“肾藏精,精舍志”理论在治疗不寐中的应用

Application of “Essence in Kidney Storing Zhi” Theory in the Treatment of Insomnia

肾不藏志不寐是中医不寐分型之一,在古代医籍的基础上,阐述了＂肾藏精,精舍志＂理论内涵,＂肾藏精,精舍志＂与不寐的关系,并探讨了该理论在治疗不寐中的指导意义。＂志＂体现了生理功能和心理活动两方面涵义。肾藏精生髓充脑是精舍志的基础,肾对五脏的调控是精舍志的保障。肾藏精功能正常是精舍志的前提,肾不藏精是肾不藏志之不寐的核心病机。肝肾阴虚型和心肾不交型是主要的两种证型,治疗方面应以补肾为主,并重视情志疗法对不寐的防治。

Insomnia caused by the failure of kidney in storing Zhi is a type of TCM insomnia. On the basis of ancient medical books,the paper elaborated the theoretical connotation of＂essence in kidney storing Zhi＂,its relationship with insomnia and explored the instruction significance of theory in the treatment of insomnia.＂Zhi＂embodies the two aspects of connotation：the physiological function and psychological activity. Kidney storing essence,producing marrow and marrow nourishing the brain are the basis of ＂essence storing Zhi＂. The regulation of kidney on the five zang organs is the guarantee of ＂essence storing Zhi＂. The normal function of the kidney in storing essence is the premise of ＂essence storing Zhi＂. Kidney failing to store essence is the core pathogenesis of insomnia caused by kidney failing to store essence. Yin deficiency of liver and kidney and heart-kidney disharmony are the two main types of TCM syndromes. Treatment should be given priority to invigorating kidney deficiency,and prevention and treatment to insomnia by emotional therapy be valued.