Discussion on the Treatment of Insomnia from Liver Based on the Theory "Liver Governs <italic style="font-style: italic">Wei</italic> <italic style="font-style: italic">Qi</italic> （Defensive <italic style="font-style: italic">Qi</italic>）"

LI Zirong; WANG Miaoran; WU Yufei; Ni Tian; WANG Xianbei; DU Hongjin; ZHANG Jiwei; LI Qiuyan

doi:10.13288/j.11-2166/r.2025.04.014

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Discussion on the Treatment of Insomnia from Liver Based on the Theory "Liver Governs Wei Qi （Defensive Qi）"

更新时间：2025-02-18

- Discussion on the Treatment of Insomnia from Liver Based on the Theory "Liver Governs Wei Qi （Defensive Qi）"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 4, Pages: 411-415(2025)
- 作者机构：
  
  1.北京中医药大学研究生院，北京市朝阳区北三环东路11号，100029
  2.中国中医科学院西苑医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.04.014
  CLC：
- Received：01 July 2024，
  
  Revised：2024-08-16，
  
  Published：17 February 2025
- 稿件说明：
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李梓荣,王妙然,吴宇飞等.基于“肝主卫气”探讨从肝辨治失眠[J].中医杂志,2025,66(04):411-415.

LI Zirong,WANG Miaoran,WU Yufei,et al.Discussion on the Treatment of Insomnia from Liver Based on the Theory "Liver Governs Wei Qi （Defensive Qi）"[J].Journal of Traditional Chinese Medicine,2025,66(04):411-415.
李梓荣,王妙然,吴宇飞等.基于“肝主卫气”探讨从肝辨治失眠[J].中医杂志,2025,66(04):411-415. DOI： 10.13288/j.11-2166/r.2025.04.014.

LI Zirong,WANG Miaoran,WU Yufei,et al.Discussion on the Treatment of Insomnia from Liver Based on the Theory "Liver Governs Wei Qi （Defensive Qi）"[J].Journal of Traditional Chinese Medicine,2025,66(04):411-415. DOI： 10.13288/j.11-2166/r.2025.04.014.

摘要

目前精神心理因素已经成为失眠发病和进展的重要因素，从“肝主卫气”角度探讨从肝论治失眠的辨治思路。将“肝主卫气”内涵概括为肝助脾胃运化、主卫气生成；肝助肺气宣发、主卫气输布；肝调昼夜节律、主卫气循行三方面。并提出临床治疗失眠应调肝疏五脏，助卫气循行，常用入肝经之柴胡、白芍、栀子、酸枣仁等；养肝分昼夜，顺卫气节律，常用百合、合欢、夜交藤之类；畅肝重心身，使卫气得安，临证提倡言语疏导、精神调摄、健康教育。最终使肝气可疏，气机得畅，卫气可行，昼夜得调，阴阳相交，不寐可愈。

Abstract

Psychological factors have become significant contributors to the onset and progression of insomnia. This article explored the treatment of insomnia from the perspective of “liver governs

wei

（defensive

）”. The concept of “liver governs

wei

（defensive

）” is summarized in three aspects， firstly， the liver assists the spleen and stomach in transformation and transportation， governing the generation of

wei

； secondly， the liver aids lung

diffusion and dispersion， governing the distribution of

wei

； thirdly， the liver regulates circadian rhythms， governing the circulation of

wei

. It is proposed that the clinical treatment of insomnia should focus on the following methods： for regulating the liver to harmonize the five viscera， and facilitate the circulation of

wei

， medicinals entering the liver channel include Chaihu （

Bupleuri radix

）， Baishao （

Paeoniae Radix Alba

）， Zhizi （

Gardeniae Fructus

）， and Suanzaoren （

Ziziphi Spinosae Semen

） could be commonly used； for nourishing the liver， the treatment should align with the day-night rhythm， and herbs such as Baihe （

Lilium

）， Hehuan （

Albizia julibrissin

）， and Yejiaoteng （

Polygoni multiflori caulis

） are commonly used； for soothing the liver and address both mental and physical health to calm

wei

， treatment should advocate verbal counseling， psychological regulation， and health education. Ultimately， this treatment approach can free liver

to flow， soothe

movement， restore the motion of

wei

， regulate during day and night， balance

yin

and

yang

， and resolve insomnia effectively.

关键词

Keywords

references

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Discussion on the Treatment of Insomnia from Liver Based on the Theory "Liver Governs Wei Qi （Defensive Qi）"

DOI：10.13288/j.11-2166/r.2025.04.014

摘要

Abstract

关键词

Keywords

references