CAJ | 학술논문

目的：深刻阐述失眠与肝的关系以及失眠症从肝论治的临床意义和实际效果。方法：通过回顾性循证和归纳、分析的视角将失眠症的辨肝论治的症候特征和治疗特点给以综述。结果：将近十年发表的有关失眠症从肝论治的文章，具体归纳为八大治疗原则：失眠当辨证治肝以安神；疏肝解郁以调神；疏肝健脾以谧神；舒肝清心以静神；养心舒肝以养神；平肝化痰以镇神；疏肝活血以宁神；补益肝肾养阴以安神。结论：失眠的发生与肝的疏泄、条达、藏血、谧神的生理功能失调密切相关，失眠症从肝辨证论治有着良好的效果和实际意义。
목적：심각천술실면여간적관계이급실면증종간론치적림상의의화실제효과。방법：통과회고성순증화귀납、분석적시각장실면증적변간론치적증후특정화치료특점급이종술。결과：장근십년발표적유관실면증종간론치적문장，구체귀납위팔대치료원칙：실면당변증치간이안신；소간해욱이조신；소간건비이밀신；서간청심이정신；양심서간이양신；평간화담이진신；소간활혈이저신；보익간신양음이안신。결론：실면적발생여간적소설、조체、장혈、밀신적생리공능실조밀절상관，실면증종간변증론치유착량호적효과화실제의의。
Objective:To profoundly expound the relationship between insomnia and liver and the clinical significance and efficacy of treatment of insomnia with liver intervention. Methods:Through the retrospective evidence-based medicinal study,summarization and analysis, the symptom characteristics and treatment features of liver differentiation and treatment for insomnia were arranged. Results:summarize the articles on liver differentiation and treatment for insomnia in the lastest 10 years into eight treatment principles:relieving the spirits based on liver differentiation and treatment, dispersing stagnated liver Qi and relieving Qi stagnation to regulate spirits, relieving the liver and strengthening the spleen to harmonize the spirits, relaxing the liver and puring the heart to calm the spirits, tonifying the heart and soothing the liver to support the spirits, soothing the liver and resolving phlegm to strain the spirits, regulating the liver and invigorating blood circulation to tranquilize the spirits, and replenishing the liver and kidney and norishing the Yin to calm the spirits. Conclusion:The occurance of insomnia is relatively connected with the physical functions of the liver, and it achieved satisfactory efficacy and current significance to treat insomnia in the differentiation and treatment of the liver.