从升降出入理论探讨温胆汤加减治疗不寐的机理

Exploration into the mechanism of modified Wendan decoction on insomnia from ascending-descending and coming in-going out theory

升降出入辨证论治体系,在临床中发挥着重要的指导作用。气机升降正常对五脏神志活动具有重要的调节作用,气机升降失调在不寐的发病中起着不容忽视的作用。温胆汤能够调节三焦津气升降出入,袪除三焦湿热邪气,从而达到涤痰饮、理气郁、除虚烦、畅气机的功效,以此为基本方加减治疗不寐常有良效。

The system of syndrome differentiation and treatment of ascending-descending and coming in-going out plays an important guiding role in clinical practice.The normal ascending-descending of qi movement has an important regulatory role for the activities of five zang-organs and mind,while the disordered ascending-descending of qi movement plays a decisive role in the pathogenesis of insomnia.Wendan decoction can regulate the ascendingdescending and coming in-going out of body fluid and qi in Sanjiao and remove the pathogenic dampness-heat in Sanjiao,which can achieve the effects of clearing up retention of phlegm and fluid,regulating qi stagnation,relieving fidgets due to deficiency and smoothing qi movement.On the basis of this formula,modified Wendan decoction for insomnia can make quick effects commonly.