脾胃病中失眠论治发微

Detailed Exposition on Diagnosing and Treating Insomnia in Spleen-stomach Disease

失眠是脾胃病患者的常见症状之一,其与脾胃病的关系可分为两种:其一,脾胃病直接引起失眠的因果关系;其二,由肝系疾病导致的脾胃病伴发失眠的并从关系。本文试从这两方面阐发脾胃病中失眠一症的病因病机,落实于脏腑关系及其辨证施治。归纳为因果关系中的胃不和则卧不安与脾胃本虚,并从关系中的肝郁气滞化火与肝血亏虚,从而达到在明晰病机的基础上指导临床的目的。

Insomnia is one of the common symptoms of the spleen-stomach disease,the relationship between them can be divided into two kinds： first,the causal relationship that spleen-stomach diseases directly causes insomnia;second,the coordinate relationship between the spleen-stomach disease and insomnia caused by the liver system disease.This paper tries to explicate the etiology and pathology of insomnia in the spleen-stomach disease from the two aspects,summarized as： firstly,in the causal relationship,the discomfort from the stomach will cause insomnia and it fundamentally shows the spleen-stomach deficiency; secondly,in the coordinate relationship between Fire caused by depression of liver-Qi and liver blood deficiency,so as to achieve purpose of clinical guidance on the basis of clearing pathogenesis.