浅析阳虚失眠的病因病机与治疗思路

Cause,Pathogenesis and Treatment of Insomnia of Yang Deficiency Pattern

失眠是临床常见病证之一,多数医家从阳盛阴衰论治,但临床上阳虚失眠者并不少见。通过分析阳气与睡眠的关系,提出导致阳虚失眠的主要病机为心、脾、肾三脏阳虚,故从温补心、脾、肾阳入手,或辅以重镇潜阳,或酌加益气、安神、化痰、调气之品,可为阳虚失眠的治疗提供思路。

Insomnia is a common disease. Most TCM physicians treat it based on Yang excess and Yin deficien-cy. However, in clinic, Yang deficiency insomnia patients are not uncommon, tly analyzing the relation between Yang-qi and insomnia, the authors put forward that the main pathogenesis leading to Yang deficiency insomnia is Yang deficiency of heart, spleen and kidney. Thus the treatment is starting with warmly invigorating heart, spleen and kid- ney Yang, or assisting suppressing hyperactive Yang with heavy prescription, or adding herbs of benefiting Qi, tran- quillization, dissipating phlegm and regulating Qi. It might provide reference for treating Yang deficiency insomnia.