通讯作者: 张东兰, 13984693247@163.com

DOI：10.12201/bmr.202509.00058

Based On The Theory Of

• 摘要：焦虑性失眠做为常见心身疾病，其发病机制与情志内伤致气机紊乱密切相关。本文基于《黄帝内经》“百病生于气”理论，系统探讨肝、心、脾在焦虑性失眠发病中的核心作用。肝气郁结，疏泄失常则魂不入肝；心气耗伤，气血失和则神不安宅；脾气虚弱，运化失司则营卫失调。三者相互影响，终致“神-气-形”协同失衡而发为不寐。治疗当以疏养并重调肝、养镇为要宁心、运补兼施健脾，调节气机升降出入，为临床辨治提供理论依据。并附一则柴胡加龙骨牡蛎汤病案举隅。

  关键词： 百病生于气; 焦虑性失眠; 肝、心、脾; 柴胡加龙骨牡蛎汤

   

  Abstract: Anxiety-induced insomnia, as a common psychosomatic disorder, is closely related to the disorder of qi movement caused by internal injury of emotions. Based on the theory of All diseases arise from qi in the Yellow Emperors Inner Classic, this paper systematically explores the core roles of the liver, heart, and spleen in the pathogenesis of anxiety-induced insomnia. Liver qi stagnation and abnormal regulation lead to the soul not returning to the liver; heart qi exhaustion and disharmony of qi and blood result in the spirit not finding its abode; spleen qi weakness and failure in transportation and transformation cause disharmony of ying and wei. These three factors interact with each other, eventually leading to the imbalance of the spirit - qi - form coordination and causing insomnia. The treatment should focus on regulating the liver by combining soothing and nourishing, calming and nourishing the heart, and strengthening and tonifying the spleen. It is necessary to regulate the ascending, descending, entering, and exiting of qi to provide a theoretical basis for clinical diagnosis and treatment. A case of insomnia treated with Chaihu Jia Longgu Muli Decoction is also presented as an example.

  Key words: All diseases originate from Qi; Anxiety-induced insomnia; Liver, Heart, Spleen; Chaihu Jia Longgu Muli Tang

  提交时间：2025-09-27

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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  1	2025-08-02	bmr.202509.00058V1	下载

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