从《伤寒论》少阴病探讨不寐主要病机及治疗原则  

Discussion on the Main Pathogenesis and Treatment Principle of Insomnia from Shaoyin Disease in Treatise on Febrile Diseases

作　　者：张凯歌 谷松[2] 吕阳婷 黄幸[1] 樊欢欢 曹克刚[1] ZHANG Kaige;GU Song;LYU Yangting;HUANG Xing;FAN Huanhuan;CAO Kegang(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]辽宁中医药大学,沈阳110847

出　　处：《辽宁中医药大学学报》2021年第5期93-96,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家科技重大专项(2017ZX09304019)。

摘　　要：不寐,即失眠,为临床中的常见病症,其核心病机在于阴阳失调、阳不入阴,而导致这种结果的诱发因素既多且繁,涉及情志、饮食、劳累、久病等诸多方面,在临床辨证治疗中涉及的治疗方法也极为丰富。在《伤寒论》的相关记载中,涉及了诸多有关不寐表现的条文论述,几乎贯彻六经始终。文章则以少阴病为切入点,重点把握“阳气”在少阴病过程中的不同状态,总结出以“阳衰”“阴虚”“阳郁”为主要病机,并以此深入探讨不寐的主要证候及相关治疗原则。Insomnia is a common clinical disease,its core pathogenesis is the imbalance between Yin and Yang,Yang could not enter Yin,and the inducing factors are numerous and complicated,which involve emotion,diet,fatigue,long illness etc.The treatment methods involved in clinical syndrome differentiation treatment are also abundant.In the relevant records of Treatise on Febrile Diseases,there were many articles about the expression of insomnia,which were almost carried out throughout the six meridians.In this paper,Shaoyin disease would be considered as a breakthrough point,we focused on the different states of“Yang Qi”in the course of shaoyin disease,and summed up the essential pathogenesis of“Yang failure”“Yin deficiency”“Yang stagnation”,through which could we discuss the main syndromes and related treatment principles of insomnia.

关 键 词：不寐 少阴病 病机 治疗原则 

分 类 号：R22[医药卫生—中医基础理论]