叶天士从五脏论治不寐

Ye Tianshi’s Treatments of Insomnia from Five Zang Organs

叶天士多从五脏论治不寐,认为心、肝、脾、肺、肾各脏腑功能失调均能导致不寐。结合叶天士治疗不寐的具体案例,发现主要导致不寐的证型有心血亏虚证、肝火上扰证、肝血亏虚证、心脾两虚证、痰浊内扰证、肺阴不足证、肾精亏虚证、心肾不交证。叶天士从五脏论治不寐,辨证清晰,治疗思路明确,值得后世深入研究学习。

Ye Tianshi’s treatments of insomnia mainly focus on the five zang organs.He believes that the dysfunction of the heart,liver,spleen,lung,and kidney can cause insomnia.Combined with Ye Tianshi’s specific cases of insomnia’s treatments,the syndrome types that mainly lead to insomnia include deficiency of heart blood,liver fire hyperactivity,deficiency of liver blood,heart-spleen deficiency,phlegm obstruction,deficiency of lung yin,deficiency of kidney essence,disharmony between heart and kidney.Ye Tianshi treats insomnia from the five zang organs,with clear dialectics and clear treatment thinking.It is worthy of further study and can be better applied to clinical practice.