基于“气血阴阳脏腑”理论运用行理补调法治疗不寐

Based on the Theory of “Qi, Blood, Yin and Yang Zang-Fu Organs”, the Adjustment Method Is Used to Treat Insomnia

摘要: 随着时代的进步及社会的发展，人口基数的增长，生活压力不断增大，越来越多的人出现生理及心理疾病，并不断趋向年轻化。不寐作为中医内科系统疾病中的常见病、多发病，本文以《黄帝内经》中的“阴阳平衡，气血调和”联合《医学入门》中的“脏腑别通”理论为基础，结合古代医家之经典著作，现代医家之研究论述、结合自身之临床实践，认为气血失调和，阴阳失平衡久致脏腑失通调，日久致不寐。临床常见气血逆乱上扰心肝、气虚日久累及心胆、气血两虚归咎心脾、水火阴阳不交心肾、气血不行滞及脏腑等病机，分别予龙胆泻肝汤、安神定志丸合酸枣仁汤、归脾汤、六味地黄丸合交泰丸、温胆汤以治之。

Abstract: With the progress of the times and the development of society, the growth of the population base and the increasing pressure of life, more and more people have physical and psychological diseases, and are constantly tending to be younger. Insomnia is a common and frequently occurring disease in the internal medicine system of traditional Chinese medicine. Based on the theory of “balance of yin and yang, harmonization of qi and blood” in “Inner Canon of Huangdi” and “separation of viscera and viscera” in “Introduction to Medicine”, combined with ancient physicians’ classic works, modern physicians’ research and discussion, and combined with their own clinical practice, this paper believes that the imbalance of qi and blood and the imbalance of yin and yang will cause viscera and viscera to lose communication and regulation for a long time, and cause insomnia for a long time. Clinically, the common pathogenesis of qi and blood disturbing the heart and liver, qi deficiency involving the heart and gallbladder for a long time, qi and blood deficiency blaming the heart and spleen, water, fire, yin and yang not communicating with the heart and kidney, qi and blood stagnation and viscera and other pathogens, respectively to gentian diarrhea liver soup, Anshen Dingzhi pills and Suanzaoren Decoction, Guipi Decoction, Liuwei Dihuang pill and jiaotai pills, Wendan Decoction to treat it.