从心理应激探讨围绝经期失眠症的中医病机

From psychological stress to study the TCM pathogenesis of Perimenopausal insomnia

围绝经期失眠症与七情内伤导致的五脏功能失调密切相关,心理应激是其重要病因。脾为后天之本,气血生化之源,脾运化功能正常才能保证气血盛实,充养脏腑。肝为女子之先天,肝血充盛、肝气调畅是阴阳各循其常的前提条件。具有多脏腑功能失常的围绝经期失眠症的关键病机是肝脾功能失调,调理肝脾是治疗本病的重要法则。

Perimenopausal insomnia is closely related to the Five zang- organs disorders which is caused by emotional injuries,psychological stress is the main cause. Spleen is the acquired base of life and source of generating qi and blood,only the function of the spleen is normal that can guarantee the sufficiency of Qi and blood and nourishing the viscera. Liver is the innate base of a woman,the sufficiency of liver blood and liver Qi regulating are prerequisite to the normal circulation of Yin and Yang. The key pathogenesis of perimenopausal insomnia with multiple organs dysfunction is the dysfunction of liver and spleen,conditioning of the liver and spleen is an important principle to treat the disease.