从心论不寐

Discussion on Insomnia from Heart

心为君主之官,生之本,五脏六腑之大主,心主血脉,藏神。心的生理功能及其与五脏六腑功能活动的协调作用,使心的功能失调对不寐的发生起着重要作用,不寐之病因病机有情志所伤,扰动心神、饮食失节,心失所养、病后年迈血虚,神不守舍、劳逸失调,心神失养;治疗不寐,当从心辨证,注重调养心气,使心的主血脉和藏神的功能正常,达到脏腑协调,神魂自安。首先当以养心安神为目的,同时注意调畅情志,久病可应用活血化瘀的方法使不寐的治疗达到事半功倍。

The heart is the king of the officer, the master, the viscera, heart governing blood and vessels and storing spirit. Since the physiological function of heart and the internal organs functional activities coordinating role, dysfunction of heart plays an important role in the occurrence of insomnia. The etiology and pathogenesis of insomnia has emotional hurt, mind disturbed and intemperance of taking food, heart malnutrition and disease after old blood deficiency, maladjustment of work and rest and mind dystrophy. For the treatment of insomnia, we should make syndrome differentiation from heart, pay attention to recuperate heart qi, and make heart governing blood and vessels and storing spirit back to normal to achieve the coordination of internal organs. We should nourish heart for tranquillization, at the same time, pay attention to the emotion, and insomnia can be cured by method of promoting blood circulation for removing blood stasis.