郭蓉娟教授治疗情志病合并失眠症临床经验总结

Summary of clinical experience for emotion disorder with insomnia by Professor GUO Rongjuan

关键词:  情志病  失眠  临床经验  郭蓉娟

Key words:  emotion disorder  insomnia  clinical experience  GUO Rongjuan

摘要:

为更好地总结和传承郭蓉娟教授治疗情志病合并失眠症的临床经验及用药特色，结合中医传统经典理论，参考相关流派及各医家的不同观点，总结门诊跟师期间的典型病例和师承学习体悟，凝练其授课资料、会议演讲内容、科研课题研究内容和公开发表的论文和论著，检索其学生发表的对导师临证经验和学术思想总结的论文，较为系统地梳理了郭蓉娟教授对情志病合并失眠症的认识。郭教授提出“睡眠-情绪系统”三阶段病机演变规律，在诊疗过程中从失眠入手，可以减少情志病的漏诊率，获取较为真实可靠的信息，并着重阐述昼夜的临床用药特色，调理阴阳，标本同治，并整理归纳其遣方用药规律，其夜间经验方宁心安神方重用酸枣仁、刺五加，取得了良好的临床疗效。郭蓉娟教授治疗情志病合并失眠症临床经验丰富，其遣方用药的科学内涵值得进一步挖掘。

Abstract:

To summarize and inherit clinical experience and medication characteristics of Professor GUO Rongjuan in the emotion disorder with insomnia,we combined traditional Chinese medicine theory,referenced relevant schools and different views of various doctors,summed up the typical cases and inspiration during the period of discipline training,learned the lecture materials of the instructors,the content of speech and conference,the scientific research project and articles published publicly,and searched the papers published by the tutor's other students about the clinical experiences and academic thoughts,then systematically concluded the her understanding of the evolutionary rules of emotion disorder. She proposes a three-stage evolution of the sleep-emotion system. Intervening from insomnia can reduce the rate of missed diagnosis of emotional disorders,obtain more real and reliable information,and use day-and-night prescription to balance yin and yang and treat both cause and symptoms. Ningxin Anshen Prescription is her special prescription of night using Suanzaoren and Acanthopanax in high dose and have achieved great clinical efficacy. Professor GUO Rongjuan has rich clinical experience in the treatment of emotion disorder with insomnia,of which scientific connotation is worth to research deeply.