引阳入阴方药治疗不寐的思考

Thoughts on the Treatment of Insomnia with the Prescriptions and Medicines of Inducing Yang into Yin

根据对“阳不入阴”在不寐病机的认识,不寐的分型可分为火扰心神与心神失养两型,治疗时当“引阳入阴”,辨证与对症相结合。由此将引阳入阴方药分为六类:利尿导热类、滋阴降火类、补虚敛神类与益精养血类为不寐的辩证用药,前两者主要针对以入睡困难为主的火扰心神之证,后两者主要针对以睡眠维持障碍的心神失养之证;重镇宁心类、缓急安神类与转阳入阴类为不寐的对症用药,适合于一切不寐病症。

According to the understanding of the pathogenesis of insomnia—“Yang failing into Yin”, the types of insomnia can be divided into two types: “Fire disturbing heart” and “Malnutrition of heart”. Syndrome differentiation therapy and symptomatic therapy should be combined in treatment. Therefore, the prescriptions for inducing Yang into Yin can be divided into six categories: “Promoting urine and Purging Heat”, “Nourishing Yin and Reducing Fire”, “tonifying deficiency and Restraining Mind”, and “Nourishing Essence and Tonifying blood”. The former two are mainly aimed at the syndrome of “Fire disturbing heart”, which is mainly caused by difficulty in falling asleep;the latter two are mainly aimed at the syndrome of “Malnutrition of heart” with sleep maintenance disorder. “Tranquilizing Mind”, “Relieving irritability” and “Turning Yang into Yin” are symptomatic medicines for insomnia, which are suitable for all kinds of it.