Discussion on the Four-Season Pathogenesis and Treatment of Insomnia Based on the “Circular Movement of <italic style="font-style: italic">Yang</italic> <italic style="font-style: italic">Qi</italic> Ascending and Descending”

PENG Bin; WANG Guowei; GU Jienan; WANG Yongtao; XU Shijie

doi:10.13288/j.11-2166/r.2023.21.007

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Discussion on the Four-Season Pathogenesis and Treatment of Insomnia Based on the “Circular Movement of Yang Qi Ascending and Descending”

更新时间：2023-10-26

- Discussion on the Four-Season Pathogenesis and Treatment of Insomnia Based on the “Circular Movement of Yang Qi Ascending and Descending”
- Journal of Traditional Chinese Medicine Vol. 64, Issue 21, Pages: 2192-2196(2023)
- 作者机构：
  
  中国中医科学院中医基础理论研究所，北京市东城区东直门内南小街16号，100700
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.21.007
  CLC：
- Received：09 May 2023，
  
  Revised：2023-08-17，
  
  Published：02 November 2023
- 稿件说明：
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彭彬,王国为,谷劼楠等.基于“阳气升降圆运动”探讨失眠的四时病机及治法[J].中医杂志,2023,64(21):2192-2196.

PENG Bin,WANG Guowei,GU Jienan,et al.Discussion on the Four-Season Pathogenesis and Treatment of Insomnia Based on the “Circular Movement of YangQi Ascending and Descending”[J].Journal of Traditional Chinese Medicine,2023,64(21):2192-2196.
彭彬,王国为,谷劼楠等.基于“阳气升降圆运动”探讨失眠的四时病机及治法[J].中医杂志,2023,64(21):2192-2196. DOI： 10.13288/j.11-2166/r.2023.21.007.

PENG Bin,WANG Guowei,GU Jienan,et al.Discussion on the Four-Season Pathogenesis and Treatment of Insomnia Based on the “Circular Movement of YangQi Ascending and Descending”[J].Journal of Traditional Chinese Medicine,2023,64(21):2192-2196. DOI： 10.13288/j.11-2166/r.2023.21.007.

摘要

在“阳气升降圆运动”理论的视域下，基于人体脏腑阳气盛衰的季节变化特点探讨失眠的四时病机及治法，认为失眠的病机以脾胃亏虚，湿邪内生为核心，四时病机各有侧重。春季阳气升发异常，肝火上炎或肝气郁滞；夏季阳气偏盛于上，心胆火旺；秋季肺降失司，阳气下降异常，阳热化燥或营卫失和；冬季阳气潜藏失常，虚阳浮越或阴阳两虚。倡导在时间的动态变化中灵活把握失眠的病机，提出构建以化湿健脾为核心，疏肝健脾、清降心胆、肃降肺气、潜阳益肾为四时侧重的“复阳升降”辨治框架，从而丰富以年节律时间特点辨治失眠的中医时间医学研究，以期更好地服务临床，为临床诊治失眠提供思路。

Abstract

In the perspective of the theory of “circular movement of y

ang

ascending and descending”， the author explores the four-season pathogenesis and treatment of insomnia based on the seasonal changes of the body's

yin

yang

balance. It is believed that the core pathogenesis of insomnia lies in the spleen and stomach deficiency and the internal buildup of dampness. The four-season pathogenesis of insomnia focuses can be categorized into four aspects： abnormal ascending of

yang

in the spring， leading to the liver fire inflammation or the liver

stagnation； Predominance of

yang

in the upper side of the heart and gallbladder fire in the summer； Lung disorder and abnormal descent of

yang

， resulting in

yang

-heat conversion into dryness or disharmony between nutrient

and defensive

； Abnormal hiding of

yang

， manifesting as floating

yang

or deficiency in both

yin

and

yang

in the winter. It is advocated to dynamically grasp the pathogenesis of insomnia in accordance with the changes in time. A treatment framework called “restoring ascending and descending of y

ang

” is proposed， with the core focus on resolving dampness and strengthening the spleen， while also addressing the liver and strengthen the spleen， clearing and descending the heart and gallbladder， purifing and descending the lung

， and suppressing hyperactive the

yang

and invigorating the kidneys in different seasons. This enrichment of the traditional Chinese medicine time medicine research in insomnia treatment， based on the characteristics of seasonal rhythmic time， aims to better serve clinical practice and provide ideas for the clinical diagnosis and treatment of insomnia.

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Keywords

references

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Discussion on the Four-Season Pathogenesis and Treatment of Insomnia Based on the “Circular Movement of Yang Qi Ascending and Descending”

DOI：10.13288/j.11-2166/r.2023.21.007

摘要

Abstract

关键词

Keywords

references