从阴阳辨脏腑治疗不寐

Treatment of Insomnia by Distinguishing Zang-fu Viscera from Yin and Yang

不寐多从阴阳辨脏腑,根据病情特点按年龄分为3个阶段:青年、中年、老年。青年人多实,从疏肝论治,选用柴胡加龙骨牡蛎汤加减;中年人多虚实兼加,从利胆论治,易受惊恐者,气血虚弱多选用酸枣仁汤加减,痰火扰心多选用黄连温胆汤加减;老年人多虚,肝肾阴虚者多选用六味地黄丸、黄连阿胶汤、二仙汤加减。病因治法虽不相同,但始终离不开调整阴阳,以肝、胆、肾为主,调整脏腑阴阳平衡。同时,临证巧用对药,发挥养心安神、滋阴清心除烦、宁心安神、清心安神、重镇安神之效。此外,临床不应拘于药物治疗,可鼓励患者进行生活、情志调节,平素可服用花茶进行调理。

Insomnia can be divided into three stages according to the characteristics of the disease:young,middle-aged and old.Young people are mainly strong.Treat them by soothing the liver and can choose Modified Chaihu Jialonggu Muli Decoction.Middle-aged people are mainly deficient and excessive and treat them by promoting bile flow.According to the cause of serious illness,people who are easily frightened are more likely to choose Suanzaoren Decoction for their weakness of qi and blood,and Huanglian Wendan Decoction for their disturbance of phlegm and fire.Old people are mainly deficient.Liuwei Dihuang Pills,Huanglian Ejiao Decoction and Erxian Decoction are commonly used in the treatment of liver and kidney yin deficiency.Although the etiology and treatment are different,it is always inseparable from adjusting yin and yang.Liver,gallbladder and kidney are the main factors to adjust the balance of yin and yang in the zang-fu viscera.At the same time,the clinical use of appropriate medicines,play the role of nourishing mind and calming mind,nourishing yin and clearing heart and eliminating trouble,tranquilizing mind and calming mind,clearing mind and calming mind,and restoring peace of mind.In addition,clinical treatment should not be restricted to drug treatment,patients can be encouraged to regulate life,emotions,and they can take flower tea to regulate body in daily life.