中医治疗不寐初探

Primary Exploration of Insomnia Treated with Chinese Medicine

外感、内伤皆可导致不寐,不寐病机复杂,后世医家发展了脏腑学说及五脏神理论,更全面认识不寐病机,体现了不寐病机的复杂性,突出了中医治疗不寐辨证论治的准确性。中医药治疗失眠疗效确切,副作用少,治疗前景广阔,有不可或缺的重要地位。但中医药治疗不寐仍有很多不足,如对病机认识不能明确、统一,治疗亦各有侧重,缺乏统一的治疗标准。治疗组方多倾向于大方、复杂方,对《黄帝内经》及《伤寒论》中经典方剂研究及单方运用较少,应进一步完善不足,充分发挥中医药治疗不寐的优势。

Both exogenous disease and internal injury can lead to insomnia. The pathogenesis of insomnia is complicated. The later generations of doctors develop the visceral theory and the theory of five zang organ and vitality, and thus they more comprehensively understand the pathogenesis of insomnia and reflect the complexity of insomnia and highlight the veracity of Chinese medicine in the syndrome differentiation and treatment of insomnia. Chinese medicine applied to the treatment of insomnia has definite efficacy, few side effects and broad prospect. However, there are still many shortcomings. For instance, the recognition of the pathogenesis is not explicit and unified and the treatment lacks unified standards. The formulas tend to be complex. It lacks the studies on the classical prescriptions in Inner Canon and Treatise on Cold Damage and application of single prescription, which needs further improvement to make the fullest use of the advantages of Chinese medicine in treating insomnia.