从《伤寒论》六经气化失常探讨不寐论治  

Discussion on Treatment of Insomnia from Disorder of Six Meridians Qi Transformation in Treatise on Cold Pathogenic Diseases

作　　者：程文龙 杨楠[1] 孔令源 尹训军 刘瑶[1] 李毓秋[1] CHENG Wenlong;YANG Nan;KONG Lingyuan;YIN Xunjun;LIU Yao;LI Yuqiu(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Shandong Booke Biotechnology Co.,Ltd,Liaocheng 252022,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东博奥克生物科技有限公司,山东聊城252022

出　　处：《山东中医杂志》2025年第4期391-395,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(编号:82104620);山东中医药大学青年科研创新团队项目(编号:2020-54-27-1)。

摘　　要：六经气化失常有“从本”“从标”“从中”之说,《伤寒论》的六经气化学说以标本中气的理论来分析六经六气之病的常与变,从而指导临床治疗。不寐是临床常见的一种睡眠障碍,本文从标本中气六经气化失常角度深入探究不寐的辨治,阐述标本中气在六经气化中生理上的相互联系及病理过程中的相互影响。在此基础上,进一步从六经气化异常角度分析治疗不寐的立法统方,以期为临床辨治该病提供新的思路。The six meridians qi transformation disorder includes the theory of“targetting the root causes”,“targetting the manifestation”and“targetting the medial qi”.The six meridians qi transformation in Treatise on Cold Pathogenic Diseases applies the theory of manifestation,root cause and medial qi to analyze the common state and changes of the six meridians and six qi diseases,so as to guide the clinical treatment.Insomnia is a common clinical sleep disorder,this paper explores the differentiation and treatment of insomnia from the perspective of manifestation,root cause and medial qi in six meridians qi transformation disorder,and expounds the physiological interaction and pathological interaction of manifestation,root cause and medial qi in six meridians qi transformation disorder.On this basis,it further analyzes the methods and prescription in the treatment of insomnia from the perspective of the six meridians qi transformation disorder,with a prospect of providing new ideas for the clinical diagnosis and treatment of the disease.

关 键 词：六经气化 《伤寒论》 标本中气 不寐 

分 类 号：R241.5[医药卫生—中医诊断学] R256.23[医药卫生—中医临床基础]