从情志论治失眠症

Treating Insomnia from Emotional

失眠症属于睡眠障碍的一种,中医学称之为“不寐”,其临床表现复杂多样,或难以入睡,或寐而易寤,或寤后不能再寐,或彻夜难以入寐,或多梦,或噩梦纷纭。从情志出发探讨了失眠症的理论治法用方。情志与五脏密切相关,暴怒伤肝、思虑伤脾、惊恐胆怯、过喜则心气涣散。其中以肝失疏泄、郁而化火最为常见。提出了疏肝解郁、泻火养心、镇静安神为主要治疗大法。常用药物有陈皮、香附、柴胡、芍药、当归、黄芩、煅龙骨、煅牡蛎等,根据不同临床表现加减,效果显著。

Insomnia is a type of sleep disorder.Traditional Chinese medicine is called“BuMei”,its clinical manifestations are diverse,or difficult to fall asleep,or sleep but easy to waking,or can not sleep again after waking,or difficult to enter the night,or dreams,or nightmares.From the emotional perspective the author discusses the theoretical treatment of insomnia.Emotional is closely related to the five internal organs,wrath hurts the liver,over thinking hurt the spleen,panic and timidity,Excessive joy can lead to distraction.Among them,most common is that for long time Liver Qi stagnation can be turned into fire.It is proposed that Shugan Jieyu,Xiehuo Yangxin,calming and calming the nerves are the main treatments.The commonly used herbs were Chenpi,Xiangfu,Chaihu,Shaoyao,Danggui,Huangqin,Duanlonggu,Duanmuli etc,according to different clinical manifestations,the effect is significant.