摘要
不寐有多种病因病机,但最为多见的是受思虑、悒郁、忧愁、恼怒、惊恐等情志因素影响而发生,其病机主要与心、脾、肝、胆等脏腑有关。郁证不寐的情志病因分为"外感性情志病因"与"内生性情志病因",前者是指受生活负性事件影响而发生的应激性情志变化,当内心恢复平静后,其不寐多可告愈;后者是指宿主的郁证性心理和人格特质及气郁质体质禀赋,对"外感性情志病因"的应激性更大,甚至即便无明显"外感性情志病因"刺激,亦可内生忧思悲恐惊,其不寐积年难愈。在多数情况下,寐佳则无郁,郁去则寐安。郁证不寐的治疗,可通过解郁疏泄以安神促寐,亦可通过安神促寐以舒肝怡心;解郁与促寐类药物,其药性相通。
There are various items of the etiology and pathogenesis of insomnia in TCM theory,in which over-thinking,depression, sadness,anger, panic and so on are considered as the key emotional factors to the occurrence of insomnia. As a main and common symptom of depression syndrome,dysfunctions of heart,spleen, liver and gallbladder play important role in the pathogenesis of insomnia. This paper divided the classifications of emotions into ＇＂ the external emotional tactors＂ and ＂the internal emotional factors＂. The former refers to irritable emotional changes caused by negative events. When inner peace is retrieved, insomnia is a^most cured. The latter refers to psychological characteristics of depression syndrome, personality traits and Qi-stagnation constitution of the individual. The one who has ＂the internal emotional factors＂ always shows susceptibility and irritability to those external emotional stimulations, and can behaves depression, sadness, anger, panic and refractory insomnia. In most cases, good night sleep relieves depression, while the disappearance of depression syndrome promotes better sleep. So in the treatment of insomnia due to depression syndrome, soothing the liver and relieving depression could tranquilize mind and promot sleep, and vice versa. Relieving depression and promoting sleep interact on each other.
出处
《上海中医药杂志》
2016年第7期5-8,14,共5页
Shanghai Journal of Traditional Chinese Medicine
基金
科技部"十二五"国家重大新药创制(创新药物研究开发技术平台建设)项目(2012ZX09303009-001)
上海巿卫计委进一步加快中医药事业发展三年行动计划项目(ZY3-CCCX-3-2007)
上海市教委重点学科(中药临床药理学)项目(J50303)
高等学校博士学科点专项科研基金新教师类资助项目(20123107120002)
关键词
郁证
不寐
情志病因分类
解郁与促寐
depression syndrome
insomnia
classifications of emotions
relieving depression and promoting sleep
