浙江中医药大学学报2025，Vol.49Issue(9)：1127-1131,5.DOI:10.16466/j.issn1005-5509.2025.09.006
张永华教授基于"风行畅玄"论治不寐的经验撷要
Summary of Professor ZHANG Yonghua's Experiences in Treating Insomnia Based on the Theory of"Wind Movement Smooth-ening the Xuanfu"
摘要
Abstract
[Objective]To summarize Professor ZHANG Yonghua's clinical experience in treating emotional-type insomnia based on the"wind movement smoothening the Xuanfu(pores)"theory for clinical reference.[Methods]Through learning,case collection,literature review and combining modern medical mechanisms,the article explains Professor ZHANG's understanding of the pathogenesis of emotional-type insomnia,explores the syndrome differentiation methods and treatment approaches based on the"wind movement smoothening the Xuanfu"theory,and provides a clinical case for verification.[Results]The core pathogenesis of insomnia caused by emotional disorders is the blockage of the"Xuanfu".Professor ZHANG points out that patients with emotional disorders suffer from the blockage of the"Xuanfu"due to the disharmony of Qi movement,internal disturbance of depressed fire,deficiency of Qi and blood,and accumulation of phlegm and blood stasis,which lead to prolonged and difficult-to-treat insomnia.His treatment approach often starts from"unblocking the Xuanfu",advocating the basic therapeutic method of"wind movement smoothening Xuanfu",using wind herbs to relieve depression and regulate Qi,disperse fire and clear heat,tonify deficiency and nourish the spirit,remove phlegm and resolve blood stasis to unblock the Xuanfu,and harmonize Yin and Yang to restore balance.The attached medical case was a patient of insomnia due to dissociative conversion disorder,whose main pathogenesis was the blockage of the Shaoyang pivot and the internal hyperactivity of the heart fire of the Shaoyin,presenting the syndrome of depressed gallbladder and phlegm-heat.The treatment approach was to resolve phlegm and clear heat,subdue the floating Yang,further regulate the exterior and interior,harmonize Yin and Yang,and unblock the Xuanfu to relieve depression,so as to enable the patient to sleep peacefully.[Conclusion]Professor ZHANG's treatment of emotional-type insomnia based on the"wind movement smoothening the Xuanfu"theory is highly effective and offers a new approach to treating insomnia with traditional Chinese medicine,which is worth promoting and applying.关键词
不寐/玄府郁闭/风行畅玄/情志/风药/辨证论治/临床经验/张永华Key words
insomnia/obstruction of the Xuanfu/wind movement smoothening the Xuanfu/emotional state/wind herbs/treatment based on syndrome differentiation/clinical experience/ZHANG Yonghua分类
医药卫生引用本文复制引用
王珏,徐天翔,邵科钉,花诗语,黄杰,张永华..张永华教授基于"风行畅玄"论治不寐的经验撷要[J].浙江中医药大学学报,2025,49(9):1127-1131,5.基金项目
第七批全国老中医药专家学术经验继承工作项目(国中医药办人教函[2022]76号) （国中医药办人教函[2022]76号）
杭州市中医院名中医工作室群师带群徒(杭中医[2021]221号) （杭中医[2021]221号）
杭州市重点学科(高峰学科)建设项目(OO20200385) The Seventh Batch of Chinese Medicine Experts Academic Experience Inheritance Work(G.TCM.B.R.J.H.[2022]76) （高峰学科）
The Group of Teachers and Apprentices of the Famous Chinese Medicine Studio of Hangzhou Hospital of Traditional Chinese Medicine(H.TCM.[2021]221) （H.TCM.[2021]221）
The Construction Project of Key Disciplines of Hangzhou(OO20200385) （OO20200385）
