从“和”态健康观探讨昼精夜瞑  

Discussion on Zhoujing Yeming from the view of health of‘harmony’

作　　者：徐碧云[1,2] 张晓轩[1] 麦润汝[1] 蔡庆豪 原嘉民[1] 杨一帆[1] 管桦桦[1] 谭菲 杨志敏[1] XU Biyun;ZHANG Xiaoxuan;MAI Runru;CAI Qinghao;YUAN Jiamin;YANG Yifan;GUAN Huahua;TAN Fei;YANG Zhimin(The Second Clinical College of Guangzhou University of Chinese Medicine(Guangdong Provincial Hospital of Chinese Medicine),Guangzhou 510120,China;Guangzhou University of Chinese Medicine,Guangzhou 510720,China)

机构地区：[1]广州中医药大学第二临床医学院(广东省中医院),广州510120 [2]广州中医药大学,广州510720

出　　处：《中华中医药杂志》2023年第10期4664-4666,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2020年国家中医药管理局中医药古籍文献和特色技术传承专项(No.GZY-KJS-2020-071);2020年广州市民政科技基金(No.2020MZK28);广东省中医院临床研究专项(No.YN10101913);杨志敏广东省名中医传承工作室建设项目(No.粤中医办函[2020]1号)。

摘　　要：文章基于《黄帝内经》的理论提出“和”态健康观和昼精夜瞑的内在关系。昼精夜瞑是“昼夜和”在睡眠中的具体体现。昼夜失和则表现为昼精夜不瞑、昼不精夜不瞑和昼不精夜瞑3种情况。各自病机上侧重点不同,昼精夜不瞑的病机在于阳不尽“杀”;昼不精夜不瞑的病机在于卫气不能从阳化气,营血亏虚不能敛阳;昼不精夜瞑病机在于阳气升发受阻。治疗上需按照整体观念原则,同时兼顾昼间和夜间情况,恢复患者的昼夜节律。The internal relation between the view of‘harmony’health and Zhoujing Yeming is put forward in this paper based on the theory of Huangdi Neijing.Zhoujing Yeming is the concrete embodiment of Zhou-Ye He'in sleep.Night and day disharmony is manifested as‘Zhoujing Yebuming’,‘Zhoubujing Yebuming’or‘Zhoubujing Yeming’.Each patient has different emphasis on pathogenesis.The pathogenesis of Zhoujing Yebuming is that yang qi has not been used up;the pathogenesis of Zhoubujing Yebuming is that qi cannot be transformed from yang to yin,and the deficiency of Ying and blood is not able to astringe yang;the pathogenesis of Zhoubujing Yeming lies in the obstruction of yang qi's ascension and development.Treatment should be based on the principle of holistic concept,taking into account both day and night conditions to restore the patients circadianrhythm.

关 键 词：和 昼精夜瞑 《黄帝内经》 健康观 

分 类 号：R221[医药卫生—中医基础理论]