从脾阴虚论治老年失眠症

Treating Elderly Insomnia from Perspective of Spleen Yin Deficiency

脾阴是脾中所藏之营,具有协助运化、化生营血、濡润脏腑的功能。脾居中央以灌四旁,脏腑虚衰的关键便是脾阴虚。老年失眠症的病机特点为脾阴亏虚,脾不藏意;濡润不能,他脏失养;阴虚燥结,神机不安。临证时,可予慎柔养真汤甘淡养阴,补脾安意;归脾丸、酸枣仁汤、左归丸补心养血,滋阴益肾,填精益髓;增液汤、麻子仁丸配伍安神药甘寒润下,安神定志。

Spleen Yin is the Ying blood hidden in the Spleen,which has the function of assisting in the transportation,transformation,and production of Ying blood as well as nourishment of the internal Zang and Fu organs.The Spleen occupies the center to irrigate the four sides,and the key to organ deficiency and decline is Spleen Yin deficiency.The pathogenesis of elderly insomnia is characterized by Spleen Yin deficiency,and the Spleen does not conceal one′s Yi;Without out adequate moistening,man would lose nourishment of the organs;Yin deficiency and Dryness lead to restlessness.In clinical practice,Shenrou Yangzhen Decoction can be used,which is light sweet in flavor and functions in nourishing Yin,tonifying the Spleen and calming the mind.Guipi Pill,Suanzaoren Decoction and Zuogui Pill can nourish the Heart and blood,nourish Yin and Kidney and fill the Essance and tonify marrow.The combination of Zengye Decoction and Maziren Pill with the tranquilizing medicine can calm the mind,functioning in moistening body with sweat and cool character.