基于“脑为元神之府”探究睡眠生理  

Exploring the Physiology of Sleep Based on“Brain Being the House of the Original Spirit”

作　　者：李壮壮 刘征堂[1] LI Zhuangzhuang;LIU Zhengtang(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]中国中医科学院西苑医院,北京100091

出　　处：《辽宁中医药大学学报》2025年第5期63-67,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家重点研发计划项目(2020YFC2006103)。

摘　　要：随着现代医学对睡眠生理及其相关问题的深入研究,睡眠障碍的内涵与外延不断扩大。该文基于“脑为元神之府”理论,结合现代医学认识探究睡眠生理,提出新的理论视角,认为神的功能活动应主要归属于脑,与觉醒相对,睡眠描述的是一种静止的、内守的、抑制的神功能活动的特殊状态;睡眠以精、气、血、津液为物质基础,睡眠的维持和调节依赖于正常脑解剖与生理活动(包括认知、感官、运动等),以及心主血脉、肺主气、脾胃主枢、肝主疏泄、肾主藏精、营卫畅行等正常生理活动。任何影响精、气、血、津液和(或)脏腑营卫功能活动的因素都能影响睡眠,引起睡眠障碍。With the in-depth study of sleep physiology and its related problems in modern medicine,the connotation and extension of sleep disorders have been expanding.Based on the theory of“brain being the capital of the spirit”,this paper explores the physiology of sleep with the understanding of modern medicine,and puts forward a new theoretical perspective that the functional activities of the spirit should be mainly attributed to the brain,and compared with wakefulness,sleep describes a special state of the spirit's functional activities that are static,internally guarded,and inhibited.Sleep is materially based on essence,Qi,blood and body fluid,and the maintenance and regulation of sleep depends on normal cerebral anatomy and physiological activities(including cognitive,sensory,motor,etc.),as well as normal physiological activities of heart governing blood vessel,lung governing Qi,the spleen-stomach governing pivot,liver controlling dispersion,kidney governing storing essence,and Ying-Wei smooth and unobstructed movement.Any factor that affects the functional activities of essence,Qi,blood,body fluid and(or)internal organs and Ying-Wei can affect sleep and cause sleep disorders.

关 键 词：脑为元神之府 睡眠 睡眠障碍 中医 

分 类 号：R256.23[医药卫生—中医内科学]