基于“五神脏-肺魄”理论论治失眠与焦虑共病  

Discussion on the pathogenesis of insomnia with anxiety based on the theory of“five-spirit-viscera and lung-corporeal soul”

作　　者：郭芮含 李侠 温梓蓉 许芳 GUO Ruihan;LI Xia;WEN Zirong;XU Fang(Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029)

机构地区：[1]北京中医药大学第三附属医院,北京100029

出　　处：《现代中医临床》2025年第1期39-43,共5页Modern Chinese Clinical Medicine

基　　金：第七批全国老中医药专家学术经验继承工作项目(No.国中医药办人教函〔2021〕272号)。

摘　　要：本文基于五神脏理论,结合神经心理学内容,探讨魄的功能及肺与魄的关系,认为肺功能异常导致魄神失养、魄动不安是失眠与焦虑共病的主要病机。治疗时,当首辨虚实,虚者补肺气、养肺阴、益肾精,实者畅肺气、化痰湿、清痰瘀,肺强魄安,则失眠与焦虑得平。This article is based on the theory of“five-spirit-viscera and lung-corporeal soul”,combined with neuropsychology,to explore the function of the corporeal soul and the relationship between the lung and the corporeal soul.It is believed that abnormal lung function leading to the loss of vitality and restlessness of the soul is the main pathogenesis of insomnia and anxiety comorbidity.In treatment,it is essential to first differentiate between deficiency and excess.For deficiency,the approach involves supplementing lung qi,nourishing lung yin,and enhancing kidney essence.For excess,the focus is on promoting lung qi circulation,transforming phlegm and dampness,and clearing phlegm-stasis.When the lung is strengthened and the corporeal soul is stabilized,insomnia and anxiety can be alleviated.

关 键 词：五神脏 肺 魄 失眠 焦虑 

分 类 号：R221[医药卫生—中医基础理论]