| 洪俊彬,刘城鑫,黄晓梅,等.基于《内经》营卫理论探讨温补肾阳法治疗失眠的应用[J].浙江中医药大学学报,2024,48(11):1457-1461. |
| 基于《内经》营卫理论探讨温补肾阳法治疗失眠的应用 |
| Explanation of the Application of Kidney-Warming Therapy on Insomnia Based on the Theory of Nutrient Qi and Defensive Qi in The Inner Canon |
| DOI：10.16466/j.issn1005-5509.2024.11.020 |
| 中文关键词: 失眠 营卫失调 营卫理论 肾阳虚证 温补肾阳法 《黄帝内经》 |
| 英文关键词: insomnia disharmony between nutrient Qi and defensive Qi nutrient Qi and defensive Qi theory kidney Yang deficiency syndrome warming and tonifying the kidney-Yang Inner Canon of Huangdi |
| 基金项目:广东省中医药局项目(20231093) |
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| 中文摘要: |
| [目的] 基于《黄帝内经》(简称《内经》)中关于失眠的论述及营卫理论，论述肾阳虚导致失眠的病机，以及运用温补肾阳法治疗失眠的证治机制。[方法] 通过检索、研读《内经》中关于失眠和营卫理论的条文，分析肾阳虚导致失眠的病机，并通过验案一则以佐证。[结果] 《内经》认为营卫失和为失眠的主要病机，营卫运行环路中，肾经是卫气进入营分的关键环节，肾阳不藏，浮越于外，卫不入营，营卫运行失常而致失眠。故临床上针对肾阳虚为主要病机的失眠，应以温补肾阳为主要治法，使机体达到阴阳平衡、营卫调和的状态，从而获得正常的睡眠，提高临床疗效。该验案中患者因肾阳虚衰不能温养脏腑，而致脾胃虚弱、痰湿内生、寒邪客表，引起营卫失和而失眠，治以温补肾阳，获得良效。[结论] 《内经》从营卫理论阐释了失眠的主要病机，为后世医家治疗失眠奠定了理论基础。探讨肾阳虚衰影响正常睡眠的病机，明确治则治法，能够为临床治疗失眠提供新思路。 |
| 英文摘要: |
| [Objective] To explore the pathogenesis of insomnia caused by the deficiency of kidney Yang and the mechanism of the treatment of insomnia by warming the kidney Yang， based on the theory of nutrient Qi and defensive Qi and the relevant expositions on insomnia in Inner Canon of Huangdi. [Methods] By studying the provisions of insomnia and the theory of nutrient Qi and defensive Qi in the Inner Canon， the pathogenesis of insomnia caused by kidney Yang deficiency was analyzed. Meanwhile a case study was attached to provide evidence in order to broaden the clinical thinking of doctors on the treatment of insomnia. [Results] The Inner Canon records that the main pathogenesis of insomnia is disharmony between nutrient Qi and defensive Qi. The kidney meridian is the key link for the entry of defensive Qi into the nutrient tier in the operation loop. The kidney Yang is not hidden and floating outside， so defensive Qi cannot enter the nutrient tier. Ultimately nutrient Qi and defensive Qi operate in disorder， and the patients suffer from insomnia. Therefore， in clinical practice， kidney Yang deficiency is the main pathogenesis of insomnia， and warming kidney Yang is the main treatment， so that the body can achieve the balance of Yin and Yang， and the harmony of nutrient Qi and defensive Qi， to obtain normal sleep and improve clinical efficacy. In the case， the patient due to kidney Yang deficiency couldn’t warm the internal organs， resulting in weakness of the spleen and stomach， phlegm and dampness， cold evil attacking exterior， caused by the disharmony between nutrient Qi and defensive Qi， and insomnia， treated with warming and tonifying the kidney-Yang and achieved good results. [Conclusion] The Inner Canon explained the main pathogenesis of insomnia from the nutrient Qi and defensive Qi theory， which laid a theoretical foundation for the treatment of insomnia for later generations. Exploring the pathogenesis of insomnia caused by kidney Yang deficiency will accurately target the pathogenesis and clarify the treatment principles and methods to obtain good curative effects， and provide new ideas for the clinical treatment of insomnia. |
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