张仲景辨治不寐之象思维探析

[关键词］张仲景；不寐；象思维；临床运用

［中图分类号］R222 [文献标志码］A [文章编号]0256-7415（2025）05-0169-05

DOl： 10.13457/j.cnki.jncm.2025.05.030

Exploration of ZHANG Zhongjing's Xiang-Thinking in Differentiating and Treating Insomnia

WANG Jiankang1，DENG Yingping1，ZHANG Tingsu¹，CHEN Lujia1，ZHANG Xu2 ，XIA Yuting³ 1.NingboHospitalofTaditionalChineseMedicineAfiliatedtoZhejiangChineseMedicalUniversity，NingboZhejiang315oCin； 2.JiangkouBranchof NingboFenghuaHospitalofTradtionalChinese Medicine，NingboZhejiang315o0，China；3.Schlof Traditional Chinese Medicine，Macau Universityof Science and Technology，Macao 999O78，China

Abstract：This paper compiles ZHANG Zhongjing's discussions on the etiology， pathogenesis， treatment methods，and prescriptions for insomniain his works Shang Han Lun（（Treatise onCold Damage）and Jin Gui Yao Lve（Essentials from the Golden Cabinet）.It highlights the appicationof various Xiang-thinking modes，which canbe summarized into four major methods：uilizing Wu-Xiang to dispel wind，rest the heart and calm the mind，employing Dao-Xiang to guideyang intoyin forcalming the mind，using Bi-Xiang to harmonizethe heartand kidney forcalming the mind，and determining specific target medicine forcalming the mind basedonFa-Xiang.The applicationof Xiangthinking inguiding the differentiationandtreatment of insomniarepresentsZHANG Zhongjing's inheritance and innovationof theconcept of "the unityof heaven and man"，as well asan expansionand improvement of the fourexaminationand eight-principle system.It enriches and compensates for the limitations and inadequacies of traditional syndrome diffrentiation and treatment，broadeningthe efficacy options fortreating insomnia with prescriptions.

Keywords：ZHANG Zhongjing；Insomnia；Xiang-thinking；Clinical application

不寐即失眠，在张仲景所著《伤寒论》《金匮要略》中称为不得眠、不得卧、卧起不安等，其可作为主症而单独出现，又可作为兼症并发于其他疾病中。（剩余7920字）