中医治疗失眠的经验

Experience in Treating Insomnia by Traditional Chinese Medicine

失眠属于中医神志病范畴,主要病位在心脑。笔者认为中医治疗失眠,首先要辨虚实。虚证属于阴血不足,心脑失其所养;实证为实热内结或痰热内扰或瘀血阻滞等。当然,失眠的病机关键在于心神不安,因而安神定志为其基本治法,常用中药为酸枣仁、夜交藤、百合、珍珠母、煅龙骨、煅牡蛎等。

Insomnia belongs to spiritual diseases in traditional Chinese medicine,and the disease site is mainly in heart and brain.The author thinks we should distinguish asthenia and sthenia firstly.Asthenia syndrome belongs to deficiency of yin-blood,the heart and brain losing its nourishments;Sthenia syndrome belongs to excess heat within inside or internal disturbance of phlegm-heat or blood stasis etc.Certainly its pathogenesis lies in disturbance of heart and spirit,so the basic treatment is to calm down the spirit.The commonly used Chinese medicine are spine date seed、fleece-flower stem、lilium、mother-of-pearl、calcined longmu etc.