基于“脏腑别通”理论从胆论治失眠  

Discussion on the treatment of insomnia from gallbladder based on the theory of “Zangfu organs are interrelated”

作　　者：任家璇 李文宏 张竹叶 张华[1] 吴建林[1] REN Jiaxuan

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《中医临床研究》2024年第23期106-109,共4页Clinical Journal Of Chinese Medicine

摘　　要：失眠是睡眠障碍较为常见的类型,多数人都受其困扰。近年来,随着社会发展,受生活节奏加快,以及学习、工作压力等因素的影响,失眠的发病率呈不断上升趋势,严重影响人们的日常生活和身心健康,是目前临床和社会重点关注的话题。西药镇静催眠类药物虽见效快,但极易产生一系列不良反应,不宜长期服用。相较之下,中医药治疗失眠具有不良反应小、远期效果好、无耐药性等优势,能避免长期使用西药所带来的药物依赖性等不良反应。中医学将失眠归属于“不寐”范畴,其病位在心,属心神病变,且与肝、脾、肾密切相关。“心与胆相通”为“脏腑别通”理论内容之一,意为心胆二者在生理上功能相合、病理上互相关联、经脉上互相络属,共同主宰着人体的生命活动,临床治疗失眠症多体现在心病治胆、心胆同治等方面。文章基于“脏腑别通”理论,阐述了“心与胆相通”理论内涵,总结出心与胆在生理、病理、五行生克、经脉络属等方面均有密切联系,依据失眠的病因病机,从胆的生理功能及特性角度论治失眠,以期进一步充实中医药对失眠的理论研究,为临床治疗失眠提供更多思路和启发。Insomnia is a common type of sleep disorder, and most people are troubled by it. In recent years, with the development of society, affected by the accelerated pace of life, as well as learning or work pressure, the incidence of insomnia has been on the rise, seriously affecting people's daily life and physical and mental health. Currently, insomnia is the clinical and social focus on the topic. Although Western sedative hypnotics are effective quickly, they are prone to adverse reactions and should not be taken for a long time. Treating insomnia in traditional Chinese medicine has the advantages of small adverse reactions, good long-term effects and no drug resistance, and can avoid adverse reactions such as drug dependence caused by long-term use of western medicines. Traditional Chinese medicine categorizes insomnia as Bu Mei( 不寐), which is located in the heart and is closely related to the liver, spleen, and kidney. “The heart and the gallbladder are connected” is one of the contents of the theory of Zangfu organs are interrelated, meaning that the heart and gallbladder are physiologically functional compatible, pathologically related, and connected to each other in meridians, and jointly govern the life activities of the human body.The clinical treatment of insomnia is mostly based on the theories of treating heart diseases from gallbladder, and treating diseases from the heart and gallbladder simultaneously. This article based on the theory of Zangfu organs are interrelated, elaborates on the connotation of the theory of “the heart and the gallbladder are connected” from the perspectives of physiology, pathology, five elements, meridians and collaterals. According to the etiology and pathogenesis of insomnia, this paper discusses the treatment of insomnia from the gallbladder, in order to further enrich the theoretical research on traditional Chinese medicine in the treatment of insomnia to provide reference for clinical practice.

关 键 词：失眠 不寐 脏腑别通 胆 五行学说 

分 类 号：R256.23[医药卫生—中医内科学]