;熊继柏;辨证论治;间者并行;妊娠失眠;流产后失眠;不宁腿综合征;疑难病

〔中图分类号〕R256.23       〔文献标志码〕B       〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.05.001

The Experience of Traditonal Chinese Medicine Master Xiong Jibo in Syndrome Differentiation and Treating Insomnia and Its Special Concurrent Diseases

TAN Chao1，2，3

（1. The First Affiliated Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410007， China;

2. Inherit Workroom of Medical Master Professor XIONG Jibos Experiences， Changsha， Hunan 410208， China;

3. The Domestic First-class Discipline Construction Project of Chinese Medicine of Hunan University of Chinese

Medicine， Changsha， Hunan 410208， China）

〔Abstract〕 Insomnia is often can not get normal sleep as the main clinical manifestations of a class of diseases. Traditional Chinese medicine （TCM） believes that insomnia is caused by the loss of mental health or mental restlessness， which is often treated according to the theory of deficiency and excess. But for some insomnia with special concomitant symptoms， the curative effect of conventional treatment is often not good and gradually become difficult and complicated. TCM master Xiong Jibo used the theoretical principles of "careful observation" and "parallel treatment" in Yellow Emperor's Inner Canon to distinguish and treat pregnancy insomnia， insomnia after medical abortion， long-term foot twonus insomnia， burning on the tongue and insomnia， all achieved good curative effect.

〔Keywords〕 insomnia; Xiong Jibo; syndrome differentiation and treatment; parallel treatment; pregnancy insomnia; insomnia after abortion; restless leg syndrome; difficult disease

熊繼柏，国医大师，中国中医科学院首批学部委员，第四、五、六批全国老中医药专家学术经验继承工作指导老师。其13岁习医，16岁行医，现已从医六十余年，年届八旬仍年均接诊患者1万余人。其学验俱丰，辨析思维敏捷，理法方药娴熟，擅长治疗中医内科、妇科、儿科疾病，善治疑难病、危重病，临床疗效甚佳。理论与临证的紧密结合，是熊教授非常鲜明的治学特色[1]。

充足的睡眠是国际社会公认的3项健康标准之一。但据WHO调查显示，世界上约有27%的人每天为失眠所困扰;国内流行病学研究显示，中国有45.4%的被调查者在过去1个月中曾经历过不同程度的失眠[2]。长期失眠会影响个体的正常生活和工作，增加罹患各种健康问题的风险[3]。苯二氮卓类镇静安眠药虽可改善失眠症状，但因其潜在的药物依赖倾向及可能存在的肌肉松弛作用、呼吸抑制、认知损害等不良反应，临床使用受到限制。……