多寐源流考  

Investigation on the origin of insomnia

作　　者：姜德友[1] 姜亚楠[1] JIANG De - you;JIANG Ya - nan(Heilongjiang University of Traditional Chinese Medicine, Harbin Heilongjiang 150040)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《世界中西医结合杂志》2018年第4期471-474,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：黑龙江省中医药管理局龙江医派研究(ZHY12-Z095);黑龙江省中医药管理局科研项目(ZHY10-Z37)

摘　　要：多寐历代病名有多卧、好卧、多眠、嗜卧等,自清代以来,各医家对多寐的认识臻于全面。历代医家认为其病因病机多为禀赋不足,髓海空虚,阴阳失调,阴盛阳虚,心神失养,气血俱虚,脾气虚衰,湿浊内停,肝胆俱实,胆热痰扰,气血不畅,瘀血阻滞。对多寐的治疗中,中药多采用补脾利湿法、养心醒神法、清胆泻热法、益气养营法、填精益肾法、活血通窍法、扶阳振神法以及针灸疗法等治疗。文章通过查阅历代相关书籍文献,追溯多寐的病名沿革,挖掘整理古代不同时期对多寐病因、病机及治法的认识,以冀对现代多寐的理论研究和临床实践有所启迪。Somnolence is termed as many different ways in dynasties. Since the Qin Dynasty,insomnia was entirely recognized by medical scholars. Somnolence is congenital insufficiency,emptiness of marrow sea,imbalance of yin and yang,yin excess and yang deficiency,malnutrition of heart mind,deficiency of qi and blood,spleen qi deficiency,retention of damp,excess of liver and gallbladder,heat and phlegm disturbing the gallbladder,retarded circulation of qi and blood,as well as blood stagnation in etiology and pathogenesis. In treatment,the herbal medication focuses on tonifying the spleen to remove damp,nourishing heart mind,reducing gallbladder heat,nourishing qi and blood,filling up the essence and benefiting the kidney,activating blood circulation and opening the orifices,strengthening the yang. Besides,acupuncture therapy is applicable. In the paper,by searching the relevant books and literatures of different dynasties,the development of the disease term was traced and the recognitions on the etiology,pathogenesis and treatment were collated so as to enlighten the theoretic research and clinical practice for somnolence at the contemporary era.

关 键 词：多寐 病名 病因病机 治法 源流考 

分 类 号：R2-03[医药卫生—中医学]