廖凌鑫 刘薪雨 诸毅晖

    【摘 要】 “火”是导致不寐的重要原因，“脾虚火扰”是现代人不寐的基本病机。“脾虚火扰”有虚、实两端。脾胃损伤、营卫失调为虚，阴火内生、心神受扰为实。确立健运脾胃、宣泄阴火的治疗原则，选用补脾胃泻阴火升阳汤为主方，再据阴火所属，分脾胃、肝、肾之别，随证治之。

    【关键词】 不寐；阴火；脾虚火扰；治疗

    【中图分类号】R256.23? 【文献标志码】 A? 【文章编号】1007-8517(2024)02-0096-04

    DOI：10.3969/j.issn.1007-8517.2024.02.zgmzmjyyzz202402021

    From the “Spleen Deficiency and Fire Disturbance” to Analysis of Insomnia

    LIAO Lingxin LIU Xinyu ZHU Yihui*

    School of Acupuncture and Tuina，Chengdu University of Traditional Chinese Medicine，Chengdu 610075，China

    Abstract：“Fire” is an important cause of insomnia，“Spleen deficiency and Fire disturbance” is the basic pathogenesis of modern insomnia.The“Spleen deficiency and Fire disturbance” has two aspects： deficiency and reality.Spleen and stomach injury，camp and guard disorder for deficiency，Yin fire endogenous，the mind is real.The treatment principle of strengthening spleen and stomach and discharging Yin fire position was determined.The main prescription was Tonifying spleen and stomach，reducing Yin and fire and rising Yang decoction.According to the position of Yin and fire ......