首页|从"肝"论治飞行疲劳

从"肝"论治飞行疲劳

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飞行疲劳是因工作负荷导致飞行员生理心理变化、认知能力下降一种生理状态,若疲劳状态不能及时干预,可能由生理状态向病理状态转化,将致身体器官功能减退。属于中医"劳倦"的范畴,则劳倦属于中医学"未病"范畴。飞行疲劳总责之于肝失疏泄导致心理疲劳、肝筋失养导致身体疲劳、肝不舍魂导致睡眠障碍,本病病位在于心肺脾肾,源于肝,病因多与情志内伤、饮食不节、烦劳过度、禀赋薄弱等因素相关,但以内伤尤其伤神过劳为主要病因,总病机为肝失疏泄、肝筋失养、血不舍魂、气血失和、阴阳失调,总治则治法为疏肝理气、调和气血、平衡阴阳。飞行疲劳飞行员的中医腹诊具有"胸胁苦满"之共同点,根据胸胁苦满的程度、腹力以及症状,运用柴胡类方干预飞行疲劳。
Treating flight fatigue with the"liver"
Flight fatigue is a physiological state caused by workload that leads to physiological and psychological changes and cognitive decline in pilots.If the fatigue state cannot be intervened in time,it may be transformed from a physiological state to a pathological state,which will lead to the decline in the function of body organs.This state belongs to the category of"overstrain"in Chinese medicine,and overstrain belongs to the category of"undiseased"in Chinese medicine.Flight fatigue is caused by the dysfunction of the liver's conveyance and dispersion,which leads to mental fatigue,the loss of nourishment of the tendon and ligament,which leads to physical fatigue,and the disturbance of liver storing soul,which leads to sleep disorder.This disease is located in the heart,lungs,spleen and kidneys,and originates from the liver.Its etiology is mostly related to internal injuries of emotions and feelings,dietary disorders,overwork and weak natural endowment,but internal damage,especially injury to the mind and overexertion,are the main causes.The general pathogenesis is dysfunction of the liver's conveyance and dispersion,loss of nourishment of the tendon and ligament,disharmony of qi and blood,imbalance of yin and yang,and the general rule of treatment is to dispersing liver and regulating qi,harmonizing qi and blood and coordinating yin and yang.Flight fatigue pilots,using Chinese medicine abdominal diagnostic examination,have the common denominator of"fullness and discomfort in chest and hypochondrium",according to the degree of chest and hypochondriac pain and fullness,abdominal force and symptoms,can be used to intervene in the Chai Hu class of traditional Chinese medicine formulas.

PilotsFlight fatigueLiverFullness and discomfort in chest and hypochondriumChai Hu class of traditional Chinese medicine formulas

张晓、曹小勇

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联勤保障部队第九八八医院特勤科,河南郑州 450042

飞行员 飞行疲劳 胸胁苦满 柴胡类方

河南省医学科技攻关计划联合共建项目

LHGJ20220917

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(8)
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