运用《内经》“亢害承制”理论从心神论治失眠  

Analysis of the theory of“Unrestrained excess and controlled harmony theo”in the Inner Canon of Yellow Emperor in the treatment of insomnia from heart-spirit aspect

作　　者：李芳菲 钱会南[1] LI Fangfei;QIAN Huinan(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学基础医学院,硕士研究生100029

出　　处：《环球中医药》2018年第4期529-531,共3页Global Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)(2013CB532001)

摘　　要：失眠是一种临床常见病症。本文运用《黄帝内经》中的"亢害承制"理论对失眠进行分析论治,从心神入手,结合阴阳互制、五行生克等理论进行分析论证。认为无论是心本身的"虚亢"还是"实亢",亦或是他脏的"承制"调节系统出现问题,亢害为病,皆能使心神受到或多或少的影响。由此指出失眠的病机可以概括为承制不及、亢而为害,致使心神直接或间接地受到侵扰,神不守舍,使人不得安眠。Insomnia is common clinical symptom.This article aims to analyze this disease by using the theory of“Unrestrained excess and controlled harmony”in The Inner Canon of Yellow Emperor from the aspect of heart-spirit combined with the interaction of yin and yang and generation-inhibition in five elements,etc.Whether it is the“hyperactivity induced by deficiency”or“hyperactivity”of the heart itself,or“system”adjusting his dirty problem in the system of harm for the disease,can make the mind more or less influence.Meanwhile,it believes that whatever leads to the hyperactivity,the“excessiveness”or“deficiency”of heart itself,or other organs’“inhibition”systems going wrong,it will impact the spirit more or less.It is pointed out that the pathogenesis of insomnia can be summarized as harmful hyperactivity due to lack of inhibition directly or indirectly harasses heart spirit and then make people cannot sleep well.

关 键 词：失眠 亢害承制 心神 

分 类 号：R221[医药卫生—中医基础理论]