从"昼升阳、夜滋阴"探讨吴门医派昼夜双处方治疗失眠的特色
"Raising yang by day and nourishing yin by night":characteristics and clinical application of the dual prescriptions for insomnia of the Wumen School of Traditional Chinese Medicine
范浩浩 1董宏利2
作者信息
- 1. 南京中医药大学 南京 210023
- 2. 南京中医药大学附属苏州市中医医院
- 折叠
摘要
失眠在中医学归为"不寐""目不瞑""不得眠""不得卧""卧不安"等范畴,营卫失和、阴阳失交为其主要病机.对于阴阳失调之不眠者,滋阴的同时要注重升阳,才能精足神旺,昼精夜瞑.针对无内外邪气侵犯之不寐者,注重滋阴气、养营血即可.夜间滋阴气、养营血,使气机收敛沉降,将内收之气转化成五脏所藏之阴精营血,则白昼精足神旺.运用吴门医派昼夜双处方论治失眠,昼方升阳以达"昼精",夜方滋阴以促"眠睡",使机体处于夜间"阳气尽、阴气盛"、白昼"阴气尽、阳气盛"的状态,顺应天时,调和阴阳,达到昼精夜瞑、阴平阳秘的状态.结合临床病案对吴门医派昼夜双处方治疗失眠的临床应用思路进行介绍.
Abstract
Insomnia in traditional Chinese medicine is categorized as bumei(sleeplessness),mubuming(inability to close eyes),budemian(inability to sleep),budewo(difficulty lying down),and wobu'an(unrestful sleep),with the main pathogenesis being the disharmony between yin and yang.For individuals experiencing insomnia due to yin-yang imbalance,it is crucial to focus on boosting yang while nourishing yin to ensure full energy during the day and sound sleep at night.Conversely,for those experiencing sleeplessness without the intrusion of internal or external pathogenic factors,emphasis should be placed on nourishing yin qi and replenishing ying-blood.By doing so,the body's qi can settle,transforming inwardly gathered qi into the yin essence and ying-blood stored within the organs,resulting in vitality during the day.The application of the dual prescriptions for insomnia of the Wumen School of Traditional Chinese Medicine(a.k.a.the Suzhou School of Traditional Chinese Medicine),which emphasizes raising yang during the day to attain"daytime vitality"and nourishing yin at night to facilitate"restful sleep",ensures that the body experiences"yang energy depletion and yin energy abundance"at night and"yin energy depletion and yang energy abundance"during the day,aligning with the natural rhythm and harmonizing yin and yang to achieve a state of vitality during the day and restfulness at night.This paper introduces the clinical application approach of the dual-prescription treatment for insomnia of the Wumen School of TCM based on clinical cases.
关键词
失眠/昼升阳/夜滋阴/双处方/吴门医派Key words
insomnia/raising yang by day/nourishing yin by night/dual prescriptions/Wumen School of Traditional Chinese Medicine引用本文复制引用
基金项目
江苏省中医药局面上项目(YB2020056)
南京中医药大学自然科学研究项目(XZR2020035)
姑苏卫生重点人才项目(GSWS2020080)
出版年
2024
国家科技期刊平台
NSTL
万方数据