【摘 要】 张景岳以“邪正”理论将不寐的病因病机简化，分为无邪和有邪致不寐，用虚实二字概括。无邪时多因思劳过度致病，当补其虚，注重心脾;有邪时当祛邪气。在补虚祛邪的过程中，也当注意标本缓急。然而，张景岳的理论有其局限，其一是脏腑辨证时对肝、肾两脏致病描述不足，肾水不足、肝主谋虑太过会导致不寐，应分别予以黄连阿胶汤、丹栀逍遥散加味等进行治疗;其二是邪气理论中未涉及瘀血致病，瘀血阻滞气血运转，治疗宜用血府逐瘀汤一类;另外，张景岳局限了半夏汤中半夏的作用，忽视了从调和阴阳角度论治不寐的方法，这亦为其局限之一。

    【关键词】 张景岳;不寐;邪正;局限

    【中图分类号】R259? 【文献标志码】 A? 【文章编号】1007-8517(2021)22-0008-03

    The Application and Limitation of Zhang Jingyue’s “Evil and upright” Theory in Insomnia

    WEI Jingwen

    Hospital of Chengdu university of traditional Chinese medicine， Chengdu 610075，China

    Abstract：Zhang Jingyue simplifies the etiology and pathogenesis of insomnia with the theory of “evil and righteousness”， which is divided into innocence and insomnia caused by evil， which is summarized by the words “deficiency and reality”. When innocent， it is often caused by excessive thought， so we should replenish its deficiency and pay attention to the heart and spleen; when there is evil， we should dispel evil qi. In the process of tonifying deficiency and dispelling evil， we should also pay attention to the priority of specimens. However ......