不寐病主症层次化探究

Hierarchical Research on the Chief Symptom of Insomnia

由于不寐病症的特殊性,不寐病主症可以包括首要主症、病因主症、时间主症、脏腑主症和具有诊断意义的重要脉证等。首要主症是不寐病最重要的主症;病因主症能体现不寐病发生的病因;时间主症明确了不寐病发病的时间;脏腑主症主要能体现不寐病发生相关联的脏器;具有诊断意义的重要脉证主要是能代表不寐病典型证型的脉证表现。主症在不寐病临床辨证施治过程中非常重要,在临床上可以以不寐病主症为核心,通过对主症及其围绕主症的症状组合的辨别、分析以探求其病机、证型。

Due to the specificity of insomnia, the chief symptoms of it includes primary chief symptom, etiologic＇,d chief symptom, time-related chief synlptom, visceral chief symptom and important pulse manifestations of diagnostic significance. Primary chief symptom is the most important in insonmia. Etiological chief symptom can indicate the etiology of insomnia; time-related chief symptom helps identify the occurrence time of insomnia ; visceral chief symptom imlicates the ＇affected visceral associated to the occurrence of insomnia; important pulse manifestations of＂ diagnostic significance present the pulse manifestations of typical syn- dromes of insomnia. Chief symptom is of great importance in the syndrome differentiation and treatment of insomnia. Clinically, the pathogenesis and syndro,nes of insomnia can be determined by the differentiation and analysis of the chief symptom and the symptom groups relating to the chief symptom.