基于“肝心和合”理论探讨不寐之证治  

Based on the Theory of"Harmonizing Liver and Heart"to Explore the Syndrome Treatment of Insomnia

作　　者：张学亮 梁健 张欢[1] 王如意 李可大[1] 张杰[2] 于睿[1] ZHANG Xueliang;LIANG Jian;ZHANG Huan;WANG Ruyi;LI Keda;ZHANG Jie;YU Rui(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;The First Hospital of China Medical University,Shenyang 110001,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]中国医科大学附属第一医院,辽宁沈阳110001

出　　处：《实用中医内科杂志》2023年第10期18-21,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家中医药管理局-中医药古籍文献和特色技术传承专项(GZY-KJS-2020-026)。

摘　　要：不寐作为临床常见疾病,发病率很高,且治疗难度较大。西药的治疗经常伴随着不良反应的出现,甚至会产生更加严重的认知系统、神经系统的损伤,而中医以其独特的理论基础、临床实践经验及特色的遣方用药规律,为不寐的治疗提供了新思路。文章深入挖掘中医基础理论,将中医整体观念与现代生物-心理-社会医学模式相结合,从气血协调、神魂合一等角度论述了肝、心二者之间的作用关系,提出了“肝心和合”理念;基于“肝心和合”理论对不寐提出了“疏肝理气,养心安神”的特色治疗方法;并结合现代生物学最新研究进展,从“肝心和合”角度浅析不寐与神经-内分泌系统及心血管系统之间的联系,以求运用该理论治疗不寐提供新方向,并为挖掘相关论治方法和开发用药提供理论依据。Insomnia as a common clinical disease,has a high incidence and is difficult to treat.The treatment of chemical drugs in western medicine is often accompanied by the emergence of adverse reactions,and even more serious damage to the cog-nitive system and nervous system.Traditional Chinese medicine,with its unique theoretical basis,clinical experience and special prescription rules,provides a new way of thinking for the treatment of insomnia.This paper explores the basic theory of traditional Chinese medicine,combines the holistic concept of traditional Chinese medicine with modern bio-psychology-social medicine model,discusses the relationship between liver and heart from the perspective of qi and blood harmony and the integration of mind and spirit,and puts forward the concept of"harmonizing liver and heart";based on the theory of"harmonizing liver and heart",the characteristic treatment method of"soothing liver and regulating qi,nourishing the heart to calm the mind"was pro-posed;combined with the latest research progress of modern biology,the relationship between insomnia and neuroendocrine sys-tem and cardiovascular system was analyzed from the perspective of"harmonizing liver and heart",in order to provide a new di-rection for the treatment of insomnia by using this theory,and provide theoretical basis for the exploration of related treatment methods and drug development.

关 键 词：中医 不寐 肝心和合 治疗 

分 类 号：R256.23[医药卫生—中医内科学]