失眠症候之中醫臨床診治

TCM Clinical Treatment on Obstinate Insomnia

失眠在傳統中醫學典籍中稱之為「不寢」、「不得臥」、「不得眠」，表現為入睡困難，時常覺醒，及晨醒過早，常伴有睡眠不深及多夢，屬於現代醫學中的「神經衰弱」，嚴重者屬於「神經官能症」範疇。失眠既是一種症狀，亦可作為疾病單獨出現，與多種病因有關，一般常見於腦力勞動者或突然受到刺激者。筆者在多年的臨床實踐中運用中醫理論，將本病分為心脾兩虛、痰熱內擾、陰虛火旺三個類型進行辨證治療。

Insomnia, also known as 'bad sleep', 'sleepless', and 'disturbed sleep' in traditional Chinese medicine, is characterized by difficulty falling asleep, difficulty falling a deep sleep, and difficulty returning to sleep after awakening. It is classified under neurosis in modern medicine. In more serious cases, it could be diagnosed as psychoneurosis. In addition to a kind of symptom, insomnia is also regarded as a kind of disease with various causes. The patients with insomnia commonly are brainworkers or the people who suddenly got provoked. In many years of clinical practice, the writer applied TCM syndrome differentiation to treating insomnia in three types of 'heart-spleen deficiency', 'heart disturbed by phlemgfire' and 'liver depression transforming into fire'.