不寐病因病机分析

Etiology and Pathogenesis Analysis on Insomnia

不寐的病机在于阳不交于阴,病位在心,同时与肝、脾、胃、肾等脏腑关系密切。其病因在于脾胃失调,心肾不交,肝失疏泄。治疗当以补虚泄实、调整脏腑阴阳为原则,泻其有余,补其不足,同时在治疗时还应注重精神调摄,喜怒有节,所谓"恬淡虚无,真气从之,精神内守,病安从来";同时作息规律,适当锻炼,增强体质。从而达到营卫调和、阴阳相交、睡眠正常之目的。

The pathogenesis of insomnia is Yang not intersectionof Yin, disease location is heart, at the same time, it is closely related to liver, spleen, stomach, kidney and other viscera, and its etiology is disorder of spleen and stomach, heart-kidney imbalance, liver dys- function. So the principle of treatment is reinforcing deficiency and reducing excess, adjusting the zang-fu organs Yin and Yang, at the same time should also pay attention to regulate mental states, temperate to changing moods, the so-called ＂ clearly nothing, from which the true spirit, the spirit within, disease never＂ ;combined with regular rest, proper exercise to enhance physique, so as to reach the bal- ance of Ying and Wei,intersection of Yin and Yang, the purpose of the normal sleep.