从肺辨治失眠

Discussion About Treating Insomnia from the Lung Based on Syndrome Differentiation

失眠发生与肺密切相关,肺宣肃功能失调,则卫气失和,卫气不足、内伐太过、营阴衰少均可导致失眠;肺职失司,卫气运行失常,留于阳则阳跷盛,卫不和则卧不安;肺与营卫气血的生成、输布以及心功能的正常运行密切相关,肺功能失常则发为失眠。过忧伤肺,肺气闭塞不行,致精神活动失常,发为失眠。故失眠可从肺辨治,肺气郁痹证,治以开郁宁神,降气平喘,采用五磨饮子合甘麦大枣汤加减;肺气虚弱证,治以补益肺气,安神定魄,选用生脉散合补肺汤加减;痰瘀阻肺证,治以化痰祛瘀,采用二陈汤、半夏秫米汤合血府逐瘀汤加减。

The occurrence of insomnia is closely related to the lung.If the lung fails to ventilate and direct qi downward, disharmony and deficiency of defense qi,and insufficient nutrient yin may lead to insomnia.Dysfunction of the lung, disorder of defense qi may lead to excessive yang in yang heel vessel and restless sleep.The lung is closely related to the generation and distribution of qi and blood in defense and nutrient aspects.If there is the lung dysfunction, insomnia will occur.Too much worry may hurt the lung, leading to lung qi obstruction, mental disorders, then insomnia will occur.Therefore, insomnia can be treated from the lung.For lung qi stagnation syndrome, the treatment should focus on relieving depression and calming mind, directing qi downward to relieve dyspnea, so Wumo Beverage(五磨饮子,WMB) combined with Modified Licorice and Wheat and Jujube Decoction can be used.For lung qi deficiency syndrome, the treatment should focus on nourishing lung qi,and calming mind, so Pulse-Engendering Powder combined with Modified Lung-Supplementing Decoction can be used.For syndrome of phlegm and blood stasis obstructing the lung, the treatment should focus on resolving phlegm and removing blood stasis, so Two Matured Substances Decoction, Pinellia and Semen Setariae Decoction combined with Modified Blood Mansion Stasis-Expelling Decoction can be used.