文献类型：期刊文献

中文题名：基于脾为之卫探讨失眠症

英文题名：Discussion on Insomnia Based on Theory of Spleen Governing Defensive Qi

作者：张丽敏[1];宋忠阳[1];杜婷婷[1];雍文兴[2];张志明[2]

第一作者：张丽敏

机构：[1]甘肃中医药大学,甘肃兰州730000;[2]甘肃中医药大学附属医院,甘肃兰州730000

第一机构：甘肃中医药大学

年份：2021

卷号：53

期号：17

起止页码：206

中文期刊名：新中医

外文期刊名：New Chinese Medicine

基金：甘肃省科技计划资助项目(18YF1FA044)。

语种：中文

中文关键词：失眠;脾胃;卫气;脾为之卫;《黄帝内经》

外文关键词：Insomnia;Spleen and stomach;Defensive qi;Spleen governing defensive qi;Huangdi Neijing

摘要：失眠症是临床诊疗中常见的疾病之一,其病机复杂多样,主要以三大主症为主:入睡困难、睡眠时间过短、易醒,会潜移默化地影响患者的情感及日常的工作学习状态,大大降低患者的生活幸福感。着眼于《黄帝内经》"卫气不能由阳入阴"的理论,指出不寐与脾胃、卫气的相关性,阐述"脾为之卫"的主张,并基于此主张来探讨失眠的病机,指出"脾为之卫"理论可用于临床指导失眠的治疗,为临床治疗失眠提供新的思路。
Insomnia is one of the common diseases in clinical diagnosis and treatment. Its pathogenesis is complex and diverse,which mainly consists of three main symptoms: difficulty in falling asleep,short sleep time and easiness in waking up. It will imperceptibly affect the emotion,daily work and study state of patients,greatly reducing their life happiness. By focusing on the theory that "defensive qi cannot pass from yang to yin" in Huangdi Neijing,this paper points out the correlation between insomnia and the spleen,the stomach and defensive qi,and expounds the proposition that "the spleen governs defensive qi",and also discusses the pathogenesis of insomnia based on this proposition. It is pointed out that the theory of "the spleen governing defensive qi" can be used to guide and provide a new idea for the clinical treatment of insomnia.