郁证发微(二十)——郁证多寐论

Somnolence due to depression syndrome

多寐是郁证的表现之一。郁证性多寐包括但不限于心气不足,凡忧悲、思虑、悒郁、恼怒等情志因素均可引起多寐;病机主要与心、脾、肝、胆等脏腑功能失调以及痰湿、瘀血有关。古今治疗方药均可证实郁证性多寐之存在,主要包括养心安神定志、开窍醒神、疏肝理气解郁、活血化瘀、祛痰化浊。现代医学有关嗜睡症的精神心理机制及抗抑郁治疗亦可旁证郁证性多寐之存在。

Somnolence is one of the manifestations of depression syndrome. Somnolence due to depression syndrome include but are not limited to the deficiency of heart qi,it can be caused by emotional factors such as sadness,over-thinking,depression,anger and so on. The pathogenesis are mainly related to functional dysfunction of zang-fu viscera such as heart,spleen,liver,gall bladder and dampness-phlegm and blood stasis. The treatment medicine in ancient and modern time can confirm the existence of somnolence due to depression syndrome,mainly including nourishing the heart,tranquilizing the mind and stabilizing the spirits,resuscitation and awaking consciousness,soothing liver and regulating qi to resolve depression,promoting blood circulation and removing blood stasis,dispelling phlegm and transforming turbidity. The psychological mechanisms of narcolepsy and antidepressive therapy in modern medicine also can be considered as the circumstantial evidence for the existence of somnolence due to depression syndrome.