从“肝藏血舍魂”论治顽固性失眠  

Treating Refractory Insomnia from the Perspective of“The Liver Stores Blood and Houses the Soul”

作　　者：朱振山 鲍思卿 申旭鹏 苏润泽 ZHU Zhenshan;BAO Siqing;SHEN Xupeng;SU Runze(The Third Clinical College of Shanxi University of Traditional Chinese Medicine,Taiyuan 030024,China)

机构地区：[1]山西中医药大学第三临床学院,太原030024

出　　处：《世界睡眠医学杂志》2025年第1期122-125,共4页World Journal of Sleep Medicine

摘　　要：顽固性失眠是临床常见的一种多系统复杂疾病,其基础病机是“脏腑失和,阴阳失交”。顽固性失眠属中医不寐范畴。不寐病位在心,涉及肝、脾、肾诸脏,故临床上多从心论治。苏润泽教授认为,五脏功能失调皆可导致失眠发生,但与肝联系最为密切。肝为魂之居舍于血,主知觉,主升,能除秽,昼则脑神统魂,以行知觉之功;夜卧则血归于肝“人之魂藏于夜”,肝主睡眠,在治疗上首重治肝,兼顾他脏,并注重对患者进行心理疏导和精神调摄。Refractoryinsomnia is a common multisystem complex disease in clinical practice,with its fundamental pathogenesis being“disharmony of the internal organs and imbalance of yin and yang”.Refractory insomnia belongs to the category of“sleeplessness”(BùMèi)in traditional Chinese medicine(TCM).The location of the disease is primarily in the heart,but it involves the liver,spleen,and kidneys.Therefore,it is often treated clinically by focusing on the heart.Professor Su Runze believes that dysfunction of any of the five internal organs can all lead to insomnia,but it is most closely related to the liver.The liver is the residence of the“soul”(Hun)and is associated with blood.It governs perception,promotes ascending functions,and eliminates impurities.During the day,the brain spirit governs the“soul”to perform perceptual activities,while at night,blood returns to the liver,as“the human soul resides in the night”.The liver governs sleep.In treatment,the liver is given top priority,with secondary consideration given to other organs,and psychological counseling and spiritual adjustment are emphasized.

关 键 词：顽固性失眠 不寐 从肝论治 苏润泽 临床经验 

分 类 号：R338.63[医药卫生—人体生理学] R256.23[医药卫生—基础医学]