失眠临床辨证论治探讨

参照临床流行病学调查方法，对1812例失眠患者情况进行了调查分析，发现失眠临床症侯主要特点是精神亢奋者多，精神衰弱者少；气血旺盛者多，气血虚弱者少；无外邪感染者多，有外邪感染者少；中壮年人较多，老年人较少；因精神情志因素合并其他体疾病或精神疾病者多，单纯因体质因素先天不足神经衰弱者少；实证者较多，虚证者较少。提出五脏皆有不寐的观点，并强调从肝立论治疗失眠，兼顾调理四脏功能。

On the Syndrome Differentiation and Treatment Administration of Insomnia

According to the epidemiological survey of 1812 patients with insomnia,it is found that their clinical symptoms are characterized by more cases of high spirit and less mental asthenia,more cases of adequate qi blood and less of inadequate qi blood,more cases of no exogenous aspect and less of exogenous aspect,more young cases and less old cases,more cases of mental and body factors and less of simple constitutional weakness,more cases of excess syndrome and less of deficiency syndrome.Moreover,all the five zang organs are believed to be involved in insomnia but its treatment focuses on the liver as well as other organs.