文献类型：期刊文献

中文题名：基于一气周流理论论治失眠

英文题名：Treatment of Insomnia Based on Theory of Qi Circulation

作者：胡文静[1];王建涛[2];王亚男[1];雒晨阳[1];王倩倩[1];胡敏棣[3]

第一作者：胡文静

机构：[1]甘肃中医药大学,甘肃兰州730030;[2]成都中医药大学,四川成都610000;[3]甘肃省中医院,甘肃兰州730050

第一机构：甘肃中医药大学

年份：2026

卷号：50

期号：1

起止页码：37

中文期刊名：山东中医药大学学报

外文期刊名：Journal of Shandong University of Traditional Chinese Medicine

基金：甘肃省名中医传承工作室(批文号:甘中医药发〔2024〕7号)。

语种：中文

中文关键词：失眠;一气周流;调理中州;调畅气机;交通心肾;黄元御;彭子益

外文关键词：insomnia;qi circulation;regulating the middle energizer;regulating qi movement;coordinating heart and kidney;HUANG Yuanyu;Peng Ziyi

摘要：以黄元御的“一气周流”理论和彭子益的“圆运动”学说为理论基础,从整体上把握失眠的诊断和治疗,认为失眠的核心病机是己土不升,戊土不降,中焦枢纽运行障碍,气机阻滞不畅,胃气失和,气血生化乏源,不能上奉于心,以致心神不安,无血柔肝养肝,肝体失柔和,后天无法滋养先天,肾精无法上承于心,坎离不济,脏腑失和,神不内守,以致目不瞑。基于一气周流模式联系临床实践探讨失眠的治疗,提出培土化源、调理中州,佐金平木、调畅气机,泻南补北、交通心肾的治疗原则,并据此自拟柴归安神方以疏肝养血,执中卫土。
Based on HUANG Yuanyu’s theory of“qi circulation”and Peng Ziyi’s theory of“circular movement of qi”,this paper grasps the diagnosis and treatment of insomnia from an overall perspective.It holds that the core pathogenesis of insomnia lies in the failure of spleen(Ji Tu)to ascend,stomach(Wu Tu)to descend,dysfunction of the middle energizer as the hub,stagnation of qi movement,disharmony of stomach qi,insufficiency of qi and blood production,which fails to nourish the heart,leading to restlessness of the mind.Meanwhile,without blood to soften and nourish the liver,the liver loses its tenderness.The acquired foundation cannot nourish the innate foundation,so kidney essence cannot ascend to the heart,resulting in discordance between heart and kidney,disharmony of Zang-Fu organs,and failure of spirit to be housed internally,thus causing insomnia.Based on the mode of qi circulation and combined with clinical practice,this paper discusses the treatment of insomnia,and puts forward the therapeutic principles of invigorating the spleen to replenish the source and regulating the middle energizer,supporting metal to suppress wood and regulating qi movement,reducing heart fire and tonifying kidney yin to coordinate heart and kidney.On this basis,the selfformulated Chaigui Anshen Decoction(柴归安神方)is proposed to soothe the liver and nourish blood,and strengthen the middle energizer and spleen,providing a new concept for clinical treatment of insomnia.