[摘要]失眠是糖尿病常见的并发症之一，对糖尿病患者日间社会功能造成严重影响。张玉琴教授从事消渴及其并发症的治疗已四十余载，熟读中医古典理论并结合临床实践，将消渴病合并不寐之病机主要归为气阴两虚兼瘀，热扰心神，心肾不交所致失眠。治疗上张玉琴教授根据患者的不同兼症辨证施治，四诊合参，灵活加减化裁，取得较好的临床疗效。

    [关键词]失眠；糖尿病；消渴病合并不寐

    [中图分类号] R256.23 [文献标识码] A [文章编号] 1674-4721(2019)4(c)-0138-03

    [Abstract] As one of the most common complications of diabetes， insomnia caused seriously bad effects on day social life of the patients with diabetes. Professor ZHANG Yu-qin has been engaged in the treatment of diabetes and its complications for more than 40 years， and professor ZHANG Yu-qin has been familiar with classical Chinese medicine theory and combined with clinical practice， and professor ZHANG Yu-qin attributed the pathogenesis of diabetes mellitus combined with insomnia to deficiency of both qi and yin and blood stasis ......