基于卫气昼夜循行路线探讨“阳不入阴”不寐机制  

Discussion on the Mechanism of Insomnia “Yang not entering Yin” based on Wei Qi(卫气)’s Circulation at Day and Night

作　　者：杨磊 岳广欣[1] 樊新荣[1] YANG Lei;YUE Guangxin;FAN Xinrong(Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing,100700)

机构地区：[1]中国中医科学院中医基础理论研究所,北京市100700

出　　处：《中医杂志》2022年第19期1806-1811,共6页Journal of Traditional Chinese Medicine

基　　金：中央级公益性科研院所基本科研业务费专项资金(YZ-202039)。

摘　　要：总结“阳不入阴”不寐病机涵义为卫气于夜独行于阳而不入于阴。卫气昼夜的不同循行可分寤寐,卫气昼行“阳”即卫气白天运行在手足六阳经及阴分,夜行“阴”即夜晚循行五脏,故卫气由“阳”入“阴”进入睡眠及维持睡眠的中枢节点包涵阳明经、阳跷脉及相应五脏功能。基于卫气的昼夜循行路线,“阳不入阴”不寐病证的机制表现为阳明经逆、阳跷脉盛及包括肾失封藏、心火亢盛、肺失肃降、肝升太过、脾失健运在内的相应五脏功能失常。The connotation of insomnia mechanism of“yang not entering yin”is that wei qi(卫气)moves along“yang”and does not enter“yin”at night.Wei qi’s different circulation at day and night split sleep soundly.In the daytime,wei qi circulates along“yang”,namely six hand-foot yang channels and yin fen(阴分),while at night it moves along“yin”,that is the five zang(脏)organs.People fall asleep when wei qi enters yin from yang,and yangming(阳明)channel,yangqiao mai(阳跷脉)and the corresponding five zang organs’functions are the central nodes to maintain sleep.Based on wei qi’s circulation route at day and night,the mechanism of“yang not entering yin”is manifested as yangming channel counterflow,yangqiao mai exuberance,and dysfunction of the five zang organs such as kidney failing to store essence,exuberance of heart fire,lung failing to govern purification and descent,hyperactivity of liver to ascend,and spleen failing to transport.

关 键 词：不寐 卫气 阳不入阴 阳明经 阳跷脉 循行路线 

分 类 号：R256.23[医药卫生—中医内科学]