基于“三焦调神”理论的针刺治疗不寐症理论探析
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摘要
机体正常的寤寐状态除接受脑之"元神"及心之"识神"所共同调节外,同时与三焦所化生精气的充盛及其通路的畅达密切相关。本研究首先从生理方面论述:三焦为气血津精化生的重要场所,同时也是机体气机升降出入的重要通道,三焦的正常运转是神魂魄发挥其调摄作用的重要保障,是人体正常寤寐的生理基础;其次从病理方面指出:气血乏源、三焦不畅、神机失用、魂魄出入失司是导致不寐的关键所在。进而以上述理论为基础提出"三焦调神"理论并基于此理论采用针刺方法指导不寐的治疗,在临床取得一定疗效,同时阐释了"三焦调神"论治不寐症所选主穴的依据与机理。
The normal state of sleep and awakening is not only regulated by "Shi Shen"of Heart but also by"Yuan Shen"of Brain. At the same time,it is closely related to the filling of the essence of Sanjiao and the smoothness of its pathway. This study firstly discussed from the physiological point of view: Sanjiao is an important transformation place for qi and blood,it is also an important channel for qi movement. The normal operation of Sanjiao is an important guarantee for the soul to play its role in the adjustment,which is the physiological basis for sleep and awakening; secondly,from the pathological point of view: insufficient source of qi and blood,disfunction of Sanjiao,disorder of Shen,and disorderation of ethereal soul and corporeal soul are the main causes of insomnia. Based on the above theory,"Sanjiao regulating Shen"is proposed to guide acupuncture treating insomnia,which has achieved certain effects in clinic. At the same time,the study discussed the basis and mechanism of the main points used in "Sanjiao regulating Shen".
The normal state of sleep and awakening is not only regulated by "Shi Shen"of Heart but also by"Yuan Shen"of Brain. At the same time,it is closely related to the filling of the essence of Sanjiao and the smoothness of its pathway. This study firstly discussed from the physiological point of view: Sanjiao is an important transformation place for qi and blood,it is also an important channel for qi movement. The normal operation of Sanjiao is an important guarantee for the soul to play its role in the adjustment,which is the physiological basis for sleep and awakening; secondly,from the pathological point of view: insufficient source of qi and blood,disfunction of Sanjiao,disorder of Shen,and disorderation of ethereal soul and corporeal soul are the main causes of insomnia. Based on the above theory,"Sanjiao regulating Shen"is proposed to guide acupuncture treating insomnia,which has achieved certain effects in clinic. At the same time,the study discussed the basis and mechanism of the main points used in "Sanjiao regulating Shen".
引文
[1]肖倩.从“心脑共主神明”论老年失眠症的病因病机[D].杭州:浙江中医药大学,2016.
[2]韩景献.再论三焦及三焦气化[J].中医杂志,2016,57(23):2061-2063.
[3]肖科金,金梦祝,王文美.试从魂魄论治失眠[J].光明中医,2014,29(8):1735-1736.
[4]郭海燕.“调神”之穴位探讨[J].光明中医,2015,30(12):2680-2682.
[5]王世军,崔可密,卢岩,等.针刺对MCAO大鼠海马CA3区微血管数目及神经元死亡率的影响[J].山东中医药大学学报,2005,29(1):59-60.
[6]李宁,牛文民.针刺调心安神法治疗失眠临床观察[J].陕西中医学院学报,2014,37(2):30-32.
[7]张久行,赵义静,王春兰,等.百会功能浅析[J].中华针灸电子杂志,2014,3(3):19-21.
[8]周艳丽.针刺不同腧穴对失眠模型大鼠脑内神经递质5-HT、DA影响的实验研究[J].中国中医基础医学杂志,2012,18(8):887-888.
[9]陈建权,李娜,温会新,等.通利三焦针法联合血府逐瘀汤治疗失眠67例临床观察[J].河北中医,2014,36(4):524-525.
[10]温会新.通利三焦法对失眠患者多导睡眠图的影响[C]//中国中西医结合学会神经科专业委员会.第十一次中国中西医结合神经科学术会议论文汇编,2015:3.
[2]韩景献.再论三焦及三焦气化[J].中医杂志,2016,57(23):2061-2063.
[3]肖科金,金梦祝,王文美.试从魂魄论治失眠[J].光明中医,2014,29(8):1735-1736.
[4]郭海燕.“调神”之穴位探讨[J].光明中医,2015,30(12):2680-2682.
[5]王世军,崔可密,卢岩,等.针刺对MCAO大鼠海马CA3区微血管数目及神经元死亡率的影响[J].山东中医药大学学报,2005,29(1):59-60.
[6]李宁,牛文民.针刺调心安神法治疗失眠临床观察[J].陕西中医学院学报,2014,37(2):30-32.
[7]张久行,赵义静,王春兰,等.百会功能浅析[J].中华针灸电子杂志,2014,3(3):19-21.
[8]周艳丽.针刺不同腧穴对失眠模型大鼠脑内神经递质5-HT、DA影响的实验研究[J].中国中医基础医学杂志,2012,18(8):887-888.
[9]陈建权,李娜,温会新,等.通利三焦针法联合血府逐瘀汤治疗失眠67例临床观察[J].河北中医,2014,36(4):524-525.
[10]温会新.通利三焦法对失眠患者多导睡眠图的影响[C]//中国中西医结合学会神经科专业委员会.第十一次中国中西医结合神经科学术会议论文汇编,2015:3.