"阳气升降圆运动"视域下失眠的四时病机探微OA
Exploring the Pathogenesis of Insomnia Under the Perspective of"Yang Qi Elevation and Circular Movement"in the Four Seasons
在"阳气升降圆运动"理论视域下,基于脏腑阳气的季节盛衰规律,认为失眠的四时病机与各个季节主令之脏的功能异常密切相关.阳气升发太过或不足是春季失眠的基本病机,升发之力太过,则肝阳上亢、肝火上炎;升发之力不足,则肝郁气滞、心神失养.阳气升浮太过是夏季失眠的基本病机,升浮之力太过,则心阳偏亢、心火上炎.阳气降下不足是秋季失眠的基本病机,阳热不降,肺金收敛之气不足,则阳气浮越于上,营卫失和.阳气失于潜降是冬季失眠的基本病机,肾水封藏之气不足,阳气不能潜降,则阳气虚浮于上;虚阳扰动心神与肺魄,则心肾不交.本文通过挖掘古籍文献,阐明了基于脏腑阳气盛衰的失眠的四时病机,以期在时间的动态变化中灵活把握失眠的基本病机及其演化规律,为失眠的临床辨治提供理论依据.
From the perspective of the theory of Yang Qi elevation and circular movement,it is believed that insomnia's four-season mechanism is closely related to the internal organs.The basic mechanism of insomnia in spring is whether Yang Qi rises too much or not enough.If the power of rising is too much,then the liver Yang will be over-exuberant,and the liver will be inflamed;if the power of rising is not enough,then the liver will be depressed and stagnant,and the heart and spirit will be undernourished.The basic pathogenesis of insomnia in summer is that if Yang Qi rises and floats too much,the heart Yang will be overactive and the heart will be inflamed.Insufficient descending of Yang Qi is the basic mechanism of insomnia in fall.When Yang heat is not descending and the astringent Qi of lung gold is insufficient,Yang Qi floats over the top,and the camp and guards are out of harmony.Yang Qi failure to submerge is the basic pathogenesis of insomnia in winter,the kidney water sealing gas is insufficient,Yang Qi can not submerge,then Yang Qi false floating on the top;false Yang disturbing the heart and lung prana,then the heart and kidney are not communicating with each other.This article explores ancient literature and elucidates the four time pathogenesis of insomnia based on the rise and fall of visceral Yang Qi,in order to flexibly grasp the basic pathogenesis and evolution rules of insomnia in the dynamic changes of time,and provide theoretical basis for the clinical diagnosis and treatment of insomnia.
彭彬;徐世杰;张华敏;高雅
中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中国医史文献研究所,北京 100700
医药卫生
阳气失眠阳不入阴病机时间医学
Yang QiInsomniaYang does not entering YinPathogenesisTime medicine
《中国中医基础医学杂志》 2026 (8)
1656-1660,5
中央级公益性科研院所基本科研业务费专项(ZZ190503)
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