从圆运动理论治疗不寐

人体的气机通过降、沉、升、浮,如环无端不停地进行圆运动。人体中焦轴轮不利,气机升、降、浮、沉失和,脏腑阴阳失交,便会引起圆运动运转失常,从而产生不寐。治疗应以"复圆"为原则,顺应圆运动的规律,恢复人体气机、调整脏腑阴阳,阴平阳秘,气血调和,神安则寐。在临床上,可将不寐分为心阴不足证、肾阳亏虚证、肝阳不足证、脾胃失和证,其中,心阴不足证治以滋阴降火、安神定志,方选天王补心丹合交泰丸加减;肾阳亏虚证治以温补肾阳、宁心安神,方选附子汤合桂枝甘草龙骨牡蛎汤加减;肝阳不足证治以养肝镇惊、安神定志,采用"升肝降胆"之法,方选酸枣仁汤加减;脾胃失和证治以补阳泻阴、宁心安神,方选补脾胃泻阴火升阳汤加减。

Treatment of Insomnia Based on TCM Circular Motion Theory

The Qi within human body moves continuously and circularly,descending,sinking,raising,and floating. When the axis wheel in the middle Burner of human body is unfavorable,the movement of Qi would in disorder and the Yin and Yang of Zang and Fu would lose balance,which would cause insomnia. The treatment should be based on the principle of " recovering the circle",conforming to the law of circular movement and restoring the human body’s Qi movement,adjusting the Yin and Yang of human’s Zang and Fu,reconciling Qi and Blood,and relieving the nerves. In clinical practice,the insomnia can be divided into the following syndromes: Heart Yin deficiency,Kidney Yang deficiency,Liver Yang deficiency,and Spleen and Stomach disharmony. The first type is treated by nourishing Yin and Clearing fire as well as calming the nerves,and modified Tian Wang Bu Xin Dan and Jiao Tai Wan can be used. The second type is treated by warming the Yang of Kidney and carming the spirit,and modified Fuzi Decoction and Guizhi Gancao Longgu Muli Decoction can be used. The third type is treated by nourishing Liver and calming the spirit with raising Liver Qi and descending Gallbladder Qi,and Suanzaoren Decoction can be used. The last type is treated by tonifying Yang and reducing Yin as well as calming the spirit,and Shengyang Decoction can be used in this case.