从厥阴瘀热论治失眠  

Treatment of Insomnia from Jueyin Stasis Heat

作　　者：朱远远 石强 ZHU Yuanyuan;SHI Qiang(Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330004,China;Qihuang College of Traditional Chinese Medicine,Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330004,China)

机构地区：[1]江西中医药大学,江西南昌330004 [2]江西中医药大学岐黄国医书院,江西南昌330004

出　　处：《光明中医》2024年第20期4170-4173,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：江西省中医药管理局六经辨证重点研究室(No.赣中医药科教字[2022]8号)。

摘　　要：失眠又称“不寐”,引起不寐的原因很多,但总与心神受扰密切相关,常认为失眠的病机有虚实两端,一为正虚,一为邪实,而邪实又易乘虚内陷,初受邪扰心包常代心受邪,邪扰心神;又“肝藏血,血舍魂”,魂为随神气而往来的精神活动,血为魂之归舍,血又运行于脉中,且心生血,脉助血行,因此肝所藏之血由心神所主宰而调动外出,若魂神受扰不安则不寐。随着现代生活方式的改变,易产生肝气不疏,继而气郁化热与气滞血瘀,热与血瘀相合形成瘀热,厥阴瘀热导致神魂不安的失眠越来越常见。文章以厥阴瘀热夹痰或湿浊引发失眠的病因病机和治疗进行阐述。Insomnia is also known as“sleeplessness”.There are many causes of insomnia,but it is always closely related to the disturbance of mind.It is often believed that the pathogenesis of insomnia has two ends,deficiency and excess.One is deficiency of vital qi and the other is excess of pathogenic qi,and the excess of pathogenic qi is easy to take advantage of deficiency and invagination.At the beginning of being disturbed by evil,the pericardium is constantly disturbed by evil,and the evil disturbs the mind.The“liver stores blood,blood stores soul”is a spiritual activity that flows with the spirit.Blood is the home of the soul.Blood runs in the pulse,and the heart generates blood,and the pulse helps the blood flow.Therefore,the blood stored in the liver is dominated by the heart and spirit and is mobilized to go out.If the soul and spirit are disturbed,they will not sleep.With the change of modern lifestyle,it is easy to produce liver qi stagnation,followed by qi stagnation and heat and qi stagnation and blood stasis.Heat and blood stasis form stasis heat,and insomnia caused by Jueyin stasis heat is more and more common.In this paper,the etiology,pathogenesis and treatment of insomnia caused by Jueyin stasis heat with phlegm or dampness turbidity were described as follows.

关 键 词：失眠 厥阴瘀热 心包经 瘀浊 心肾不交 

分 类 号：R256.23[医药卫生—中医内科学]