从六经欲解时和开合枢理论探讨失眠证治  

Syndrome Treatment of Insomnia from TCM Theories of Six Meridians and Kai He Pivot

作　　者：续海卿[1] XU Haiqing(The Third Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450008)

机构地区：[1]河南中医药大学第三附属医院,河南郑州450008

出　　处：《中医学报》2020年第8期1623-1626,共4页Acta Chinese Medicine

基　　金：国家中医药管理局优秀中医人才项目{国中医药人教发[2017]24号}。

摘　　要：从六经欲解时调理三阴三阳开合枢的功能有助于提高失眠的治疗效果。其主要治法为:开太阳、调营卫,即开达卫气,使卫气昼夜循行正常、营卫之气调和;合阳明、降阴气,即收敛阳明之气,使过亢的阳气下降而潜藏,则阴气也随之而下降;舒达少阳之枢机,使五脏安宁则五脏神藏;运太阴、聚阴气,即运化太阴之脾气,以滋养五脏之津液而聚阴气;收厥阴、藏相火,即根据厥阴为阴尽阳生和内藏少阳相火的特点,治疗要以收藏阴精和敛藏相火为法;转少阴、交心肾,即疏转少阴之心肾,使水火既济、天地交泰,则阴阳调和。By using the function of Kai He Pivot of San Yin and San Yang at the key point of the Six Meridians helps to improve the therapeutic effect of insomnia.The main treatment methods are as follows:opening Taiyang and adjust Yingwei,that is,opening the Ying Qi and Wei Qi to make them working normally during the day and night,and harmonize the Qi of the guardianship;closing Yangming and lower the Yin Qi,that is,converging the Yangming Yang Qi to induce the Yin Qi descending accordingly;regulating Shaoyang Qi to make the Five Zang peaceful and storing Shen;regulating Taiyin Qi and collecting Yin Qi,that is,to collecting the Tai Yin Spleen Qi to nourish the body fluid of Five Zang to gather Yin Qi;gathering Jue Yin and storing Xiang Fire,according to the characteristics of Jue Yin,namely,Yin ending and Yang rising as well as storing shaoyang Xiang Fire;regulating Shao Yin to help with Heart and Kidney,that is,regulating the function of Heart and Kidney so that both Water and Fire can be harmonized and the insomnia can be cured.

关 键 词：失眠 六经欲解时 开合枢理论 开太阳、调营卫 合阳明、降阴气 舒少阳、安五脏 运太阴、聚阴气 收厥阴、藏相火 转少阴、交心肾 

分 类 号：R256.23[医药卫生—中医内科学]