基于《周易》卦象探讨失眠的病机及治法  

Exploring the Pathogenesis and Treatment of Insomnia based on the Hexagrams of“Zhou Yi”

作　　者：刘会军 钱仁义[1] 许玉珉 LIU Huijun;QIAN Renyi;XU Yumin(The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Henan Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000

出　　处：《中医药临床杂志》2024年第11期2083-2088,共6页Clinical Journal of Traditional Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承项目(国中医药人教函[2022]76号);国家自然科学基金青年项目(81904265);河南省第二批青苗人才培养项目(豫卫中医函[2021]16号)。

摘　　要：《周易》理深意宏,蕴含着丰富的医学史料,《内经》充分汲取《周易》的精华并进一步升华,形成了阴阳学说、气化学说、藏象学说等中医理论,医理源于易理,医易一脉相承。失眠的学说有很多,显示了中医的博大,但很多学说晦涩难懂,临床应用难度大,故该文在《周易》哲理易理的内容框架下,从六十四卦中的《否》《晋》《未济》《震》《巽》《离》《坤》《艮》《乾》《兑》《坎》《明夷》《革》《损》《益》及易理中的刚柔、损益、升降出发,求其源继其流,推天道以明人事,执简驭繁,可以更加深刻的理解失眠的病机及治法,用于指导临床,从而提高临床疗效。“Zhou Yi”is profound and contains rich medical historical materials.Neijing fully absorbs the essence of“Zhou Yi”and further sublimates it,forming the Yin-Yang theory,Qi-transformation theory,Zang-Xiang theory and other Chinese medicine theories.Medical theory originates from Yi theory,and medicine and Yi are inherited from one source.There are many theories of insomnia,which shows the breadth of Chinese medicine,but many theories are obscure and difficult to understand,and clinical application is difficult.Therefore,under the framework of the content of“Zhou Yi”philosophy and Yi theory,this paper starts from the sixty-four hexagrams of“No”,“Jin”,“Wei Ji”,“Zhen”,“Xun”,“Li”,“Kun”,“Gen”,“Qian”,“Dui”,“Kan”,“Mingyi”,“Ge”,“Sun”,“Yi”and the rigidity,softness,loss and gain,rise and fall in Yi theory,seeks its source and continues its flow,deduces the way of heaven to understand human affairs,and controls complexity with simplicity,which can help us have a deeper understanding of the pathogenesis and treatment of insomnia,and use it to guide clinical practice,thereby improving clinical efficacy.

关 键 词：周易 失眠 卦象 论治 医易汇通 

分 类 号：R242[医药卫生—中医临床基础] R226[医药卫生—中医学]