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基于一气周流论治女性围绝经期失眠OA

Treatment of Insomnia in Perimenopausal Women Based on the Theory of General Circulation of Unitary Qi

中文摘要英文摘要

围绝经期失眠是女性在围绝经期最易出现的疾病,严重影响女性的身心健康,气机升降失调、阳不入阴可高度概括其发病机制.著名医家黄元御构建了"土枢四象,一气周流"的人体生理结构模型,提出"一气周流"理论,强调人体气机流转以脾胃升降斡旋,带动肝心肺肾之气左升右降,形成气机如环无端的周流循环,维持阴阳平衡,人才得以安眠.由此,治疗应以五脏气通、周流如一为调治目标,以恢复枢轴周流轮转之机为遣方选穴思路,整体把握脏腑之间的气机变化,以期恢复阴阳协调的平衡状态,提高临床疗效并拓展治疗思路.

Perimenopausal insomnia is one of the most common disorders in perimenopausal women,which seriously affects their physical and mental health.Its pathogenesis can be highly summarized as disorder of qi movement and failure of yang to enter yin.The famous physician Huang Yuanyu established the human physiological model of"earth as the axis governing the four phases,general circulation of unitary qi",and put forward the theory of"general circulation of unitary qi".It emphasized that the movement of human qi is centered on the ascending and descending of the spleen and stomach,driving the qi of the liver,heart,lung and kidney to ascend on the left and descend on the right,forming an endless circular flow of qi,maintaining the balance of yin and yang,thus enabling normal sleep.Therefore,the treatment should aim at unobstructed qi movement in the five zang-organs and smooth circulation,the principle of formula and acupoint selection is to restore the pivoting and circulating function.By comprehensively regulating the qi movement among zang-fu organs,we expect to restore the coordination and balance of yin and yang,so as to expand clinical thinking and improve therapeutic efficacy.

梁燕琪;郑敏;蒋帅;李勇

山东中医药大学,山东 济南 250000北京中医药大学东方医院枣庄医院针灸三科,山东 枣庄 277000北京中医药大学东方医院枣庄医院针灸三科,山东 枣庄 277000北京中医药大学东方医院枣庄医院针灸三科,山东 枣庄 277000

医药卫生

不寐围绝经期失眠一气周流理论阴阳平衡土枢四象针刺疗法

insomniaperimenopausal insomniatheory of general circulation of unitary qiyin-yang balanceearth as the axis governing the four phasesacupuncture therapy

《光明中医》 2026 (3)

34-37,4

枣庄市科技发展计划项目(No.2023NS26)

10.70976/j.issn.1003-8914.2026.03.008

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