刘美颖　段振静　杜欣　郭雁　王少杰　吴冬梅　周瑞奇

【摘 要】 文章对王少杰教授临床治疗高血压病合并失眠患者的经验进行初步总结。现代社会中人们生活方式改变，熬夜、夜宵等不良生活习惯增多，压力较大、运动不足等诸多因素易导致肝主疏泄、肝藏血功能失衡，形成肝郁、肝瘀，从而化热生浊，热扰心神，心神不宁而不寐。王少杰教授在临床治疗过程中审证求因，灵活运用“镇、敛、养、清”四法，平衡阴阳，心神安宁，取得了较好疗效。

【关键词】 眩晕; 不寐; 中西融合; 湿热瘀阻

【中图分类号】R255.3 【文献标志码】 A【文章编号】1007-8517（2022）14-0101-04

Professor Wang Shaojie's Experience in Treating Hypertension Accompanied with Insomnia by Using “Zhenlian Yangqing”

LIU Meiying¹DUAN Zhenjing²DU Xin³GUO Yan²WANG Shaojie^4△WU Dongmei⁵ZHOU Ruiqi⁶

1.Beijing Xicheng District Zhanlan Road Community Health Service Center， Traditional Chinese Medicine Department， Beijing 100037，China;

2. Beijing Daxing District Jiugong Community Health Service Center， Traditional Chinese Medicine Department， Beijing 100070，China;

3.Beijing Xicheng District xichang'an Street Community Health Service Center， Traditional Chinese Medicine Department，Beijing 100031，China;

4.People's Hospital of Peking University， Traditional Chinese Medicine Department， Beijing 100044，China;

5.Huangsi Outpatient Department of Jingzhong Medical District， Beijing 100120，China;

6.Weizikeng Outpatient Department， Jingzhong Medical District， PLA General Hospital，Beijing 100101，China

Abstract：In this paper， Professor Wang Shaojie's clinical experience in the treatment of hypertension with insomnia was preliminarily summarized. In modern society， many factors， such as the change of people's life style， the increase of bad living habits such as staying up late and having supper at night， high pressure， insufficient exercise and so on， can easily lead to the imbalance of liver's function of dispersing and storing blood; It is easy to form liver depression and liver stasis， thus transforming heat into turbid， heat around the mind， restless and sleepless;In the process of clinical treatment， we should examine the syndrome and seek the cause. We should uses “Zhen， Lian， Yang， Qing”，balance yin and Yang，calm the mind，has achieved a good Curative effect.

Key words：Vertigo; Insomnia; Integration of Traditional Chinese and Western Medicine;Syndrome of Dampness Heat and Blood Stasis

高血壓是我国患病人数最多的慢性病之一，目前患者超过2.7亿，是城乡居民心脑血管疾病死亡的最重要的危险因素，严重影响人民健康和经济社会发展^[1]。国内外研究^[2]表明，高血压与失眠存在相关性，是心血管疾病和死亡率升高的主要危险因素，长期高血压导致血管内皮受损，炎性因子大量释放，导致失眠的发生^[3]。高血压合并失眠归于中医“眩晕”“不寐”范畴，其病位在心，与肝、脾、肾相关，主要病机为肝阳上亢，肝气横犯脾胃，导致肝失疏泄，心神不宁^[4]，阳不入阴，阴阳失衡。王少杰教授为全国第五批、第六批名老中医学术继承人指导老师，从医40余年，在临证治疗高血压合并失眠患者过程中，善于中西融合，审证求因，灵活运用四法，从湿热瘀阻络脉论治，使阳入阴，心神宁，阴阳平衡论治，取得了较好的疗效，笔者有幸跟从王少杰教授学习，现将其学术经验总结如下。……