ZHOU Yabin's Experience in the Staged Treatment of Insomnia Based on"Depression of Liver Resulting in Deficiency of Spleen"
ZHANG Yan
FU Jiamei
ZHOU Yabin
Abstract：ZHOU Yabin combines the basic theories of traditional Chinese medicine with his own clinical practice based on the staged treatment of insomnia caused by"depression of the liver resulting in deficiency of the spleen"and believes that the most common cause of this disease is emotional disorder,and the pathogenesis is the insomnia which caused by the imbalance of yin and yang due to"depression of the liver resulting in deficiency of the spleen".In clinical practice,he treats patients according to their different manifestations in different stages:In the early stage,there is a combination of excess and deficiency,with liver depression and spleen deficiency,and internal retention of phlegm and dampness.The treatment focuses on soothing the liver and relieving depres-sion,supplemented by eliminating dampness and strengthening the spleen.In the middle stage,there is a mixture of excess and deficiency,liver fire and phlegm-heat,accompanied by qi stagnation and spleen deficiency.The treatment focuses on clearing the liver and resolving phlegm,supplemented by relieving depression and stabilizing the middle.In the late stage,there is a mixture of deficiency and excess,with deficiency of both yin and yang,and residual heat,liver depression,and weak spleen persist.The treatment should focus on tonifying yin and yang,supplemented by dispelling depression and nourishing the spleen.One test case is attached.
Keywords：depression of the liver resulting in deficiency of the spleeninsomniastagnation of liver qiliver fire phlegm heatdeficiency of both yin and yangfamous doctor's experience
Publication Date：2025-06-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：5( 685-689 )