失眠从肝干预临床探析

Clinical Analysis of Treatment of Insomnia with Liver Intervention

目的:深刻阐述失眠与肝的关系以及失眠症从肝论治的临床意义和实际效果。方法:通过回顾性循证和归纳、分析的视角将失眠症的辨肝论治的症候特征和治疗特点给以综述。结果:将近十年发表的有关失眠症从肝论治的文章,具体归纳为八大治疗原则:失眠当辨证治肝以安神;疏肝解郁以调神;疏肝健脾以谧神;舒肝清心以静神;养心舒肝以养神;平肝化痰以镇神;疏肝活血以宁神;补益肝肾养阴以安神。结论:失眠的发生与肝的疏泄、条达、藏血、谧神的生理功能失调密切相关,失眠症从肝辨证论治有着良好的效果和实际意义。

Objective：To profoundly expound the relationship between insomnia and liver and the clinical significance and efficacy of treatment of insomnia with liver intervention. Methods：Through the retrospective evidence-based medicinal study,summarization and analysis, the symptom characteristics and treatment features of liver differentiation and treatment for insomnia were arranged. Results：summarize the articles on liver differentiation and treatment for insomnia in the lastest 10 years into eight treatment principles：relieving the spirits based on liver differentiation and treatment, dispersing stagnated liver Qi and relieving Qi stagnation to regulate spirits, relieving the liver and strengthening the spleen to harmonize the spirits, relaxing the liver and puring the heart to calm the spirits, tonifying the heart and soothing the liver to support the spirits, soothing the liver and resolving phlegm to strain the spirits, regulating the liver and invigorating blood circulation to tranquilize the spirits, and replenishing the liver and kidney and norishing the Yin to calm the spirits. Conclusion：The occurance of insomnia is relatively connected with the physical functions of the liver, and it achieved satisfactory efficacy and current significance to treat insomnia in the differentiation and treatment of the liver.