【摘要】 文章基于魂魄理论探讨焦虑性失眠的中医辨治思路,认为魂魄以营卫气血为物质基础,分别藏于肝脏与肺脏中,是人精神活动的重要组成部分,能够调节人的情志,而魂归于肝、魄归于肺则睡眠得安。魂魄不安是导致焦虑性失眠的重要原因,焦虑与失眠彼此之间相互影响,具有共患性。魂魄不安贯穿焦虑性失眠发病的始终,对于外邪侵袭、肺失宣降、肺魄不安所导致的焦虑性失眠给予祛外邪以宣肺定魄;肝失疏泄、痰阻瘀滞、肝魂不定所导致的焦虑性失眠给予化痰瘀以调肝定魂;肝不藏血、肺不藏气、魂魄失养所导致的焦虑性失眠给予调气血以荣养魂魄,以期为临床治疗焦虑性失眠提供新的理论依据和诊疗思路。更多还原

【Abstract】 This article explores the traditional Chinese medicine diagnosis and treatment approach for anxiety-induced insomnia based on the theory of ethereal soul and corporeal soul. It posits that the ethereal soul and corporeal soul,with the vital substances of Ying,Wei,Qi,and blood as their material foundation,reside in the liver and lungs respectively,serving as essential components of human mental activities that regulate emotions. When the ethereal soul returns to the liver and the corporeal soul returns to the lungs,sleep is peaceful. Disturbance of the ethereal soul and corporeal soul is a significant cause of anxiety-induced insomnia,with anxiety and insomnia mutually influencing each other and often co-occurring.Disturbance of the ethereal soul and corporeal soul runs throughout the pathogenesis of anxiety-induced insomnia. For cases caused by external pathogenic invasion,impaired lung dispersion and descent,and disturbance of the lung corporeal soul,treatment focuses on expelling external pathogens to disperse the lungs and stabilize the corporeal soul. For cases caused by liver Qi stagnation,phlegm obstruction,blood stasis,and disturbance of the liver ethereal soul,treatment involves resolving phlegm and stasis to regulate the liver and stabilize the ethereal soul. For cases caused by the liver failing to store blood,the lungs failing to store Qi,and malnutrition of the ethereal soul and corporeal soul,treatment emphasizes regulating Qi and blood to nourish the ethereal soul and corporeal soul. This aims to provide new theoretical foundations and diagnostic and treatment ideas for the clinical management of anxiety-induced insomnia.更多还原