论中医心与不寐的关系

随着生活节奏的加快,不寐的发病率较高。其病因病机虚证多由心脾两虚,心虚胆怯,阴虚火旺,引起心神失养所致,实证多由心火炽盛,痰热内扰,引起心神不安所致。关键在于心主神明功能的紊乱,病位心为主。故临床治疗,应从心论治,突出从心辨证,注重调养心气,使心主血脉和藏神的功能发挥正常,从而脏腑协调,神魂自安。

Discussing relationship between heart of TCM and insomnia

As the speeding up of the life rhythm, the rate of insomnia in our country is climbing up as well. As concerning the etiology and pathogenesis of insomnia, it involved: asthenic syndrome mainly caused by the deficiency of heart and spleen, timidness due to deficiency of heart, asthenic Yin causing excessive pyrexia. All of these can lead to heart-spirit losing nutrition. While the sthenia syndrome mainly caused by excessive heart fire, attacking of phlegm-heat in the interior. All of these can lead to heart-spirit unease. The key point is the function disorder of heart controlling mental and emotional activities, so the heart was the main disease location. About the clinical treatment, it should begin from heart, protrude the syndrome differentiation from heart and pay attention to nourishment heart Qi, restoring the function of heart dominating blood circulation and vessels and storing the mind.