针灸治疗失眠障碍:理论解构  

Theoretical Deconstruction of Acupuncture for Insomnia Disorder

作　　者：冒金锋 叶吴洁 王照钦 杨月嫦 陶颖娜 徐世芬[5] 吴璐一[1,3] 吴焕淦[1,3] 朱璐 MAO Jinfeng;YE Wujie;WANG Zhaoqin;YANG Yuechang;TAO Yingna;XU Shifen;WU Luyi;WU Huangan;ZHU Lu(Yueyang Hospital of Integrated Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing 210029,China;Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China;Shanghai Fourth People’s Hospital,Tongji University,Shanghai 200434,China;Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]南京中医药大学附属医院,南京210029 [3]上海市针灸经络研究所,上海200030 [4]同济大学附属上海市第四人民医院,上海200434 [5]上海中医药大学附属市中医医院,上海200071

出　　处：《世界科学技术-中医药现代化》2024年第11期2815-2821,共7页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：上海市教育委员会上海中医药大学2021年高水平地方高校重点创新团队(针灸优势病症的临床与关键机制团队),负责人:吴焕淦;上海市教育委员会上海高校高峰学科(中医学)针灸学科建设方向(2021-2025),负责人:吴焕淦;上海市科学技术委员会上海市2020年度“科技创新行动计划”医学创新研究专项项目(20Y21903000):“扶正安神”法电针治疗癌因性失眠的随机对照试验,负责人:徐世芬。

摘　　要：失眠障碍是针灸临床的常见病种,存在理论固化、滞后于临床的趋势。本文从针灸学视域考察失眠障碍,基于针灸学认识疾病的一般规律,认为古今医家对该病的基本认识具有共性,其理论可以解构为:“阴阳”理论是起点和根本,“神主睡眠”是直接相关理论,脏腑理论是病机基础,经络理论、腧穴理论是诊疗关键,刺灸理论是疗效保障。对于针灸治疗失眠障碍理论的完善与发展,可在此基础上进行。Insomnia disorder is a common disease in acupuncture clinics.There is a tendency for the theory to solidify and lag behind the clinic.In this paper,we examined insomnia disorder from the perspective of acupuncture and moxibustion theory.Based on the general law of acupuncture and moxibustion to recognize the disease,we concerned that the basic understanding of the disease has commonality between ancient and modern medical practitioners,and the theory can be deconstructed as follows:the theory of"yin and yang"is the starting point and the root of the theory,the theory of"spirit regulars the sleep"is the directly related theory,the theory of internal organs is the basis of the disease mechanism,the theory of meridians and acupoints is the key to diagnosis and treatment,and the theory of acupuncture and moxibustion is the key to treatment.The improvement and development of the theory of acupuncture for insomnia disorder can be carried out on this basis.

关 键 词：失眠障碍 针灸 脑神 理论 

分 类 号：R245[医药卫生—针灸推拿学]