浅析补中益气汤和补脾胃泻阴火升阳汤治疗不寐病

Clinical Application of Buzhong Yiqi Decoction and Bupiwei Xieyinhuo Shengyang Decoction Treating Insomnia

《脾胃论》之"脾胃易伤,阴火乃生"的思想,甚合不寐阳不入阴之病机。现代脑肠轴机制的研究结果,亦为不寐病从脾胃论治提供生物学依据。补中益气汤和补脾胃泻阴火升阳汤是《脾胃论》的经典名方,前者治气虚程度较重,热象不显或尚浅,重在补中升阳;后者治气虚兼热象明显,重在补泻同治。两方在临床上治疗不寐病疗效甚佳,能改善相关分子生物学指标。文末选录验案两则,以期体现两方在不寐病的临床运用特色。

The notion from Treatise on Spleen and Stomach that the spleen and stomach are easily susceptible and then the Yin-fire emerges consistents with the pathogenesis of insomnia that Yang does not merge into Yin.The research results about brain-gut axis also provide biological evidence for treating insomnia by regulating the spleen and stomach.Both Buzhong Yiqi Decoction and Bupiwei Xieyinhuo Shengyang Decoction are classical prescriptions in Treatise on Spleen and Stomach.The first one is good at treating the disease with Qi deficiency more serious but heat syndrome less.The decoction has strength instrengthening the spleen and stomach and raise Yang.The last one is applicable to the disease with both Qi deficiency and heat syndrome serious.It works through tonifying Qi and purging intense heat.These two decoctions have a good curative effect forinsomniacs by regulating revalant molecular markers.At the end of this article,there are two cases to show what features of them are in treating insomnia.