基于《黄帝内经》“昼精夜瞑”理论论治失眠  

Treatment of Insomnia Based on Theory of"Daytime Spirit and Nighttime Sleep"in Huangdi Neijing

作　　者：赵正浩 ZHAO Zhenghao(Traditional Chinese Medicine Department,Sanlin Community Health Service Center,Shanghai 200124,China)

机构地区：[1]上海市浦东新区三林社区卫生服务中心中医科,上海200124

出　　处：《基层中医药》2024年第7期53-58,共6页Basic Traditional Chinese Medicine

摘　　要：《黄帝内经》认为“昼精夜瞑”是人体顺应天时、营卫之气调和的结果,而正常的睡眠亦有赖于气血阴阳调和情况下营卫之气的正常运行,营卫失和则会引起睡眠异常,出现以失眠为主的睡眠疾病,常见证型包括营卫不和型、阴阳失调型、肝肾亏虚型、心脾两虚型,治疗时可参考“昼精夜瞑”理论,通过调和营卫、滋阴升阳、补益肝肾、健脾养心等手段,使营卫之气运行正常,循行规律,从而治疗以失眠为主的睡眠疾病。Huangdi Neijing holds that"daytime spirit and nighttime sleep"is the result of the human body's adaptation to the harmony of the weather and the Qi of Ying and Wei.Normal sleep also depends on the normal operation of the Qi of Ying and Wei under the condition of the harmony of Qi,Blood,and Yin-Yang.Otherwise,disharmony between Ying and Wei will cause abnormal sleep,leading to insomnia-based sleep diseases.Common syndrome types include disharmony between Ying and Wei,imbalance between Yin and Yang,deficiency of liver and kidney,and deficiency of heart and spleen.The treatment method can refer to the theory of"daytime spirit and nighttime sleep"and make the Qi of Ying-Wei run normally and follow the law by means of harmonizing Ying and Wei,nourishing Yin and Yang,tonifying liver and kidney,strengthening spleen,and nourishing heart,so as to treat insomnia-based sleep diseases.

关 键 词：黄帝内经 昼精夜瞑理论 失眠 中医治疗 

分 类 号：R22[医药卫生—中医基础理论]