基于胃不和则卧不安探讨和胃法论治失眠  

Regulating Stomach Method in Treating Insomnia Based on Disharmony Stomach Resulting in Restless Sleep

作　　者：任璐露 梅妍[1] REN Lulu;MEI Yan(Department of Psyhosomatic Diseases,Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine,Tianjin 300131,China)

机构地区：[1]天津市中医药研究院附属医院心身疾病科,天津300131

出　　处：《光明中医》2024年第12期2481-2484,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：河北省中医药管理局科研计划项目(No.2024160)。

摘　　要：失眠,中医称之为不寐,是当下临床最常见的疾病之一,古今医家在不寐的病因病机和辨证论治上有着丰富而多样的见解。此文立足于《黄帝内经》中“胃不和则卧不安”的理论,详细阐述“胃不和则卧不安”中西医理论基础和病因病机,并运用和法的思想分别从消散和胃、建中和胃、调肝和胃、健脾和胃4个方面进行剖析,主张将调理顾护中焦脾胃的理论贯穿于治疗不寐的始终,探讨和胃安神治疗不寐的辨证论治,以期为临床诊治不寐拓宽思路。Insomnia,called sleeplessness in traditional Chinese medicine,is one of the most common diseases in clinical practice.Ancient and modern doctors have rich and diverse opinions on the etiology,pathogenesis and syndrome differentiation treatment of insomnia.Based on the theory of"disharmony stomach resulting in restless sleep"in Huangdi Neijing,this paper elaborated the theoretical basis and etiology of traditional Chinese and Western medicine,and used the thought of regulating method to analyze from four aspects as follows:dissipating and regulating stomach,strengthening middle jiao and regulating stomach,regulating liver and stomach and strengthening spleen and stomach.It is suggested that the theory of regulating the spleen and stomach in the middle jiao should be used throughout the treatment of insomnia,and the syndrome differentiation argumentation of"regulating stomach"in the treatment of insomnia should be explored in order to broaden the thinking of clinical diagnosis and treatment of insomnia.

关 键 词：不寐 失眠 胃不和则卧不安 和胃安神 

分 类 号：R256.23[医药卫生—中医内科学]