失眠病证古代文献探微

Exploration of ancient literatures on insomnia

古代中医文献认为,情志所伤、饮食不节、劳倦及思虑太过、体虚久病是失眠证的主要病因,而"阳不入阴"为总病机。分析历代医家治疗失眠病证的文献,其临床用药规律以补益、安神、清热三大类药物为主线,多随证配伍化痰、行气、消食、活血、平肝、温里、固涩之品,对现代临床治疗失眠证的选方用药颇有参考价值。

It was found in ancient literatures that insomnia was caused by damage of seven emolions, improper diet, overstrain, excessive anxiety and weakness due to chronic disease, while main pathogenesis was ＂yang not entered in yin＂. This paper analyzes treatment of insomnia in ancient literatures, clinical experience and rule of medication, whleh is nourishing, tranquilization and clearing heat medicines eombined with phlegm resolving, qi promoting, digestion, blood activity, liver soothing, inner warming and astringing Chinese medicines. We hope thai it has reference value for the treatment of insomnia in clinics.