张晋基于三阴三阳开阖枢理论从时空论治失眠  

Zhang Jin Treated Insomnia from Time and Space Based on Kaiheshu Theory of Three Yin and Three Yang

作　　者：付燕来 杲春阳 邱林杰 张晋[2] FU Yanlai;GAO Chunyang;QIU Linjie;ZHANG Jin(Graduate School of China Academy of Chinese Medical Sciences,Beijing China 100700;Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing China 100091)

机构地区：[1]中国中医科学院研究生院,北京100700 [2]中国中医科学院西苑医院,北京100091

出　　处：《中医学报》2022年第3期578-581,共4页Acta Chinese Medicine

基　　金：第四批全国优秀临床人才项目{国中医药人教发[2017]24号};国家中医药管理局龙砂医学流派传承工作室建设项目(LP0110020);国家重点研发计划项目(2018YFC2 000604)。

摘　　要：失眠之病机与人体气机运行失常,阴阳失交有着密切关系。基于《黄帝内经》天人相应理论,运用顾植山教授"司天-司人-司病证"的诊疗思维方法,张晋教授将三阴三阳开阖枢理论与《伤寒论》六经欲解时及针刺疗法相结合,运用"司天-司人-司病证"的诊疗思维方法,即辨天时运气、辨人体时期、辨病邪虚实,从时间及空间的角度对失眠进行论治。三阴三阳是阴阳开阖枢气化运动象态,其在天为六气,在人为六经,在天人相应的理论基础上将自然之气的周期变化与人体发生病理变化的时间节点相结合对失眠进行论治。The pathogenesis of insomnia is closely related to the abnormal operation of human qi and the loss of yin and yang.Based on the theory of correspondence between heaven and man in Huangdi Neijing and Professor Gu Zhishan′s diagnosis and treatment thinking method of "Si Tian-Si Ren-Si disease syndrome",Professor Zhang Jin combines the Kaiheshu theory of three yin and three yang with the six meridians in Treatise on Febrile Diseases and acupuncture therapy, and uses the diagnosis and treatment thinking method of "Si Tian-Si Ren-Si disease syndrome",that is, to distinguish the luck of heaven, the period of human body and the deficiency and reality of disease, and to treat insomnia from the perspective of time and space.Three yin and three yang are the image state of Kaiheshu qi movement of yin and yang, which is the six qi in nature and the six meridians in human.Based on the theory of correspondence between nature and man, insomnia is treated by combining the periodic changes of natural qi with the time nodes of pathological changes in human body.

关 键 词：失眠 三阴三阳 开阖枢 《伤寒论》 张晋 从时空论治 

分 类 号：R249.27[医药卫生—中医临床基础]