摘要
[目的]探析从"肺主治节"的角度论治不寐的理论依据及临床意义。[方法]围绕"肺者,相傅之官,治节出焉",对"肺主治节"的内涵进行分析,探析"肺主治节"与不寐的相关性。在查阅诸多古籍和现代研究的基础上,探究"肺主治节"在不寐的发生及诊治中的意义,并各附医案以证其效。[结果]从"肺主治节"诊治不寐有较好的理论基础。若肺失治节,将影响呼吸节律、卫气循行、气血循行、水液输布、魄之所处等,从而影响人体寤寐节律,产生不寐。各家分别立足于调节肺的气机、调和营卫、调和气血、养阴润肺、温肺化饮、养气安魄等角度治疗不寐,获得良效。[结论]"肺失治节"能引致呼吸失司、营卫不和、气血失调、津水不布、魄无所归,从而引起不同证型的不寐。不寐调治从肺入手,效如桴鼓。
[Objective] To explore the theoretical basis and clinical significance of the treatment of insomnia from the perspective of “lung governing management and regulation”. [Methods] According to the “the lung, as the prime minister, governing management and regulation”, this paper analyzed the connotation of “lung governing management and regulation”, and explored the relationship between“lung governing management and regulation” and insomnia by reading classic books and modern literatures. After that, medical cases were attached to prove its validity. [Results] There is a good theoretical basis for the diagnosis and treatment of insomnia from the “lung governing management and regulation”. Pulmonary dysfunction may affect the rhythm of breathing, the circulation of defensive Qi, the circulation of Qi and blood, the distribution of liquid, and the location of soul, thus affecting the sleep rhythm. Many distinguished TCM doctors usually based on the adjustment of the Qi mechanism, the coordination of Ying and Wei, the coordination of Qi and blood, the nourishment of lung Yin, the warming of the lung and the nourishment of Qi to calm the soul, which obtained good results in the treatment of insomnia.[Conclusion] Pulmonary dysfunction can cause disturbance in respiration, disharmony between Ying and Wei, imbalance of Qi and blood,obstruction of water and liquid movement and insanity, which lead to different syndrome types of the insomnia. Therefore, the diagnosis and treatment of insomnia from the perspective of the lung is effective.
作者
郑凌歆
王颖
ZHENG Lingxin;WANG Ying(The First Clinical School of Zhejiang Chinese Medical University,Hangzhou 310053,China;School of Basic Medical Science,Zhejiang Chinese Medical University)
出处
《浙江中医药大学学报》
CAS
2022年第1期23-27,59,共6页
Journal of Zhejiang Chinese Medical University
基金
国家自然科学基金项目(81703961)。
关键词
肺主治节
不寐
证治
寤寐节律
文献研究
医案
lung governing management and regulation
insomnia
syndrome and treatment
sleep rhythm
literature research
medical cases
