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从“以平为期”探讨失眠论治
张贺翔1, 王若楠2, 张美玉1
1.河北省沧州中西医结合医院, 沧州 061000;2.承德医学院中医学院, 承德 067000
摘要:
失眠的发生与脏腑功能失调相关,病机复杂。失眠总属人体平衡被打破所致,脏腑失衡易致心神不宁,进而出现失眠,因此失眠的治疗应当以恢复其脏腑功能平衡为要。“以平为期”理论源自《黄帝内经》,对于失眠的治疗具有重要的指导意义。“以平为期”理论指导下,论述失眠与阴阳气血密切相关,并通过使用调升降、和气血、理中州等方法,对治疗失眠有积极作用,以期临床失眠的诊治中起到借鉴和参考作用。
关键词:  以平为期  失眠  理论探讨
DOI:10.11656/j.issn.1672-1519.2025.06.09
分类号:R256.23
基金项目:河北省中医药管理局(2020464,2021293)。
Discussion on the treatment of insomnia based on the theory of “pursuing the state of equilibrium”
ZHANG Hexiang1, WANG Ruonan2, ZHANG Meiyu1
1.Cangzhou Integrated Traditional Chinese and Western Medicine Hospital, Cangzhou 061000, China;2.College of Traditional Chinese Medicine, Chengde Medical University, Chengde 067000, China
Abstract:
Insomnia is associated with dysfunction of internal organs and has complex pathogenesis. The disease is always caused by imbalance of the human body. Visceral imbalance can easily lead to mental and spiritual unrest,and then insomnia,so the treatment of insomnia should be to restore the balance of visceral functions. The theory of “pursuing the state of equilibrium” comes from the yin and yang,which has an important guiding significance for the treatment of insomnia. Guided by this theory,this article discusses the close association of insomnia with yin and yang,qi and blood,and its positive effect on the treatment of insomnia by the methods of regulating ascending and descending qi,reconciling qi and blood,and nursing the spleen and stomach,with a view to serving as a reference in the clinical diagnosis and treatment of insomnia.
Key words:  pursuing the state of equilibrium  insomnia  theoretical discussion
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