于志强“郁滞论”辨治不寐经验

朱林平1，李侠 2，刘岩1，曹旭焱1，刘长玉1，杜武勋 1

1.天津中医药大学第二附属医院，天津 300250；2.天津市河东区春华街社区卫生服务中心，天津 300011摘要：于志强教授是天津中医药大学第二附属医院主任医师，长期从事中医心内科医、教、研工作，擅长治疗心系疾病，取法先贤医家诸论并结合数十年临证经验，提出“郁滞论”学术思想，并认为气、血、痰、火、食、湿之郁皆可致不寐。本文简述于教授“郁滞论”思想及临床最常见之肝郁（合火、痰、瘀）致不寐的分型证治，并结合案例加以说明。

关键词：名医经验；于志强；郁滞论；不寐

中图分类号：R256.23 文献标识码：A

DOI：10.3969/j.issn.1005-5304.201810230

文章编号：1005-5304(2020)03-0099-03开放科学（资源服务）标识码（OSID）：

Experience of Yu Zhiqiang in Diagnosing and Treating Insomnia Based on Stagnation Theory

ZHU Linping1, LI Xia2, LIU Yan1, CAO Xuyan1, LIU Changyu1, DU Wuxun1

1. The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China;

2. Tianjin Hedong Chunhua Street Community Health Service Center, Tianjin 300011, China

Abstract: Professor Yu Zhiqiang, the chief physician of the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, has been engaged in medical treatment, teaching and scientific research of TCM cardiology for a long time, and is good at treating various heart disease. He summed up the views of ancient TCM practitioners and combined decades of clinical experience, and put forward the academic thinking of “stagnation theory”. He also believed that “six depression” - qi, blood, phlegm, fire, food and dampness depression could cause insomnia. This article briefly described Professor Yu’s “stagnation theory” and the most common type of liver stagnation (combined with fire, phlegm, stasis) leading to insomnia, and illustrated by combining with medical cases. Keywords: experience of famous doctors; Yu Zhiqiang; stagnation theory; insomnia

于志强教授是天津中医药大学第二附属医院主任医师，国家中医药管理局第四、五、六批名老中医药专家经验继承工作指导老师，长期从事中医心内科医、教、研工作，学验俱丰，其取法先贤并结合数十

年临证经验，提出“郁滞论”学术思想[1]，重视气机

升降理论及“气血津液辨证”[2]，擅长治疗心系疾病等。笔者随侍临证，对于师治疗胸痹、眩晕、不寐等每有所得，兹就于师“郁滞论”思想及其用于辨治不寐经验介绍如下。