[1]张 梦,谭 甜,吴 远,等.名中医吴清明应用“胆气春生”理论治疗不寐经验[J].陕西中医杂志,2024,(4):545-548.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.025]
　ZHANG Meng,TAN Tian,WU Yuan,et al.Wu Qingming's experience in treating insomnia by applying the theory of “gallbladder qi rising in spring”[J].,2024,(4):545-548.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.025]
点击复制

名中医吴清明应用“胆气春生”理论治疗不寐经验
分享到：

《陕西中医》杂志[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年4期
页码:
545-548
栏目:
名中医经验
出版日期:
2024-04-05

文章信息/Info

Title:
Wu Qingming's experience in treating insomnia by applying the theory of “gallbladder qi rising in spring”
作者:
张 梦1; 谭 甜1; 吴 远1; 石学慧2; 吴清明2; 刘 恋2
(1.湖南中医药大学第二中医临床学院,湖南 长沙 410005; 2.湖南中医药大学第二附属医院,湖南 长沙 410005)
Author(s):
ZHANG Meng; TAN Tian; WU Yuan; SHI Xuehui; WU Qingming; LIU Lian
(The Second Clinical Medical School of Hunan University of Chinese Medicine,Changsha 410005,China)
关键词:
不寐;  胆气春生;  名医经验;  吴清明;  少阳;  阴平阳秘
Keywords:
Insomnia;  Gallbladder qi rising in spring;  Famous doctor's experience;  Wu Qingming;  Shaoyang;  Relative equilibrium of yin-yang
分类号:
R 256.23
DOI:
DOI:10.3969/j.issn.1000-7369.2024.04.025
文献标志码:
A
摘要:
失眠是常见的内科疾病之一,传统中医学称“不寐”“不眠”等,现代医学称为失眠症,是最常见的睡眠障碍。按照现代医学的标准,其主要表现有在合适的睡眠条件下仍入睡困难,或时睡时醒,或醒后难再入睡,甚则彻夜不眠等。本病病位在“心”,与情志因素等密切相关,其核心病机为心神不安,神气不和。吴清明教授将“不寐”的生理病理与《脾胃论》中的“胆气春生”及其中“少阳为枢”的学术思想相联系,结合自身临床实践经验,提出观点:少阳在气的运化中起着至关重要的调控作用,胆气为人体阳气激发的重要枢纽,在人体阴阳调和中发挥着不可忽视的作用。他阐明了失眠与胆气的关系,主张调节全身气机必先升发胆气,在本病的治疗中取得了较好的临床疗效。
Abstract:
Insomnia is one of the common internal diseases,which is called “insomnia” or “sleeplessness” in traditional Chinese medicine and insomnia in modern medicine,and it is the most common sleep disorder.According to the standards of modern medicine,its main manifestations include difficulty in falling asleep under suitable sleeping conditions,or sometimes waking up when sleeping,or difficulty in falling asleep again after waking up,or even staying awake all night.This disease is located in the “heart” and is closely related to emotional factors.The core mechanism of the disease is that the heart spirit are restless,and the shen and qi are not in harmony.Prof.Wu Qingming linked the physiopathology of “insomnia” with the academic theory of “gallbladder qi rising in spring” and “Shaoyang as the pivot” in “Treatise on Spleen and Stomach”,and combined it with his own clinical experience to put forward the viewpoint that Shaoyang is the center of qi.He put forward the viewpoint that Shaoyang plays a crucial role in regulating the transportation of qi,and gallbladder qi is an important pivot for the stimulation of yang qi in the human body,which plays an indispensable role in the regulation of yin and yang in the human body.He clarified the relationship between insomnia and gallbladder qi,and advocated that regulating the whole body's qi must first elevate gallbladder qi,which has achieved good clinical results in the treatment of this disease.

