摘要
不寐是临床上常见的一种睡眠障碍,长期不寐对人们的工作、生活和学习造成很大的影响,给患者、家庭和社会带来不同程度的隐患和危害。作者查阅古代医家文献及现代诸多学者论文基础上,结合多年临床治疗不寐经验,提出“五脏六腑皆令人不寐,非独心也”观点。文章分别从生理状态、病理变化、中医药治疗等方面就不寐与五脏六腑的管理进行论述,认为生理情况下人体各脏腑各司其职,互相协调,方可正常寤寐。病理情况下,各种因素引起五脏六腑功能失常,直接或间接导致心神不宁、心神失养,阴阳失交,从而产生不寐。因不寐的发病与五脏六腑均有密切联系,故概括为“五脏六腑皆令人不寐,非独心也”。通过探讨不寐与脏腑的关系,旨在拓宽临床不寐中医论治思路,为不寐的中医辨证论治开辟新思路和方案。
Insomnia is a common sleep disorder in clinic.Long-term insomnia has a great impact on people′s work,life and study,and brings varying degrees of hidden dangers and harm to patients,families and society.On the basis of consulting ancient medical literature and many modern scholars′papers,combined with many years of clinical experience in the treatment of insomnia,the author puts forward the view that“all Zang-Fu organs leading to insomnia,not just heart”.This paper discusses the management of insomnia and the five Zang and six Fu organs from the aspects of physiological state,pathological changes and traditional Chinese medicine treatment,and believes that under physiological conditions,the Zang-Fu organs of the human body perform their respective duties and coordinate with each other,so that normal insomnia can be achieved.Under pathological conditions,various factors cause dysfunction of the five Zang and six Fu organs,which directly or indirectly leads to restlessness of mind,loss of mental nourishment,loss of Yin and Yang,resulting in insomnia.Because the incidence of insomnia is closely related to the five Zang and six Fu organs,it can be summarized as“all Zang-Fu organs leading to insomnia,not just heart”.By discussing the relationship between insomnia and Zang-Fu organs,this paper aims to broaden the thinking of TCM treatment of clinical insomnia and open up new ideas and schemes for TCM syndrome differentiation and treatment of insomnia.
作者
常学辉
张良芝
CHANG Xuehui;ZHANG Liangzhi(The Second Clinical Medical College of Henan University of Chinese Medicine,Zhengzhou 450002,Henan,China;College of Traditional Chinese Medicine(Zhongjing College),Henan University of Chinese Medicine,Zhengzhou 450046,Henan,China)
出处
《辽宁中医杂志》
CAS
北大核心
2024年第1期71-73,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
河南省中医药拔尖人才培养项目(豫中医科教[2018]35号)
河南省中医药科学研究专项课题项目(20-21ZY2056)
全国名老中医药专家传承工作室建设项目(豫卫中医函(2022)3号)。
关键词
不寐
五脏
六腑
辨治
心
insomnia
five Zang organs
six Fu organs
syndrome differentiation and treatment
heart
