从阳气-阴分角度探析不寐病机

Analysis on Pathogenesis of Insomnia from Perspective of Yang Qi and Yin Aspect

多角度深入挖掘不寐的病因病机是指导临床实践的重要理论基础。从探究阳气与阴分的本质出发,重新审视营卫阴阳的关系并进行阐释,以阳气的虚大与实大、阴分的厚薄为据,将不寐的病机划分为四类:阴分不足,阳气相对有余;阳气虚大,阴分相对有余;阴分有余,阳气相对不足;阳气实大,阴分相对不足。根据各类型特点及病证表现,依循病机-症状-立法-用药的次序展开阐述,详论病机略述用药,以期对临床诊治提供系统性的新思路。

It is an important theoreti cal basis for clinical practice guidance to explore the etiology and pathogenesis of insomnia from multiple perspectives.Starting from exploring the essence of yang qi and yin aspect,the relationship between nutrient-defense and yin-yang is reexamined and explained.Based on the deficiency and excess of yang qi and thickness of yin aspect,the pathogenesis of insomnia can be divided into four categories:insufficient yin aspect,relatively excessive yang qi;deficiency of yang qi,relatively excessive yin aspect;excessive yin aspect,relatively insufficient yang qi;excessive yang qi,relatively insufficient yin aspect.According to the characteristics and symptoms of each type of disease,according to the order of pathogenesis-symptom-principle-medication,this paper analyzes the detailed pathogenesis and briefly described medication,in order to provide a systematic new idea for clinical diagnosis and treatment.