结合经典从阴阳理论浅谈不寐病机与针刺治疗
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摘要
目的:从阴阳理论探求不寐的病机以及有效的针刺治疗方案。方法:以阴阳理论为主要依据阐释不寐病机及针刺治疗,分析不寐之病机,根据基本病机探索针刺治疗原则及选穴。结果与结论:卫气只能行于阳分而致阳胜,卫气不得入于阴分而致阴不足,阴虚阳胜,阴阳失交为不寐的根本病机。对不寐的治疗,应当探求它的阴阳变化的根本,补阴泻阳是治疗不寐的根本治则,必须贯穿于治疗的始终。针刺治疗不寐历史久远,它的操作、取穴等变化多样,但不论方法怎么变,总不外乎营卫阴阳的协调。
To explore the pathogenesis of insomnia and effective acupuncture treatment from Yin Yang theory.Methods: According to the theory of Yin and Yang, the pathogenesis of insomnia and acupuncture were explained, and the pathogenesis of insomnia was analyzed. According to the basic pathogenesis, the principle of acupuncture treatment and the selection of acupoints were explored. Results and conclusion: Wei Qi can only be done by Yang and Yang Sheng, and Wei Qi can not enter into Yin deficiency and Yang Sheng, Yin and Yang dis-intersection as the fundamental pathogenesis of insomnia. For the treatment of insomnia, the root of Yin and Yang changes should be explored.Replenishing Yin and reducing Yang is the fundamental treatment for insomnia. Acupuncture treatment of insomnia has a long history, its operation and acupoint changes are varied, but no matter how the method changes, it is nothing more than coordinating the Yin and Yang of the camp.
To explore the pathogenesis of insomnia and effective acupuncture treatment from Yin Yang theory.Methods: According to the theory of Yin and Yang, the pathogenesis of insomnia and acupuncture were explained, and the pathogenesis of insomnia was analyzed. According to the basic pathogenesis, the principle of acupuncture treatment and the selection of acupoints were explored. Results and conclusion: Wei Qi can only be done by Yang and Yang Sheng, and Wei Qi can not enter into Yin deficiency and Yang Sheng, Yin and Yang dis-intersection as the fundamental pathogenesis of insomnia. For the treatment of insomnia, the root of Yin and Yang changes should be explored.Replenishing Yin and reducing Yang is the fundamental treatment for insomnia. Acupuncture treatment of insomnia has a long history, its operation and acupoint changes are varied, but no matter how the method changes, it is nothing more than coordinating the Yin and Yang of the camp.
引文
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[16]王世广.针刺照海申脉为主治疗不寐症临床观察[J].中国针灸,2005,25(11):271.
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[22]成立,孙福军,梅建强,等.失眠的中医临床研究进展[J].时珍国医国药,2015,26(10):2484-2486.
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[24]何宝文,马铁明.营卫理论谈失眠病机[J].辽宁中医药大学学报,2014,16(5):128-129.
[25]徐波,游秋云,黄攀攀,等.从神论治失眠的中医药研究进展[J].时珍国医国药,2017,28(2):423-425.
[26]吴志强,孟建国.针刺治疗心肾不交型失眠13 6例[J].中国针灸,2012,32(5):430.
[27]洪碧琪,钟礼伦,彭颖君,等.中医治疗失眠的研究概况[J].中国民族民间医药,2017,26(7):69-72.
[28]王瑜.针灸治疗失眠的临床研究近况[J].Journal of Guangxi University of Chinese Medicine,2017,20(2):78-80.
[2]赵媛.浅析伤寒论对不寐症之证治研究[J].中医中药,2016,16(97):166-167.
[3]唐楚英,郭静,王麟鹏,等.原发性失眠的中西医治疗概述[J].世界中西医结合杂志,2015,10(6):869-873.
[4]王晔,杨海霞,郭蓉,等.补阴泻阳法对阴虚火旺型老年失眠患者睡眠质量的影响[J].陕西中医,2017,38(9):1241-1242.
[5]过颖颖,赵远红.中医辨治失眠概况[J].河南中医,2016,36(10):1852-1855.
[6]李铁,哈丽娟,曹方等.王富春教授“镇静安神”针法治疗失眠经验撷要[J].中国针灸,2015,35(11):1159-1162.
[7]薛爱珍,王君.失眠探微[J].实用中医内科杂志,2016,30(8):49-51.
[8]刘禹辛,刘晓艳.宋金元时期辨治失眠病证的文献研究[J].广州中医药大学学报,2016,33(1):141-146.
[9]陈静,刘立华.调和营卫外治法治疗失眠临床观察[J].世界中西医结合杂,2017,12(1):93-98.
[10]焦俊杰,郭洪亮,袁俊亮,等.失眠的病机本质探析[J].辽宁中医杂志,2016,43(10):2082-2085.
[11]潘早波,诸毅晖,易玉辉,等.夜滋阴、昼升阳治疗失眠症[J].中华中医药杂志,2016,31(10):3952-3954.
[12]杨润.“六步推拿法”治疗失眠症的机理探讨[J].世界中西医结合杂志,2017,12(8):1164-1167.
[13]解玉珍.中医中药治疗失眠现状的研究[J].现代诊断与治疗,2016,27(16):2986-2988.
[14]侯艳丽,欧阳颀,祁婷婷,等.补阴泻阳针刺法联合高压电位疗法治疗失眠的临床疗效及对睡眠质量的影响[J].河北中医,2016,38(9):1392-1394.
[15]陈淑兰,陈少玫.“胃不和则卧不安”与失眠辨治[J].实用中医内科杂志,2017,31(12):52-54.
[16]王世广.针刺照海申脉为主治疗不寐症临床观察[J].中国针灸,2005,25(11):271.
[17]钟玉梅,陈瓞,成博,等.调任通督治疗不寐[J].光明中医,2016,31(20):2929-2930.
[18]胡雨华,李国徽.针刺调理任督二脉治疗失眠症40例[J].陕西中医,2009,30(11):1519-1520.
[19]文培培,诸毅晖,寇君,等.“阴引阳,从阳引阴”对针灸治疗失眠的指导作用探讨[J].时珍国医国药,2015,26(7):1696-1698.
[20]宏伟,曹东方,唐永春.泻阳补阴法治疗失眠38例临床观察[J].上海针灸杂志,2004,23(7):14.
[21]杨翠花,魏琴,何林熹,等.从心神治疗失眠症探讨[J].时珍国医国药,2015,26(9):2211-2212.
[22]成立,孙福军,梅建强,等.失眠的中医临床研究进展[J].时珍国医国药,2015,26(10):2484-2486.
[23]丁艳,马睿杰.原络配穴治疗心肾不交型失眠症疗效观察[J].上海针灸杂志,2015,34(5):415-417.
[24]何宝文,马铁明.营卫理论谈失眠病机[J].辽宁中医药大学学报,2014,16(5):128-129.
[25]徐波,游秋云,黄攀攀,等.从神论治失眠的中医药研究进展[J].时珍国医国药,2017,28(2):423-425.
[26]吴志强,孟建国.针刺治疗心肾不交型失眠13 6例[J].中国针灸,2012,32(5):430.
[27]洪碧琪,钟礼伦,彭颖君,等.中医治疗失眠的研究概况[J].中国民族民间医药,2017,26(7):69-72.
[28]王瑜.针灸治疗失眠的临床研究近况[J].Journal of Guangxi University of Chinese Medicine,2017,20(2):78-80.