从“思伤脾”论治失眠

The Treatment of Insomnia From the Perspective of"Thoughts Injuring the Spleen"

五脏之中,脾胃属土居于中,化生气血濡养心神,优质睡眠有赖于脾脏生理功能的正常发挥。中医学认为思生于脾,是脾脏机能的一部分,《类证治裁·不寐》曰:“思虑伤脾,脾血亏损,经年不寐。”指出过度思虑伤及脾脏可致失眠。本文围绕“思伤脾”相关五志理论,从过思伤及脾脏后气机郁结,脾气不升或运化失常,气血损耗两个方面入手,对失眠进行探析,并探讨临床治疗此类失眠的针药理法。

Among the five organs,the spleen and stomach belong to the earth in the center,generating qi and blood to nourish the mind and spirit,and quality sleep depends on the normal play of the physiological functions of the spleen.Chinese medicine believes that thoughts are born in the spleen,which is a part of the spleen's function,and the"Classified Evidence Treatment and Cure for Insomnia"says,"Thoughts and worries hurt the spleen,and the spleen and blood are deficient,and insomnia can be caused by years of sleeplessness."It is pointed out that insomnia can be caused by excessive thinking and injury to the spleen.This article focuses on the theory of"thinking injures the spleen",and starts from the two aspects of qi stagnation after excessive thinking injures the spleen,the spleen qi is not elevated or transported abnormally,and the qi and blood are depleted to analyze the insomnia,and discusses the acupuncture and pharmacological methods for the clinical treatment of this kind of insomnia.