"阳气升降"视域下失眠的四时治则治法探微OA

Starting from the seasonal patterns of exuberance and decline of visceral yang qi from the theoretical perspective of yang qi ascending and descending,this study explores the therapeutic principles and methods for insomnia across the four seasons as influenced by the rise and fall of visceral yang qi.It posits that the seasonal treatment of insomnia is closely related to viscera.For spring insomnia,the fundamental principle is to subdue and lower excessive yang qi or lift and disperse yang qi that is depressed or insufficient.Specific approaches include soothing the liver and regulating qi,fortifying the spleen and elevating yang to restore the ascending qi of spring;clearing liver fire and purging gallbladder heat,harmonizing the stomach to prevent hyperactivity of spring yang.For summer insomnia,the basic principle is to drain excess and supplement deficiency.Specific methods involve clearing the heart and reducing fire,clearing summerheat and dispelling dampness to drain excess;nourishing yin and moistening dryness,warming and supplementing heart yang to address deficiency.For autumn insomnia,the core principle is to promote the downward and latent descending of yang qi,with specific methods such as harmonizing the lung and stomach,cooling and moistening to lower qi and assist the downward movement of yang qi.For winter insomnia,the fundamental principle is to facilitate the latent storage and conservation of yang qi,using methods like subdu-ing yang and securing the marrow,astringing and consolidating to descend floating yang;combined with nourishing yin to subdue yang,and facilitating heart-kidney interaction to harmonize yin and yang.This approach aims to flexibly grasp the treatment strategy for insom-nia within the dynamic changes of time,providing a theoretical basis for its clinical differentiation and management..