唐健 谢军

【摘 要】 不寐在现代医学中多被称为失眠，容易诱发焦虑症、心血管等疾病，在治疗上大多采用镇静类药物，长期服用较易成瘾，导致戒断综合征。而中医药治疗没有此等顾虑，通过调和患者整体阴阳的平衡，使阳入阴出，夜寐可安。文章总结谢军教授运用五运六气理论指导应用司天方治疗失眠的临证经验。认为不寐病因除考虑饮食不节、情志失调、劳逸过度外，仍需考虑到患者出生及发病年月的运气情况对患者体质及病情的影响。认为病机在于心之阴阳失衡;治宜调其阴阳，安神定志。可酌情选取司天方调和阴阳，制化脏腑五行，并根据临床症候不同具体加减。

【关键词】 不寐;五运六气;三因司天方

【中图分类号】R249.2/.7   【文献标志码】 A    【文章编号】1007-8517（2021）10-0088-03

Experience of Professor XieJun in the Treatment of Insomnia

TANG Jian1 XIE Jun2△

1.Hunan University of Chinese Medicine， Changsha 410208， China;

2.HengYang Hospital of Traditional Chinese Medicine， Hengyang 421001， China

Abstract：BuMei is often called insomnia in modern medicine，it is easy to induce anxiety， cardiovascular and other diseases.Most of them are treated with sedative drugs.Long term use of these drugs can lead to addiction，and finally， withdrawal syndrome.But traditional Chinese medicine treatment does not have these concerns，by harmonizing the patients overall balance of yin and Yang，let the Yang enter and the Yin go out，in the end， the patient will be able to fall asleep.This article summarizes Professor Xie Juns clinical experience in treating insomnia with SiTianFang in the guidance of the theory of  Five Circuits and Six Qi.The professor believes that the cause of insomnia is not only due to improper diet， emotional disorder and excessive overwork，it is still necessary to consider the specific situation of Five Circuits and Six QI in the patients birth year or sick year.And it is believed that the pathogenesis of insomnia is due to the imbalance of yin and Yang. So， the treatment should balance the Yin and Yang of the heart and calm the mind. If appropriate， we can choose to use SiTianFang or other Chinese Herbs to treat insomnia， achieve the goal of balancing Yin Yang and five elements of harmony.

Keywords：Insomnia;Five Circuits and Six QI;SanYinSiTianFang

不寐病在《内经》中被称为“目不暝”“不得卧”，其病机为邪气客于脏腑、阳不入阴[1]。后世名家在此基础上发挥，丰富其病因、病机。现在多认为不寐病是由饮食不节、情志失常、劳逸过度、病后体弱等原因导致邪气扰心或心失所养，以致心神不安而发。长期不寐于人心身均有害处，易致注意力涣散、精神不振，甚至诱发焦虑症、抑郁症、高血压等疾病。谢军教授近年来在五运六气理论的指导下应用司天方治愈诸多失眠病例，收效明显。现特将经验总结介绍如下。

1 运气理论和三因司天方

谢军教授认为，五运六气是古时候根据观察气象和天文等现象规律总结出的一套以阴阳盛衰和五行亢害承制为主要内容的时空间诊疗理论。……