脾不藏意不寐论治刍议  

A Preliminary Discussion on the Treatment of Insomnia Caused by Dysfunction of Spleen Storing Ideation

作　　者：李振辉 张星平[1] 陈旭 肖春霞[1] 吴金鸿 王慧 LI Zhenhui;ZHANG Xingping;CHEN Xu;XIAO Chunxia;WU Jinhong;WANG Hui(Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University,Urumqi 830099,China)

机构地区：[1]新疆医科大学附属中医医院,新疆乌鲁木齐830099

出　　处：《中医药学报》2024年第6期44-47,共4页Acta Chinese Medicine and Pharmacology

基　　金：国家自然科学基金项目(82160873,81960837,81560762,81260526);新疆自然科学基金重点项目(2022D01D48);国家中医药管理局“十四五”高水平中医药重点学科-中医各家学说;全国名老中医药专家传承工作室。

摘　　要：脾不藏意不寐以思虑纷纭所致的迟寐或不寐为主要症状特征,核心病机为脾意失养或脾受邪扰致脾意不安于舍而生不寐,治疗当以安脾意为法。补中益气汤、归脾汤、附子理中汤、参苓白术散、连朴饮、沙参麦冬汤等均具有安脾意的作用,其中,补中益气汤补脾益气升阳以安脾意,归脾汤益气补血健脾以安脾意,附子理中汤温脾阳以安脾意,参苓白术散运脾湿以安脾意,连朴饮化脾热以安脾意,沙参麦冬汤滋脾阴以安脾意,最终达到治疗脾不藏意不寐的目的。Insomnia caused by dysfunction of spleen storing ideation is characterized by delayed sleep or sleeplessness caused by much thought.The core pathogenesis is that the spleen's ideation loses its nourishment or is disturbed by pathogen,causing the spleen's ideation to be unsettled,resulting in insomnia.The mainstay of treatment for this condition is to tranquilize the spleen.Formulae,such as Center-Supplementing and Qi-Boosting Decoction,Spleen-Restoring Decoction,Aconite Center-Regulating Decoction,Ginseng,Poria and Atractylodes Macrocephalae Powder,Coptis and Officinal Magnolia Bark Beverage,and Shashen Maidong decoction,have such effects.Center-Supplementing and Qi-Boosting Decoction has the action of supplementing spleen,benefit qi and raise yang to tranquilize the spleen.Spleen-Restoring Decoction can benefit qi,supplement blood and fortify the spleen to tranquilize the spleen.Aconite Center-Regulating Decoction has the actions of warming spleen yang to tranquilize the spleen.Ginseng,Poria and Atractylodes Macrocephalae Powder can transport spleen's dampness to tranquilize the spleen.Coptis and Officinal Magnolia Bark Beverage can resolve heat in the spleen to tranquilize the spleen.Shashen Maidong decoction can enrich spleen's yin to tranquilize the spleen.Therefore,these formulae can achieve restoring spleen's function and help the patient recovery from insomnia.

关 键 词：脾不藏意不寐 安脾意 脾主运化 思虑纷纭 论治 

分 类 号：R256.23[医药卫生—中医内科学]