不寐因机证治与常用药对分析  

Etiology and Pathogenesis of Insomnia and Analysis of Commonly Used Drug Pairs

作　　者：钟顾欣 张平[1] ZHONG Guxin;ZHANG Ping(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院,上海201203

出　　处：《辽宁中医药大学学报》2021年第11期197-200,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：上海中医药大学附属曙光医院第五批高级中医师人才培养项目(2606)

摘　　要：中医学认为,不寐的病因不外乎内外虚实,外证不寐多为外邪侵犯机体所致,内证不寐多为气血阴阳失衡或瘀血、痰饮等病理产物所致。其病机可归纳为营卫不和、脏腑失调、阳不入阴。治疗上多以内治为主,外治为辅,内外结合,常用药对有黄连配肉桂、合欢皮配夜交藤、柴胡配白芍、半夏配秫米、磁石配朱砂等,通过相关药理分析,能直观展现以上药对在治疗不寐过程中的起效机制,并对治疗有一定指导作用。According to traditional medicine,the cause of insomnia is nothing more than internal and external deficiency and excess.The external syndrome is mostly caused by external evil invading the body.The internal syndrome is mostly caused by the imbalance of Yin and Yang of Qi and blood or the pathological products of blood stasis and phlegm.The pathogenesis of the disease can be summed up as disharmony between Ying and Wei,disorder of the Zangfu organs,Yang not entering Yin.The treatment is mainly internal treatment,supplemented by external treatment and combined with internal and external treatment.The commonly used drug pairs are Huanglian(Coptidis Rhizoma)-Rougui(Cinnamomi Cortex),Hehuanpi(Albiziae Cortex)-Yejiaoteng(Polygoni Multiflori Caulis),Chaihu(Bupleuri Radix)-Baishao(Paeoniae Radix Alba),Banxia(Pinelliae Rhizoma)-Shumi(Setaria Italica),Cishi(Magnetitum)-Zhusha(Cinnabaris),etc.Through the relevant pharmacological analysis,we can intuitively show the mechanism of the above drugs in the treatment of insomnia,and have a certain guiding role in the treatment.

关 键 词：不寐 病因病机 治疗 药对 药理 

分 类 号：R256.23[医药卫生—中医内科学]