从脑与五脏的关系浅论失眠病机

Primary discussion of the pathogenesis of insomnia from brain and Five-zang

中医认为失眠的病机总属阴阳失调,但对其病位以及各脏腑在失眠形成中的作用尚未达成统一认识。认为失眠与脑、五脏密切相关,而脑主宰五脏,五脏亦反作用于脑。在脑神衰弱基础上,五脏神乱,上逆犯脑,脑神失调,从而导致失眠。长期失眠脑神愈衰,五脏神愈乱,形成恶性循环。故提出脑神衰弱是失眠的病理基础,五脏神紊乱是失眠的病因,脑神失调是失眠的主要病机。

It is considered that disharmony of Yin and Yang is the pathogenesis of insomnia in traditional Chinese medicine. But there are no common viewpoints about disease location and effecetion of each organ in insomnia. The author think insomnia is closely related with brain,Five-zang. Brain dominate Five-zang, and Five-zang react on brain too. The dysfunction of Five-zang can easily damage the function of brain on the basis of brain＇ s weakness which lead to insomnia. Long insomnia result in the situation that the brain is weaker,the function of viscera is in more serious disorder which form the vicious cycle. So it pointed out weakness of brain-mind is the pathological basis,disorder of Five zang-mind is the cause,disorder of brainmind is main pathogenesis of insomnia.