参考文献/References:

[1] 苟永鹏,张筱微,孙少卫,等.失眠症中西医治疗进展综述[J].中国疗养医学,2022,31(5):483-491.
[2] 李丹,迟丽屹.急性脑卒中患者血清氧化应激水平与睡眠障碍相关性研究[J].陕西医学杂志,2021,50(10):1250-1252,1256.
[3] 刘晓荻,薛惠文.失眠会增加心脏病和卒中风险[J].基础医学与临床,2020,40(4):537.
[4] 陈冬真,虢周科,王建军,等.虢周科教授治疗失眠伴焦虑状态临床经验[J].陕西中医,2022,43(8):1095-1098.
[5] 黄冰玥,侯玉铎,张文超.失眠障碍的中西医诊疗现状探析[J].临床医药实践,2022,31(7):535-538,557.
[6] 王小翻,朱江,冯丙东,等.脑卒中后癫痫患者失眠影响因素分析[J].陕西医学杂志,2023,52(3):321-324.
[7] 王诗恒,刘剑锋,秦培洁,等.刘剑锋教授治疗失眠临床经验[J].陕西中医,2020,41(1):95-98.
[8] 李思墨.基于文献的中医睡眠生理及失眠病因病机研究[D].哈尔滨:黑龙江中医药大学,2021.
[9] 郭太品,梁繁荣,任玉兰,等.《黄帝内经》四时与五脏关系及在针灸中的运用[J].中医杂志,2013,54(5):369-371.
[10] 陈思婷,张泽鑫,洪晓帆.从《黄帝内经》原文看“凡十一脏取决于胆”[J].中医杂志,2018,59(16):1432-1434.
[11] 史佳岐,王小平.《黄帝内经》“脾不主时”理论探讨[J].中华中医药杂志,2020,35(2):842-844.
[12] 马丹,周斌.“胆气春升理论”溯源及其与脾胃病的机理探究[J].中华中医药杂志,2020,35(9):4331-4333.
[13] 胡济源,张向伟,柳红芳.论“少阳为枢”的理论内涵[J].环球中医药,2018,11(12):1913-1915.
[14] 王瀚康,傅休,吴明月,等.“胆气春升论”的病机探讨与临床运用[J].天津中医药大学学报,2021,40(2):192-194.
[15] 高雅,安宏,徐世杰.“君主之官”与“中正之官”新解[J].中国医药导报,2018,15(36):129-131.
[16] 刘云芳,过伟峰.过伟峰教授从“心胆神合”论治精神系统疾病[J].中华中医药学刊,2016,34(10):2332-2334.
[17] 刘朋,滕晶.从“胆气春升”理论角度解析抑郁症的发生与发展[J].中医杂志,2022,63(23):2297-2300.
[18] 关运祥,陈景霞,王宝亮.关于《伤寒论》中三枢理论的理解[J].中医研究,2022,35(6):9-12.
[19] 唐启盛,孙文军,曲淼.中国民族医药治疗成人失眠的专家共识[J].北京中医药大学学报,2022,45(1):21-28.
[20] 陈健,李忠,王冉然.《黄帝内经》“神”的内涵探析[J].中华中医药杂志,2022,37(7):4007-4010.
[21] 张心平,杨美霞,张守中,等.《黄帝内经》不寐证的理论探讨及临床应用[J].中华中医药杂志,2019,34(12):5765-5767.
[22] 李同同,薛哲,梁媛,等.基于“少阳为枢”探讨抑郁症从胆论治[J].中国中医基础医学杂志,2022,28(10):1590-1592.
[23] 乔森,段力,罗莎,等.“心主神明”理论指导针灸治疗难治性突发性耳聋探讨[J].中国针灸,2019,39(9):1013-1015.
[24] 樊经洋,翟双庆.天人视域下的《黄帝内经》“心主神明”命题探析[J].北京中医药大学学报,2022,45(4):325-333.
[25] 江伊乐,黄永红,张正.张正基于气机升降运动采用针药结合治疗失眠的经验[J].广州中医药大学学报,2022,39(10):2416-2420.

备注/Memo

备注/Memo:
基金项目:湖南省自然科学基金资助项目(2023JJ40495); 国家中医药管理局全国名老中医药专家传承工作室建设项目[国中医药人教函(2022)75号]; 湖南省卫生健康委员会科研计划项目(D202319017502)
更新日期/Last Update: 2024-04-10