摘要
失眠患病率高、持续时间长、危害大,困扰从大学生至工作族全年龄段成年人群,已经成为严重威胁人类身心健康和经济发展的突出问题,亟待解决。目前广泛认为,过度觉醒导致的睡眠-觉醒节律紊乱是失眠发生的重要机制。营卫不和是中医不寐的病机,调和营卫可以治疗失眠。推测和调营卫治疗失眠的机制可能是通过调节睡眠-觉醒节律实现。本文以睡眠-觉醒节律为核心,从营卫理论、过度觉醒假说以及调和营卫治疗失眠三方面阐述,以期为调和营卫治疗失眠提供了支持,也为失眠诊疗提供新思路。
Insomnia,with its high prevalence,long duration,and great harm,has become an outstanding problem that seriously threatens the physical and mental health of human beings and economic development and needs to be solved urgently,as it bothers adults of all ages,from college students to working people.It is now widely recognized that sleep-wake rhythm disorder caused by excessive awakening is an important mechanism for insomnia.Ying-wei disharmony is the pathogenesis of insomnia in Chinese medicine,and harmonizing Ying-wei can treat insomnia.It is hypothesized that the mechanism of regulating Ying-wei to treat insomnia may be realized by regulating the sleep-wake rhythm.This paper focuses on the sleep-wake rhythm,and elaborates on three aspects,namely,the theory of Ying-wei,the hypothesis of excessive awakening,and the treatment of insomnia by regulating Yingwei,in order to provide support for the treatment of insomnia by regulating Ying-wei and to provide new ideas for the diagnosis and treatment of insomnia.
作者
王芳
谢超群
谢芳芳
马健文
姚斐
WANG Fang;XIE Chaoqun;XIE Fangfang;MA Jianwen;YAO Fei(Physical Examination Center,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China;School of Acupuncture-Moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《医药前沿》
2023年第33期51-54,共4页
Journal of Frontiers of Medicine
基金
国家自然科学基金(82374610,82105038)
青年岐黄学者支持项目。
关键词
营卫不和
过度觉醒
失眠
神经递质
节律
Ying-wei discord
excessive arousal
insomnia
neurotransmitter
rhythm
