脾不藏意不寐刍议

Discussion on insomnia caused by dysfunction of spleen storing idea

不寐的理论基础源于《黄帝内经》,其病因病机复杂,辨证思路各异,然而总不离五脏。文章主要通过对"脾藏意""脾主思"理论的分析、对其与脾不藏意不寐关系的探讨,说明脾为后天之本,气血生化之源,意之宅也,脾运健旺,水谷精微充足,气血得力,则脾意的功能才能正常发挥而安卧;若脾失健运,气血、水谷精微乏源,则脾意失养而不寐。脾不藏意不寐主诉以思虑纷纭为主,治疗上以补脾、祛邪、安意为主。

The theoretical basis of insomnia was derived from Huangdi Neijing. Although the etiology and pathogenesis of insomnia were complicated and the thinking of syndrome differentiation was various, they were related to the five zang viscera. It was analyzed the theories of ＇spleen storing idea＇ and ＇spleen governing thought＇, and explored the relationship between these theories and insomnia, so as to illustrate that the spleen was the source of the acquired constitution, the origin of qi and blood and the home of the idea. When the spleen was healthy and vigorous, the essence of food and drink was sufficient, and the qi and blood were energetic and powerful, the functions of idea could take effect so that people could fall asleep. When the spleen was dysfunction in transportation, the essence of food and drink was poor, the idea lost nourishment so that people suffered from insomnia. The main complaint of insomnia caused by spleen not storing idea was excessive thoughtfulness. So the treatment of this kind of insomnia was invigorating spleen, eliminating pathogenic factor and calming the idea.