失眠的阴证阳证分类探析  

Analysis on yin syndrome insomnia and yang syndrome insomnia

作　　者：唐娜娜[1,2] 余建玮[2] 吴长汶 骆始华[2] 黄俊山[1,3] 刘中勇[2] 

机构地区：[1]福建中医药大学,福州350122 [2]江西中医药大学,南昌330004 [3]福建省中医药研究院,福州350003

出　　处：《中华中医药杂志》2017年第5期2178-2181,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.81173149;No.81202845)~~

摘　　要：人之寤寐是与自然相适应的结果,卫行于阴与阳,是寐与寤的根本原因,另外神主宰着睡眠。基于卫阳营阴理论引起的失眠:卫阳失调为阳证失眠,卫阳过强为阳中之阳证失眠,卫阳太弱为阳中之阴证失眠;营阴失调为阴证失眠,营阴过实为阴中之阳证失眠,营阴太虚为阴中之阴证失眠。基于心主神志理论引起的失眠:火热扰神为阳证失眠,实火扰心为阳中之阳证失眠,虚火扰心为阳中之阴证失眠;心神失养为阴证失眠,因虚致心神失养为阴中之阴证失眠,因实致心神失养为阴中之阳证失眠。文章对失眠进行阴证阳证的分类,以期为临床实践提供思路。Sleeping and awaking of a man is compatible with the nature, in which movement of defensive qi between yin and yang is the root cause of sleeping and awaking. And besides, shen dominates sleeping. The insomnia based on wei yang ying yin theory is that if the causative factor of insomnia originated from the disorder of wei yang(defensive yang), there of it is yang syndrome; if the trigger was over-powerful wei yang, then it is insomnia of yang in the yang syndrome; if the cause was weak wei yang, then it is insomnia of yin in the yang syndrome. Likewise, if the trigger was the disorder of nutrient yin, then it is yin syndrome insomnia; if nutrient yin was too excessive, then it is insomnia of yang in the yin syndrome; if nutrient yin was too deficient, then it is insomnia of yin in the yin syndrome. Based on spirit dominated by heart mind theory: fire and heat harassing spirit is yang syndrome insomnia; excessive fire harassing heart is yang in the yang syndrome insomnia; deficient fire disturbing heart and mind is yin in the yang syndrome insomnia; the lack of cultivation of heart and mind is insomnia of yin syndrome, among which the trigger is deficiency, then insomnia belongs to yin in the yin syndrome, and the trigger is excess, then the insomnia is yang in the yin syndrome. This paper classified insomnia into two categories: the yin syndrome and yang syndrome for the sake of clinical practice.

关 键 词：营卫阴阳 脏腑神志 阴证 阳证 失眠 

分 类 号：R256.23[医药卫生—中医内科学]