从枢经论治失眠的理论及临床研究进展

Clinical research progress and theory of pivot meridian on the treatment of insomnia

阳不入阴是失眠的主要病机,开阖枢不利、少阳不利或少阴不利均可导致阳不入阴,继而引发失眠。临床上不少医家基于此,以调和枢机为治则,运用小柴胡汤、温胆汤、四逆散、黄连阿胶汤、柴胡疏肝散等方剂,选用少阳、少阴经之穴位施以针灸来治疗失眠,均取得了较好的效果。但从枢经论治失眠的文献还过于零散,有必要重视枢经在失眠诊治过程中的作用,开展更多、更系统的研究。

The main mechanism of insomnia is yang failing to enter yin. The opening-closing pivot meridian obstruction and shaoyang or shaoyin meridian obstruction could lead to yang failing to enter yin, following insomnia occurs. Based on this theory, many clinical physicians treat insomnia by using therapeutic principle of harmonizing the pivot meridian, through the prescriptions such as Minor Bupleurum Decoction, Wendan Decoction, Sini Decoction, Huanglian Ejiao Decoction, Bupleurum Liver-Coursing Powder Decoction, etc. And applying acupuncture and moxibustion on the points selected on the shaoyang and shaoyin meridians, which gets good effects. But the literatures of the theory of pivot meridian on the treatment of insomnia is not systematic, which is necessary to pay attention to the effect of pivot meridian theory on the diagnosis and treatment of insomnia, and make more and more systematic research on it.