葛玉静　刘红权　江淑婷

【摘要】临床上失眠常与焦虑抑郁共病存在，目前西医药物治疗具有成瘾性、撤药反复等问题，中医药在治疗上注重辨证论治，循证求因，标本兼顾，临床疗效具有稳定性和长远性。刘红权老师针对此类焦虑、抑郁共病之难治性失眠，有独特见解，临床通常辨证为中医少阳怫郁型不寐，认为发病多因情绪抑郁，少阳枢机不利，气机怫郁而致，治以和解少阳，舒郁安神为主，临床应用每多效验。

【关键词】少阳;不寐;刘红权;治疗经验

【中图分类号】R249.2/.7 【文献标志码】 A【文章编号】1007-8517（2021）23-0107-03

Analysis of Liu Hongquan's Experience in Treating Anxiety and Depression Comorbidity Insomnia

GE Yujing¹LIU Hongquan^2△JIANG Shuting^2*

1.Affiliated Hospital of Integrated Chinese and Western Medicine，

Nanjing University of Chinese Medicine， Nanjing 210028，China;

2.Jiangsu Province Hospital of Integrated Chinese and Western Medicine， Nanjing 210028， China

Abstract：Insomnia is highly associated with depression and anxiety in clinical practice.At present，western medicine has the side-effect of the possible recurrence and drug dependence. Traditional Chinese medicine pays attention to treatment based on syndrome differentiation， seeking the cause on the basis of evidence， taking specimens into consideration， and its clinical efficacy is stable and long-term.Dr.Liu Hongquan has unique insights for such anxiety and depression comorbidity of intractable insomnia，gets this kind of insomnia as Shaoyang depressed insomnia，and believes that the incidence of this kind of insomnia is mostly attributed to emotional restrain， failure of Shaoyang shuji operation and depression of Qiji. The therapy should have a combination of the relaxation and tranquillity of Shaoyang， which can achieve good clinical results.

Key words：Shaoyang;Insomnia;LIU Hongquan;Experience of Treatment

失眠，是以频繁而持续的入睡困难或睡眠维持困难并导致睡眠满意度不足为特征的睡眠障碍，目前临床对失眠的治疗十分棘手，常用药物包括苯二氮卓类受体激动剂、褪黑素受体激动剂、食欲素受体拮抗剂和具有催眠效应的抗抑郁药物等，通过循证医学的研究，西药治疗往往会出现撤药后病情反复，产生药物依赖等不良反应，本文讨论的焦虑抑郁共病型失眠症往往治疗难度更大。失眠，中医病名为“不寐”，中医对于“不寐”的治疗从病机出发，针对情志不遂、饮食不节、劳逸失调、久病体虚等多种不同因素导致的不寐^[1]辨证论治，具有较好的临床疗效。刘红权老师在长期临床诊疗中发现，情志因素与不寐的发病密切相关，临床上失眠常与抑郁、焦虑共病存在，临床通常辨为中医少阳怫郁型不寐，本文总结了刘红权老师治疗此型不寐病的治疗经验，现介绍如下。……