浅析《伤寒杂病论》“不寐症”的证治

Analysis on the Syndrome Treatment of Insomnia in Treatise on Febrile and Miscellaneous Diseases

摘要: 不寐症属于内科常见病证，主要表现为难以入睡，无法持久睡眠或过早醒来等症状。医圣张仲景在其著作《伤寒杂病论》中称其为“不得卧”“不得眠”。不寐症病机总归结于营卫不和，阴阳失调。《伤寒杂病论》针对诸多因素导致的不寐症，根据病理病机，随证治之，并记载了多首治疗不寐证的有效方剂，至今对临床治疗不寐症有重大指导意义。本文对仲景条文进行浅析，阐述仲景治疗不寐大法。

Abstract: Insomnia is a common symptom of internal medicine, mainly manifested as difficulty to fall asleep, unable to sleep long or wake up too early and other symptoms. Zhongjing, the medical saint, called it “can’t lie down, can’t sleep” in his book Treatise on Febrile and Miscellaneous Diseases. The path-ogenesis of insomnia is always attributed to the disharmony of Ying and Wei, the pathogenesis of insomnia is always attributed to the disharmony between camp and health, as well as the imbal-ance of yin and yang. Treatise on Febrile and Miscellaneous Diseases aimed at insomnia caused by many factors, according to the pathological pathogenesis, with the treatment of symptoms, and rec-orded a number of effective prescriptions for the treatment of insomnia syndrome, so far to the clinical treatment of insomnia has great guiding significance. This paper analyzes Zhongjing’s arti-cles and expounds Zhongjing’s solution to insomnia.