首页|基于"时空病机"理论辨治糖尿病合并失眠

基于"时空病机"理论辨治糖尿病合并失眠

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失眠作为糖尿病患者常见的并发症之一,严重影响着患者精神状态及生存质量;长期睡眠障碍又易引起糖代谢紊乱,导致血糖更难以控制.因此,对于糖尿病患者而言,改善失眠状态尤为重要.中国先贤通过对日月星辰和万物生长盛衰的观察,认识到自然界时间、空间的变化直接或间接地影响着人体生理活动与疾病的变化,把时空的变换、流转与生命现象和疾病的发生发展规律整合在一起.基于"时空病机"辨治即是以"司天,司人,司病证"及"五象(天象、气象、物象、证象、脉象)合参"为主要指导思路,遵循"必先岁气,无伐天和"的原则,强调病机与证候并重、内治与外治结合、择时顺势给药,形成"纵""横"立体的综合辨治法.该治法强调服药有时,"司天"为主;服药有择,"司人"为基;服药有度,"司病证"为循,最终促进人体阴阳平衡,使患者得以"阴平阳秘"从而恢复"昼精夜寐"的状态.
Differentiation and Treatment of Diabetes with Insomnia Based on Theory of"Space-Time Pathogenesis"
Insomnia,as one of the common complications in diabetic patients,seriously affects their mental state and quality of life;long-term sleep disorders are prone to cause glucose metabolism disorders,resulting in more difficult to control blood glucose.Therefore,it is especially important for diabetic patients to improve insomnia.Chinese sages,through the observation of the sun,moon and stars and the growth and decline of all things,recognized that the changes in time and space in nature directly or indirectly affect the physiological ac-tivities of the human body and changes in disease,the transformation of time and space,the flow of the phenomenon of life and the de-velopment of the law of disease integrated together.Based on the"space-time disease mechanism"treatment is based on the main guiding principles of"heaven,man,disease"and"five signs(signs of heaven,Qi,object,syndrome,pulse)together".The principle of"based on Sui Qi and the harmony of nature"should be followed,emphasizing both the disease mechanism and symptoms,combining internal with external treatments,and selects the time to give medicines in accordance with the trend,forming a"vertical"and"horizon-tal"three-dimensional comprehensive treatment system.The treatment method emphasizes that when taking medication,"Si Tian(studying nature)"is the main focus;when taking medication,"Si Man(studying man)"is the basis;when taking medication,"Si Disease(studying disease and syndrome)"is the basis,which ultimately promotes the balance of Yin and Yang in human body,so that the patient can enjoy the"balance of Yin and Yang in the body so that can recover the state of"daytime activeness and nighttime sleep-ing".

diabetes mellitusinsomnia"time-space mechanism"Si man(studying man)Si heaven(studying nature)Si disease(studying disease and syndrome)

侯金易、李垚锬、王耀献、刘伟敬、王珍

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北京中医药大学东直门医院,北京 100700

北京中医药大学,北京 100029

河南中医药大学,河南郑州 450046

糖尿病 失眠 "时空病机" 司人 司天 司病证

2025

中医学报
河南中医药大学,中华中医药学会

中医学报

影响因子:1.264
ISSN:1674-8999
年,卷(期):2025.40(1)