〔Objective) To explore Professor Lian Jianwei's academic viewpoint and clinical experience in treating insomnia based on syndrome differentiation, so as to guide and enlighten the treatment of clinical insomnia. 〔Method〕Professor Lian Jianwei was selected to treat 4 cases of insomnia of different types of syndromes, combined with his experience of following up with a regular doctor, and added a detailed evaluation, this paper probes into Professor Lian's characteristics and experience in treating insomnia from the aspects of Etiology and pathogenesis, the focus of differentiation of symptoms and signs, the combination and reduction of prescriptions and the characteristics of drug use. 〔Result〕Professor Lian thought that there were four types of insomnia in clinic: phlegm-heat disturbing the heart, stagnation of liver-qi and blood stasis, deficiency of heart and spleen. Four medical records were selected to represent the above-mentioned four types of syndromes. The patients with phlegm-heat disturbing heart were treated with phlegm-heat clearing, the patients with liver depression and spleen deficiency were treated with liver-qi and spleen-strengthening, the patients with Qi stagnation and blood stasis were treated with qi-activating and blood-activating, and the patients with heart-spleen deficiency were treated with spleen-strengthening and heart-nourishing. At the same time, Professor Lian Treated Insomnia, legislation should be closely linked to the pathogenesis of Insomnia, and less, careful use of simple sedative drugs. Especially good at by the theory as a guide, the application of past generations of famous prescription, according to the complexity of the disease, appropriate addition and subtraction of cutting, combined into a square, melting a few square in a furnace, the effect is significant.〔Conclusion〕Professor Lian Jianwei's treatment of insomnia based on differentiation of symptoms and signs of tongue and pulse, and according to different types of deficiency and excess, has good clinical effect. |