程士德从“通达阴阳”论治多寐经验  

CHENG Shide's experience in treating narcolepsy from the theory of making yin and yang unobstructed

作　　者：马厚芳 郭霞珍[1] 许筱颖[1] MA Houfang;GUO Xiazhen;XU Xiaoying(Beijing University of Chinese Medicine,Beijing 102488,China;China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]北京中医药大学,北京102488 [2]中国中医科学院,北京100700

出　　处：《中华中医药杂志》2025年第3期1215-1218,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京中医药新奥奖励基金课题(No.2019-XAJLJ-001),程士德“三名”传承I作室(No.2023-SZ-E-22)。

摘　　要：多寐是一种严重影响患者生活质量的睡眠障碍性疾病,程士德教授宗《黄帝内经》阴阳寐理论,认为多寐之病机总属阴阳气不相协调,阳气久留于阴分。留阳于阴又可分为虚实两端:实者多因痰湿、胆热、气滞、血瘀等病理因素,阻滞阳出阴分之道路;虚者多为气、血、阴、阳等物质不足,致使阳无力出阴。程老认为治疗多之核心在于通阳和阴,以通而去其邪、以补而扶其正,促使阴阳之气按夜规律启闭,恢复阳气出阳入阴之节律,以彰“通达阴阳”论治多之良效。Narcolepsy is a sleep disorder that seriously affects the quality of life of patients.Professor CHENG Shide,based on the theory of yin-yang sleep in Huangdi Neijing,believes that the pathogenesis of episodic sleep disorder is the lack of coordination between yin and yang qi,resulting in prolonged retention of yang in the yin.The retention of yang in yin can be divided into two types:deficiency and excess.Excess cases are often caused by pathological factors such as phlegm dampness,gallbladder heat,qi stagnation,and blood stasis,which block the path of yang leaving yin.Deficiency cases are mostly caused by insufficient substances such as qi,blood,yin,and yang,resulting in the inability of yang to leave yin.Professor CHENG believes that the core of treating narcolepsy lies in promoting the integration of yang and yin,that is,removing pathogenic factors through openning up and supporting healthy qi through supplementation,promoting the opening and closing of yin and yang qi according to the day and night laws,restoring the rhythm of yang qi leaving yang and entering yin,in order to demonstrate the good effect of'promoting the integration of yin and yang'in treating narcolepsy.

关 键 词：程士德 通达阴阳 多寐 补虚泻实 名医经验 

分 类 号：R256.23[医药卫生—中医内科学]