〔摘要〕 消渴常伴发不寐，黄保民教授认为情志因素为消渴并不寐之主因，病机以肝心火旺为基础，阴津耗伤作为病理变化贯穿始终，病位在肝心，可损及肺、胃、肾。结合肝心二脏生理病理特点，肝郁化火扰心或血虚心神失养皆可发为此病。故分为两个证型：郁火扰心证和血虚内热证，从肝心论治，治之以清热泻火为主，辨证辅以疏肝解郁或滋阴养血之法，疗效显著，值得借鉴参考。

    〔关键词〕 消渴;不寐;肝心论治;黄保民

    〔中圖分类号〕R256.23;R255.3 〔文献标志码〕B 〔文章编号〕doi：10.3969/j.issn.1674-070X.2019.08.009

    〔Abstract〕 Diabetes is often accompanied by insomnia. Professor HUANG Baomin believes that emotional factor is the main cause of diabetes combined with insomnia. The pathogenesis is based on the fire hyperactivity of liver and heart ......