柴胡加龙骨牡蛎汤从肝论治失眠

Chaihujialonggumuli Decoction for Treating Insomnia from A Liver Perspective

失眠最主要的病因是阴阳的失调,阴阳的正常交感互藏和互根互用需要气机的正常运转,而肝维持全身气机疏通畅达。若各种原因导致气机不畅,则阳不入阴或阴不纳阳,最终阳气浮越于外而导致失眠。治疗上通过疏肝为主来调畅气机,进而调和阴阳,使得阳入于阴则寐。本文通过具体分析肝的特性来讨论失眠的机理。临证选用柴胡加龙骨牡蛎汤,该方主要针对肝郁化火、痰热上扰证的失眠,本文通过分析其方药和临床实例来为相关理论研究和临床治疗提供参考。

The main cause of insomnia is the imbalance of yin and yang.The normal interaction and mutual dependence of yin and yang require the functioning of Qi movement,while the liver maintains the smooth movement Qi throughout the body.If the Qi movement is obstructed due to various reasons,yang cannot enter yin or yin cannot receive yang,resulting in floating of yang outward and causing insomnia.In treatment,the focus is on regulating liver function to promote the smooth flow of Qi and harmonize yin and yang,allowing yang to enter yin and thus inducing sleep.This article discusses the mechanism of insomnia by specifically analyzing the characteristics of the liver.For clinical application,Chaihujialonggumuli Decoction is selected as it mainly targets the syndrome of liver depression transforming into fire and phlegm-heat harassing upward in insomnia.Through analysis of the formula and clinical cases,this study provides a reference for the related theoretical research and clinical treatment.