基于“肾-天癸-冲任-胞宫”生殖轴理论探析围绝经期失眠  

Analysis of Perimenopausal Insomnia on the Basis of the Theory of the Reproductive Axis“Kidney-Tiangui-Chongren-Uterus”

作　　者：远薇薇 常学辉[2] 吕贵英 康常园 YUAN Weiwei;CHANG Xuehui;LYU Guiying;KANG Changyuan(Henan University of Chinese Medicine,Zhengzhou 450053,Henan,China;The Second Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450002,Henan,China)

机构地区：[1]河南中医药大学,河南郑州450053 [2]河南中医药大学第二附属医院,河南郑州450002

出　　处：《辽宁中医药大学学报》2025年第3期142-146,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)。

摘　　要：“肾-天癸-冲任-胞宫”生殖轴理论,作为中医妇科理论体系的重要组成部分,深刻地揭示了女性生殖系统中各要素之间的内在联系及相应调节机制。该理论阐明肾、天癸、冲任、胞宫等通过复杂的纵向、横向联系,相互交织形成女性生殖网络,其正常运行是保障围绝经期女性维持正常生理活动的关键所在。围绝经期失眠是围绝经期女性普遍面临的常见症状之一,严重影响中老年女性的生活质量与心理健康。文章基于“肾-天癸-冲任-胞宫”生殖轴理论,指出围绝经期失眠的核心病机在于“肾-天癸-冲任-胞宫”生殖轴的功能失调,治疗上以恢复“肾-天癸-冲任-胞宫”生殖轴功能为关键。治法以补肾为核心,兼顾调肝以疏解情志,宁心以安神除烦、健脾以生化气血,从而达到全面调和脏腑功能、缓解围绝经期失眠症状的目的,为围绝经期失眠的诊断和治疗提供有益的参考和思路。As an important part of the theoretical system of gynecology of traditional Chinese medicine,the reproductive axis theory of“kidney-Tiangui-Chongren-uterus”profoundly reveals the internal relations and regulatory mechanisms among various elements of the female reproductive system.The theory states that the viscera such as kidney,Tiangui,Chongren and uterine organs interweaved to form female reproductive network through complex vertical and horizontal connections,and its normal operation is the key to ensure the maintenance of normal physiological activities of perimenopausal women.Perimenopausal insomnia is one of the most common symptoms faced by perimenopausal women,which seriously affects the quality of life and mental health of middle-aged and elderly women.Based on the reproductive axis theory of“kidney-Tiangui-Chongren-uterus”,this paper points out that the core pathogenesis of perimenopausal insomnia lies in the dysfunction of the reproductive axis of“kidney-Tiangui-Chongren-uterus”,and the key is to restore the function of the reproductive axis of“kidney-Tiangui-Chongren-uterus”.The treatment of tonifying kidney as the core,taking into account the regulation of liver to ease the mood,calm the heart to calm the mind to remove the disturbance,and strengthen the spleen to biochemical Qi and blood,so as to achieve the purpose of comprehensively regulating the function of the viscera and relieving the symptoms of perimenopausal insomnia,to provide useful reference and ideas for the diagnosis and treatment of perimenopausal insomnia.

关 键 词：“肾-天癸-冲任-胞宫”生殖轴 围绝经期失眠 中医治法 

分 类 号：R256.23[医药卫生—中医内科学]