基于《黄帝内经》营卫理论探讨老年人少眠机制  

Discussion on the mechanism of sleeplessness in the elderly based on the theory of nutrient-defense in Huangdi Neijing

作　　者：李晶 刘进娜[2] 曹晏齐 王媛媛 翟盈盈 刘兴 俞若熙[3] LI Jing;LIU Jinna;CAO Yanqi;WANG Yuanyuan;ZHAI Yingying;LIU Xing;YU Ruoxi(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;College of Integrated Chinese and Western Medicine,Hebei Medical University,Shijiazhuang 050017,China;National Institute of TCM Constitution and Preventive Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学中医学院,北京100029 [2]河北医科大学中西医结合学院,石家庄050017 [3]北京中医药大学国家中医体质与治未病研究院,北京100029

出　　处：《中华中医药杂志》2024年第6期2809-2812,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81603507);北京中医药大学技术服务项目(No.BUCM-2022-JS-FW-061);国家中医药管理局资助项目(No.zyyzdxk-2023251)。

摘　　要：《黄帝内经》认为营卫是人体寤寐的枢机,卫气“昼行于阳,夜行于阴”的循行规律奠定了营卫主司寤寐的前提,《灵枢·营卫生会》指出气血不足、营衰卫伐是老年人少眠的主要原因。笔者认为老年人营卫失和主要与气血不调、阴液亏损、阳气不足、瘀血内阻及脾胃不和这5个方面密切相关。故文章通过讨论这5个方面与营卫失和的关系,以阐释老年人少眠的发生机制,为今后研究老年人睡眠特征及改善其睡眠质量提供思路。According to Huangdi Neijing,nutrient-defense is the pivot of human's sleep.The circulation pattern of nutrient ‘travels in the yang during the day and in the yin at night' lays down the premise of nutrient-defense in charge of sleep and awakening.Lingshu · Yingwei Shenghui recorded that qi-blood disharmony,nutrient-qi decline and defense-qi aggression are the main causes of sleeplessness in the elderly.The authors believe that nutrient-defense disharmony in the elderly is mainly closely related to the five aspects of qi-blood disharmony,deficiency of yin fluid,deficiency of yang qi,internal obstruction of static blood and spleen-stomach disharmony.Therefore,this paper explains the mechanism of sleeplessness in the elderly by discussing the relationship between the five aspects mentioned above and nutrient-defense disharmony.This study provides ideas for future studies of sleep characteristics in the elderly and improvement of sleep quality in the elderly.

关 键 词：营卫理论 老年人 少眠 《黄帝内经》 睡眠特征 

分 类 号：R277.7[医药卫生—中医学]