基于“厥阴为阖”探讨早醒型失眠的证治  

Exploration of Syndrome and Treatment of Early Waking Insomnia Basedon Taking Reverting Yin as He

作　　者：崔杨霖 郭玉梦 孔雨晨 魏雪晴 张宪忠[2] 张广业[2] CUI Yanglin;GUO Yumeng;KONG Yuchen;WEI Xueqing;ZHANG Xianzhong;ZHANG Guangye(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Rizhao Hospital of Traditional Chinese Medicine,Rizhao 276800,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]日照市中医医院,山东日照276800

出　　处：《中医药学报》2024年第9期6-9,共4页Acta Chinese Medicine and Pharmacology

基　　金：第七批全国老中医专家学术经验继承工作项目(国中医药人数函〔2022〕76号);日照市重点研发计划项目(公益性科技攻关)(2021ZDYFO20213)。

摘　　要：早醒型失眠是以入睡尚可、凌晨易醒为主要表现的睡眠障碍,其发病主要责之阳气非时早出于阴,抑或适时而阳气不生。厥阴为阖承载阴尽阳生之转换,内涵阴气潜藏与阳气生发之功用,是中医六经阴阳气化功能的体现。本文基于厥阴为阖理论,结合六经辨证及阴阳学说,深入剖析早醒型失眠的证治。认为厥阴阳郁寒胜属阖之太过,当解郁通阳,温肾散寒;厥阴阴虚热胜则属阖之不及,当清热安神,滋阴养血;厥阴寒热错杂证属阖之太过与不及并存,当清上温下,平调阴阳。Early waking insomnia is a sleep disorder,with which the patient can fall asleep but is easy to wake up in the early morning.It is mainly because yang qi comes out of yin too early,or sometimes because yang qi is not generated.Reverting yin carries the transformation of yin and yang,which leads to the end of yin and the birth of yang.It has yin qi,which has the function of generating yang qi,and is the embodiment of the function of qi transformation of yin and yang of the six-meridian in traditional Chinese medicine(TCM).Based on the theory of taking reverting yin as He,combined with six meridian and yin-yang theories,this paper provides an in-depth analysis of the diagnosis and treatment of early awakening type insomnia.It is believed that yang depression and cold prevailing in reverting yin pertain to too less He,the treatment of which should resolve depression,unblock yang,warm kidney and dispel cold;yin deficiency and heat prevailing in reverting yin pertain to too much He,the treatment of which should clear heat,tranquilize mind,enrich yin and nourish blood;cold-heat complex pattern in reverting yin pertain to co-existence of the two,the treatment of which should clear the upper,warm the lower,and regulate yin and yang.

关 键 词：厥阴为阖 早醒型失眠 六经辨证 伤寒论 

分 类 号：R256.23[医药卫生—中医内科学]