金鼎汤辨治失眠探微

Exploration on Jinding Decoction for the Treatment of Insomnia

失眠是临床常见病症,也是多种疾病的伴随症状。其病机复杂,多为本虚标实之证,本虚多为中气亏虚、心肾不交、心神失养,标实以肝郁、痰湿多见。金鼎汤辨治失眠疗效可靠,以扶正为主兼以祛邪,健脾益气、交通心肾扶其正,辛温燥湿、疏肝利胆祛其邪。本文从燥脾降胃,使中焦气机恢复升降;达肝敛胆,使营卫气血得以畅通;心肾相交,使阴阳平和3个方面略述其机制,并举验案一则以佐证。

Insomnia is not only a common clinical disease,but also the most common accompanying symptom in the process of various diseases.Its pathogenesis is complicated,mainly is deficiency in nature and excess in superficiality.The deficiency in nature is more seen in deficiency of middle qi,disharmony of the heart and kidney,loss of nourishment of the mind and spirit and so on.The excess in superficiality is liver depression and phlegm dampness.The curative effect of treating the disease with Jinding Decoction is reliable.Jinding Decoction is mainly reinforcing the healthy qi to eliminate pathogenic factors,invigorating the spleen and tonifying qi,keeping coordination between the heart and kidney to reinforce the healthy qi,and eliminating dampness and soothing liver-gallbladder to eliminate pathogenic factors.This article explained the mechanism from the three aspects of drying spleen and descending stomach to restore the rising and descending of the qi movement in middle-energizer;invigorating liver and astringing gallbladder to promote the blood circulation and qi movement in nutritive and defensive levels;balancing the function between the heart and kidney to harmonize yin and yang.A medical case was added as evidence.