首页|蔡圣朝教授基于"玄府"理论针灸治疗围绝经期失眠

蔡圣朝教授基于"玄府"理论针灸治疗围绝经期失眠

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围绝经期是女性绝经前后的一段特殊时期,失眠是这一特殊时期的主要表现.蔡圣朝教授认为围绝经期失眠病机为冲任虚损,玄府失司,阴阳失调,神机失用,从临床中总结出常见的四种证型:精血亏虚型、阳虚郁滞型、肝郁气滞型、阴虚火旺型.独创"调任通玄安神针法",分别从补益精血,养虚开玄;温补阳气,通滞开玄;宣通气机,散郁开玄;滋阴降火,清心开玄四个方面治疗,以期为临床治疗围绝经期失眠提供新的辨证论治思路.
Professor Cai Shengchao's Acupuncture Treatment for Perimenopausal Insomnia Based on the"Xuanfu"Theory
The perimenopausal period is a unique phase for women around menopause,with insomnia as a primary symptom.Professor Cai Shengchao identifies the pathogenesis of perimenopausal insomnia as deficiencies in the Thoroughfare and conception vessels,dysfunction of the"Xuanfu,"imbalance of Yin and Yang,and vital activity apraxia.Based on clinical observations,he has categorized four common syndrome types:deficiency of essence and blood,stagnation due to Yang deficiency,qi stagnation due to liver depression,and Yin deficiency with effulgent fire.His original"acupuncture technique for regulating conception vessel and opening"Xuanfu"to tranquilize mind"addresses treatment from four perspectives:tonifying and replenishing essence and blood to tonify deficiency and open"Xuanfu";warming and tonifying Yang qi to unblock stagnation and open"Xuanfu";diffusing and unblocking qi movement to dissipate stagnation and open"Xuanfu";and enrich Yin to down-bear fire and clear the heart to open"Xuanfu".This approach aims to provide new perspectives for the clinical treatment of perimenopausal insomnia based on syndrome differentiation.

XuanfuThoroughfare and conception vesselsPerimenopausal insomniaAcupuncture

鹿思佳、蔡圣朝

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安徽中医药大学第二临床医学院,安徽 合肥 230022

安徽中医药大学第二附属医院,安徽 合肥 230061

玄府 冲任 围绝经期失眠 针灸

2025

中医药学报
中华中医药学会,黑龙江中医药大学

中医药学报

影响因子:1.169
ISSN:1002-2392
年,卷(期):2025.53(1)