从营卫失调论述顽固性失眠症与时间的关系  

Discussion on the Relationship between Intractable Insomnia and Time from the Disharmony between Ying-nutrients and Wei-defence

作　　者：刘奕萍 张金波 LIU Yiping;ZHANG Jinbo(The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250355,China;Department of Preventive Treatment of Diseases,Yantai Hospital of Traditional Chinese Medicine,Shandong Province,Yantai 264013,China)

机构地区：[1]山东中医药大学第一临床医学院,山东济南250355 [2]烟台市中医医院治未病科,山东烟台264013

出　　处：《中国中医药现代远程教育》2024年第24期52-54,共3页Chinese Medicine Modern Distance Education of China

基　　金：山东省卫生健康委员会齐鲁医派中医学术流派传承项目[No.鲁卫函〔2021〕45号]。

摘　　要：顽固性失眠病责之营卫失调,病机包括营卫不交与营卫不济两大类。营气行于脉内,日中而阳气隆时,营卫之气相交于外,营气随卫气荥外。卫气行于脉外,申时气门闭,卫气向内运行,至夜半而阴隆时,卫气随营气交于内,此时人体安睡;后至卯时卫气始出于睛明穴,此时人体觉醒。故凌晨1点易醒且醒后难复眠者,病机为足少阳经少阳有余,卫多营少,此时卫不交于营,即卫未能入于营分,证属营卫不交;凌晨3点易醒且醒后难复眠者,病机为足厥阴经肝阴不足,营少卫多,此时营不荥于外,即营不能济卫,证属营卫不济;难以入睡甚至彻夜难眠者,此为腠理疏而不密、玄府不畅而导致的营强卫弱,卫气运行速度过快,在每一阶段都无法按时入于营分,此时营不荥于外,即营不能济卫,证属营卫不济。The pathogenesis of intractable insomnia is the disharmony of ying-nutrients and wei-defence.It includes two major cat⁃egories,the failure of ying-nutrients and wei-defence.In addition,the disharmony of ying-nutrients and wei-defence.Ying qi runs in the pulse.When the sun is in the middle and the yang qi is rising,the ying qi intersects with wei qi,and rises with that of wei qi.The wei qi moves outside the pulse.At the Shen hour,the qi gate closes,and the wei qi moves inward.At midnight when yin is waxing,the wei qi intersects with ying qi internally.At this time,the human body sleeps peacefully.When the wei qi starts to come out of the Qing⁃ming acupoint at the Mao hour,the human body wakes up.Therefore,people who are easy to wake up at 1 am and difficult to recover from sleep after waking up,the pathogenesis of the disease is that there is more than enough of Shaoyang of Shaoyang the foot merid⁃ian,wei more and ying less.At this time,the wei qi false to deliver to ying qi,that is the syndrome of the failure of ying and wei.Those who are easy to wake up at 3 am and difficult to recover from sleep after waking up,the pathogenesis is insufficient liver yin of Jueyin the foot meridian,and there are less ying and more wei.At this time,the ying does not exist outside,that is the ying cannot help the wei.The syndrome is disharmony of Ying and Wei.It is difficult to fall asleep or even to sleep all night,which is caused by the strong ying and weak wei resulting from interstices retention and mysterious mansion blockage.Wei qi runs too fast and can not enter ying in each moment.At this time,the ying does not coordinate with wei,that is the syndrome of disharmony of ying and wei.

关 键 词：顽固性失眠 营卫 开合启闭法 腠理 玄府 

分 类 号：R256.23[医药卫生—中医内科学]