基于《灵枢 ·邪客》阴阳卫气论探讨失眠症的治疗

Discussion on the Treatment of Insomnia Based on the Theory of Yin-Yang and Wei-defensive Qi in Lingshu·Xieke

此文从失眠病机、治法、方药等角度对《灵枢·邪客》进行阐释,指出不寐病的基本病机是卫阳之气不能入于足少阴肾经而濡养五脏,治法为补虚泻实调整阴阳,可以用针刺的方法,泻阳跷脉之申脉,补阴跷脉之照海,同时饮用半夏汤。半夏汤由半夏、秫米、千里甘澜水组成,方中半夏因生长特性具有引阳入阴的作用;秫米甘黏微凉,能养营补阴,临床可用薏苡仁、夏枯草代替;千里甘澜水可增加药液浓度,提高疗效,同时使药液不快速下行至膀胱,起到保证睡眠的作用。

This paper interpreted Lingshu·Xieke from the aspects of insomnia pathogenesis,treatment and prescriptions,and pointed out that the basic pathogenesis of insomnia is that the Wei-defensive yang qi cannot enter the kidney meridian of foot Shaoyin to nourish the five zang organs.The treatment method is to replenish deficiency and reduce excess to adjust yin-yang.Acupuncture can be used to reduce Shenmai point of Yangqiao meridian,and replenish Zhaohai point of Yinqiao meridian.Banxia decoction was applied at the same time.Banxia decoction is composed of Pinellia ternata,husked sorghum and Qianli Ganlan water.Pinellia ternata has the function of inducing yang into yin due to its growth characteristics.The husked sorghum is sweet,sticky and slightly cool,and can nourish ying and yin.It can be replaced by coix seed and Prunella vulgaris clinically.Qianli Ganlan water can increase the concentration of the liquid medicine,improve the curative effect,and prevent the liquid medicine from descending rapidly into the bladder,so as to ensure sleep.