黄宇虹教授基于“凡十一脏取决于胆”论治失眠拾萃  

Professor Huang Yuhong’s experience in the determine treatment of insomnia based on“eleven organs depend on gallbladder”

作　　者：张博文 刘云龙[1] 吕子琛 李晨铭 戎薪夷 马路遥 刘新越 黄宇虹[1] ZHANG Bowen;LIU Yunlong;LYU Zichen;LI Chenming;RONG Xinyi;MA Luyao;LIU Xinyue;HUANG Yuhong(Center for Clinical Pharmacology,the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China)

机构地区：[1]天津中医药大学第二附属医院临床药理中心,天津300150

出　　处：《中国医药导报》2025年第4期174-178,共5页China Medical Herald

基　　金：天津市卫生计生行业高层次人才选拔培养工程项目。

摘　　要：失眠是睡眠时间和/或睡眠质量感到不满意,且影响日间功能或引起躯体不适的一种主观体验。胆腑与失眠发生、发展关系密切。胆腑具有运气机、主决断、寄相火的生理功能。黄宇虹教授基于“凡十一脏取决于胆”理论,丰富从胆论治失眠的理论,认为治疗失眠以胆腑枢机不利立论。在失眠发病观的角度上,胆与心、肝、胃三脏腑紧密相关,或胆腑失温生寒;或心胆不足;或胆胃不和;或肝胆不和。在临床诊疗中,黄教授主张可通过“和”法治疗失眠,常用“温胆安神、补心益胆、利胆和胃、疏肝利胆”等方法治疗失眠,使少阳之气得以枢转如常,阴阳相交得寐。本文总结黄教授治失眠的经验,以期为失眠的中医药治疗开拓新思路。Insomnia is a subjective experience characterized by dissatisfaction with sleep duration and/or sleep quality,which affects daytime functioning or causes physical discomfort.The gallbladder is closely associated with the occurrence and development of insomnia.The gallbladder has physiological functions of regulating qi movement,governing decision-making,housing ministerial fire.Based on theory of“eleven organs depend on gallbladder”,Professor Huang Yuhong has enriched theoretical framework in the treatment of insomnia from the perspective of gallbladder,believes that insomnia treatment is based on the theory of unfavorable gallbladder and cardinal.From the perspective of insomnia pathogenesis,gallbladder is closely related to heart,liver,and stomach,gallbladder failing to maintain warmth,leading to coldness;heart and gallbladder deficiency;disharmony between gallbladder and stomach;or disharmony between liver and gallbladder.In clinical diagnosis and treatment,Professor Huang advocates“harmony”method in the treatment of insomnia,commonly using methods such as“warming gallbladder and calming mind,tonifying heart and benefiting gallbladder,promoting bile flow and harmonizing stomach,and soothing liver and gallbladder”in the treatment of insomnia,allowing qi of shaoyang to pivot normally,achieving sleep through the interaction of yin and yang.This article summarizes Professor Huang’s experience in the treatment of insomnia,in order to explore new ideas for traditional Chinese medicine and pharmacy treatment of insomnia.

关 键 词：失眠 “凡十一脏取决于胆” 胆腑枢机不利 黄宇虹 

分 类 号：R256.23[医药卫生—中医内科学]