基于脑中血海理论浅析黄燕治疗失眠症临床经验  

Analysis of HUANG Yan's Clinical Experience in Treating Insomnia Based on Theory of"Sea of Blood in Brain"

作　　者：詹乐昌[1] 刘历泉 杨时鸿[1] 黄燕[1] ZHAN Lechang;LIU Liquan;YANG Shihong;HUANG Yan(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China;Yudu County Chinese Medicine Hospital,Yudu Jiangxi 342300,China)

机构地区：[1]广州中医药大学第二附属医院/广东省中医院,广东广州510120 [2]于都县中医院,江西于都342300

出　　处：《新中医》2025年第4期172-176,共5页New Chinese Medicine

基　　金：国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号);广东省中医药局“中医康复人才培养项目”(01020184);广州中医药大学中医学科高质量提升项目。

摘　　要：黄燕教授关于脑中血海的理论认为,脑中血海具有3个特征:一是广纳百川,汇聚了大量的濡养物质,并和全身功能结构建立了丰富的共同联系;二是容易波动,其中储蓄的物质时刻处于变化之中;三是血海中的血液精微和其他物质的总量需要维持在适当水平,太过或不足均可导致疾病。黄燕教授认为失眠症的发生总不离脑中血海的精微不足、沟通输送失节、盈虚无度所致,提出了失眠症的核心病机为气血不足,阳盛阴衰,阴阳失交,脑神不安。治疗上强调以补虚泻实,调整阴阳为治则,以调理心肝脾为重点,并注重肺肾,形成了清心安神、健脾养血、疏肝平肝为主的辨证论治失眠症之特色。同时,注重根据实际情况选择安神药,促进药物协同作用,以达到“阴平阳秘,精神乃治”之效。Professor HUANG Yan's theory on the"sea of blood in brain"posits three characteristics:First,it is all-encompassing,gathering a vast amount of nourishing substances and establishing extensive connections with the body's functional structures.Second,it is prone to fluctuations,with the stored substances constantly changing.Third,the total amount of refined blood and other substances in the sea of blood must be maintained within appropriate levels,as excess or deficiency can lead to disease.Professor HUANG believes that the occurrence of insomnia is invariably related to the insufficiency of refined substances in the brain's sea of blood,disrupted communication and transportation,and imbalances in excess and deficiency.She identifies the core pathogenesis of insomnia as qi and blood deficiency,exuberance of yang with decline of yin,yin-yang disharmony,and restless of brain and spirit.Her treatment emphasizes the principles of tonifying deficiency and reducing excess,and harmonizing yin and yang,with a focus on regulating the heart,liver,and spleen,while also paying attention to the lung and kidney.This has led to a distinctive approach to treating insomnia characterized by clearing heart heat and calming the mind,strengthening the spleen and nourishing the blood,and soothing and calming the liver.Additionally,she emphasizes the selection of tranquillizing medicinal based on the actual condition to promote synergistic effects of medicines,aiming to achieve the state of"stable yin and compact yang will ensure harmoney of essence and spirit".

关 键 词：失眠症 脑中血海 安神药 名医经验 黄燕 

分 类 号：R256.23[医药卫生—中医内科学]