温肾安神膏治疗阳虚型失眠探析

摘要 历代医家多将失眠不寐的病因病机归结为“阳盛阴衰，阴阳失交”。临床上发现阳虚失眠也非鲜见，心阳虚衰、心神浮越乃内在原因，劳逸失调系诱发因素。五脏及胆、胃之阳虚、气虚亦可致不寐，临床实践中发现阳虚失眠多与肾阳亏虚息息相关。

关键词 阳虚失眠病因病机；不寐；阳盛阴衰；阴阳失交；劳逸失调；心阳虚衰；肾阳亏虚；理论探析；温肾安神膏

Analysis on the Treatment of Yang Deficiency and Insomnia with Wenshen Anshen Cream

LI Ji1，2，CHEN Jiao3，XIE Dandan2，HUANG Cailan2，WU Liyou2

（1 Guangzhou Acupuncture and Moxibustion Hospital，Guangzhou 510300，China； 2 Kidney Disease Department of the Affiliated Traditional Chinese Medicine Hospital，Guangzhou Medical University，Guangzhou 510400，China； 3 Guangzhou Shipyard Hospltal，Guangzhou 510600，China）

Abstract The Etiology and Pathogenesis of insomnia come down to yin preponderance with yang in-sufficiency and disharmony between yin and yang by physicians of past generations.The onset of yang-deficiency insomnia was mainly due to weakness of heart-yang，floating of mind，and insufficiency of kidney-yang，resulting from disorder of work and rest，old age，and weak body.The paper will discuss the etiology and pathogenesis of yang-deficiency insomnia from related viscera.

Keywords Insomnia cause of disease and pathogenesis;Insomnia;Excessive yang causes disorder of yin; Imbalance of yin and yang;Imbalance between work and rest;Yang heart failure; Kidney Yang kui virtu-al;Theory analysis;Wenshen Anshen Cream

中图分类号：R256.23；R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2024.04.013

失眠是临床上比较常见的疾病，具体表现为睡眠的时间及睡眠的深度不够，轻者入睡困难，或寐而易醒，或半寐半醒，或醒后难寐，严重者通宵达旦、夜不能寐。（剩余6477字）