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从"精神化生"探究不寐治疗思路OA

Exploring the Treatment Strategy for Insomnia from the Perspective of"Spiritual Transformation"

中文摘要英文摘要

本文基于《黄帝内经》"脏腑藏精化气生神"理论,提出精-魂-神-魄的化生循环是维持人寤寐节律的基础,精神化生过程的实质为脏腑气化运动的结果,而"精-魂-神-魄"的化生循环障碍则是不寐的核心病机.进一步提出从肾之精气上济养神、肝气升魂化神、肺气定魄安神、心火下温宁神、脾胃化源滋神五个维度构建治疗框架,并通过方药与针灸干预改善脏腑气化功能从而治疗精神化生困境下的不寐症状.基于该模式的中医治疗突破了传统单一安神模式,强调通过重建"精气神"转化链实现形神同调,为临床精准辨治不寐提供新思路,并附典型病案1则讨论临床应用.

Based on the theory of"viscera storing essence,transforming Qi,and generating spirit".This study proposes that the Es-sence-Hun-Spirit-Po generative cycle serves as the physiological foundation for maintaining the human sleep-wake rhythm,with its es-sence rooted in visceral Qi transformation.Disruptions in this cycle are identified as the core pathogenesis of insomnia.A five-dimen-sional therapeutic framework is proposed to maintain normal sleep:Kidney essence and Qi ascending to nourish the Spirit,Liver Qi as-cending to transform Hun into Spirit,Lung Qi stabilizing Po to tranquilize the Spirit,Heart fire descending to pacify the Spirit,and Spleen-Stomach transforming nutrients to sustain the Spirit.Furthermore,we systematically evaluate herbal formulations and acupunc-ture interventions to address insomnia caused by spiritual transformation disorders.This model transcends traditional single-dimensional Spirit-calming approaches by advocating the reconstruction of the Essence-Qi-Spirit transformation chain,achieving holistic regulation of form and Spirit.It provides novel insights for precise.Supplemented with a representative case report for validation.

何珮瑜;马婷婷

成都中医药大学,四川成都 611137成都中医药大学附属医院,四川成都 610032

医药卫生

精神化生不寐脏腑气化魂魄论

Spiritual transformationInsomniaVisceral Qi transformationTheory of Hun and Po

《成都中医药大学学报》 2026 (4)

28-33,6

四川省中医药管理局(2024MS009)四川省自然科学基金项目(2024NSFSC0722)四川省干部保健科研课题(川干研2023-506)四川省医疗卫生与健康促进会(KY2022QN0091)

10.13593/j.cnki.51-1501/r.2026.04.005

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