首页|基于圆运动理论探讨针刺治疗心肾不交型围绝经期失眠

基于圆运动理论探讨针刺治疗心肾不交型围绝经期失眠

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以彭子益圆运动古中医学理论为依据,从调整升降,运动复圆的角度出发,分析心肾不交型围绝经期失眠升降失调、阴阳失衡、互不相交的关键影响因素,论述基于彭子益圆运动古中医学理论指导下,针刺治疗心肾不交型围绝经期女性失眠的临床思路.心肾不交为围绝经期女性失眠的主要病因病机,围绝经期女性因天癸渐竭,肾精亏虚,肾水无法上济于心;气血耗伤,气机郁结,心火妄动,不能下交于心,心肾不交,脏腑气机升降功能失衡,从而圆运动失衡,导致失眠的发生.根据圆运动理论,提出调整四维升降,并兼顾中轴旋转,从而使圆运动复圆的治疗原则,在临床上以滋补肾脏、清心安神,兼以调理脾胃的针刺治疗方案,通过调理心肾、补益中焦,恢复气机升降协调,让机体圆运动复圆,从而达到治疗心肾不交型围绝经期失眠的目的.
Discussion on Acupuncture Treatment of Perimenopausal Insomnia of Teart-kidney Disharmony Type based on Circular motion Theory
Based on PENG Ziyi's ancient Chinese medicine theory of circular motion,from the perspective of ad-justing the ascending and descending and restoring the circular motion,the key influencing factors of ascending and descending disorder,yin and yang imbalance,and mutual non-intersection of perimenopausal insomnia of the heart-kidney disharmony type are analyzed,and the clinical thinking of acupuncture treatment of perimenopausal insomnia of the heart-kidney disharmony type under the guidance of PENG Ziyi's ancient Chinese medicine theory of circular motion is discussed.Heart-kidney disharmony is the main cause and pathogenesis of perimenopausal insomnia.Peri-menopausal women have a gradual depletion of Tiangui,kidney deficiency,and kidney water cannot go up to the heart;Qi and blood are damaged,Qi is stagnant,heart fire moves recklessly,and cannot go down to the heart.Heart-kidney disharmony,the ascending and descending function of the viscera Qi is unbalanced,and the circular motion is unbal-anced,leading to the occurrence of insomnia.According to the theory of circular motion,the treatment principle of ad-justing the four-dimensional rise and fall and taking into account the rotation of the central axis to restore the circular motion is proposed.In clinical practice,the acupuncture treatment program is to nourish the kidney,clear the heart and calm the mind,and regulate the spleen and stomach.By regulating the heart and kidney,replenishing the middle Jiao,restoring the coordination of the rise and fall of the Qi,and restoring the circular motion of the body,the purpose of treating perimenopausal insomnia of the heart-kidney disharmony type is achieved.

Circular motion theoryAcupuncturePerimenopausal insomnia

倪许玲、尹莲花、伍丽娟

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福建中医药大学附属第二人民医院 福建 福州 350000

圆运动理论 针刺 围绝经期失眠

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(10)