温胆汤治疗抑郁性失眠刍议

Analysis on Wendan Decoction in the Treatment of Depressive Insomnia

抑郁性失眠是以抑郁症为基础疾病的一类失眠病证,归属中医"郁证"与"不寐"范畴。抑郁性失眠既有"郁"的一面,又兼有心神不宁之"不寐"一面,其病机核心为肝郁胆虚,心神不宁。肝郁胆虚,多影响脾胃运化,致痰浊内生,若痰浊凌心扰神,则加重失眠。温胆汤为中医治痰名方,重在解郁温胆、理气化痰,对于此类失眠病证甚为适用,故探讨之。

Depressive insomnia is a kind of insomnia syndrome based on depression,which belongs to the category of"depression syndrome"and"insomnia"in traditional Chinese medicine.Depressive insomnia has not only the side of depression,but also the side of insomnia of restlessness.The core of its pathogenesis can be summarized as liver depression,gallbladder deficiency and restlessness.Liver depression and gallbladder deficiency mostly affect the spleen and stomach circulation,causing the endogenous phlegm.Then if the phlegm is harmful to the heart mind,it will aggravate insomnia.Wendan decoction is a famous formula for treating phlegm in TCM,which focuses on relieving depression,warming gallbladder,regulating qi and resolving phlegm.It is very suitable for this kind of insomnia.