阴阳分治理论对改善“昼不精,夜不瞑”失眠状态的探讨

Discussion on the theory of yin and yang differentiation in improving insomnia

有关失眠的治疗无论中医西医都将延长夜间睡眠时间当作重点,忽视了对白天功能损害的改善。中医理论认为,人的睡眠与阴阳消长关系密切。整体来看,失眠为白天阳不出阴,精神疲惫、情绪低落;夜晚阳不入阴多梦早醒,甚则彻夜难眠。即《内经》所提出的"昼不精,夜不瞑"状态。从阴阳分治理论探讨改善失眠状态,可采取中药协同西药,根据药效的不同在不同时间段给药,恢复睡眠觉醒周期;或者在中医辨证论治的基础上,择时处方,顺应白天和夜间的阴阳消长变化加减用药。平衡阴阳、协调脏腑,使人体最终回归"昼精夜瞑"的生理状态。

Currently, the treatment of insomnia,we always prolong the night sleep time as the focus,ignoring the improvement of daytime functional damage.According to TCM theory,sleep is closely related to the growth and decline of yin and yang.Overall,insomnia during the day, yang is not out of yin,mental fatigue,low mood;during the night, yang is not enter yin,dreamy early awakening,even sleeplessness all night.Therefore,the theory of "sleepy in the day and insomnic in the night" is put forward.This paper discussed the theory of separating treatment of yin and yang to improve insomnia:Chinese medicine can cooperate with western, administered in different time periods according to their efficacy to restore the sleep-wake cycle, pr Chinese medicine on the basis of dialectical treatment comply with daytime and night change of yin and yang, balancing yin and yang,coordinating the viscera,and finally making human body return to the physiological state of "hearty in the day and sleeping all over the night".