从肝论治不寐  

Brief Analysis of Insomnia from the Perspective of Liver

作　　者：丁然[1] 陆小左[1] 

机构地区：[1]天津中医药大学,天津300073

出　　处：《河南中医》2015年第1期11-13,共3页Henan Traditional Chinese Medicine

摘　　要：肝病引起的不寐,多由肝脏的阴阳失调所致,常见的证型有肝阳上亢、肝火上炎、肝气郁结、肝阴不足等,还有肝脏和其他脏腑病理因素相影响而致的不寐如肝郁脾虚、肝胆郁热、肝郁痰热等。常用方药多以平肝潜阳、疏肝解郁、疏肝柔肝、疏肝清热及安神药物为主,经典传统方剂也有确切而显著的疗效。临证时不能一味使用安神药以防碍肝反而使得治疗事倍功半。中医治疗除针灸外,还有药物外用、耳针等疗法,相较于西医有明显优势。Liver disease induced by liver diseases mostly is due to the yin and yang imbalance of the liver,with the commonlyseen patterns of liver-yang hyperactivity,flaring-up of liver fire,depressed liver qi and insufficient liver yin. Besides,the influences of pathological factors between the liver and other viscera can also lead to insomnia,such as depressed liver and deficient spleen,stagnated heat of the liver and gall bladder and phlegm-heat stagnated in the liver. The principal formulas used have the effects of soothing the liver and suppressing the yang,dispersing the depressed liver qi,soothing and softening the liver,soothing the liver and clearing heat,and tranquilizing the mind. The traditional classic formulas also have definite and remarkable efficacy. In clinic,drugs for tranquilizing the mind should not be used blindly in case the liver is disrupted,which may achieve half the result with twice the effort. Apart from TCM acupuncture,external application of drugs and ear acupuncture also have obvious advantages over western medicine.

关 键 词：不寐 从肝论治 药物治疗 针灸疗法 耳针疗法 

分 类 号：R256.23[医药卫生—中医内科学]