通调营卫论治失眠及用药规律分析

主要从营卫昼夜节律运行是睡眠活动的机枢入手,阐述了营卫运行失调是失眠发生的总病机,而在营卫失调这一总病机之下的关键点则在于阴阳节律、阳明、少阴。因此,通调营卫作为辨治失眠的总则和治疗大法,在临床运用时当侧重恢复阴阳节律、调和脾胃和交通心肾。与此同时,还对相应的用药规律进行了初步总结和归纳。

Regulating Ying Qi and Wei Qi for Treating Insomia and the Law of Medicine Neijing Department of Beijing University of Traditional Chinese Medicine

This essay focuses on the Ying Qi and Wei Qi′s circulation day-and-night being the internal basic for human′s sleep-wake rhythm,and then explains disharmony of the Ying Qi and Wei Qi′s circulation is the total pathogenesis of insomnia.Under the total pathogenesis,rhythm of yin and yang,yang ming and shao yin are the key points.So,in clinic we should use regulating Ying Qi and Wei Qi as basic treatment for insomnia,and then focus on the recovering rhythm of yin and yang,reconciling the spleen and stomach and restoring normal coordination between heart and kidney.At the same time,this essay also summarizes the law of medicine for insomnia.