TANG Rongchuan's Diagnostic and Therapeutic Approach to Insomnia Based on the Theory of "<italic style="font-style: italic">Yin</italic>-<italic style="font-style: italic">Yang</italic>，Water-Fire，<italic style="font-style: italic">Qi</italic>-Blood"

YANG Yi; WANG Shaosong; SUN Jingqing; LI Bin

doi:10.13288/j.11-2166/r.2026.15.018

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TANG Rongchuan's Diagnostic and Therapeutic Approach to Insomnia Based on the Theory of "Yin-Yang，Water-Fire，Qi-Blood"

更新时间：2026-08-05

- TANG Rongchuan's Diagnostic and Therapeutic Approach to Insomnia Based on the Theory of "Yin-Yang，Water-Fire，Qi-Blood"
- Journal of Traditional Chinese Medicine Vol. 67, Issue 15, Pages: 1682-1685(2026)
- 作者机构：
  
  1.北京中医药大学，北京市朝阳区北三环东路11号，100029
  2.首都医科大学附属北京中医医院针灸中心
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2026.15.018
  CLC：
- Received：28 March 2025，
  
  Revised：2026-05-31，
  
  Accepted：23 May 2026，
  
  Online First：03 August 2026，
  
  Published：02 August 2026
- 稿件说明：
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杨意,王少松,孙敬青等.唐容川从“阴阳水火气血论”辨治失眠的诊疗思路探析[J].中医杂志,2026,67(15):1682-1685.

YANG Yi,WANG Shaosong,SUN Jingqing,et al.TANG Rongchuan's Diagnostic and Therapeutic Approach to Insomnia Based on the Theory of "Yin-Yang，Water-Fire，Qi-Blood"[J].Journal of Traditional Chinese Medicine,2026,67(15):1682-1685.
杨意,王少松,孙敬青等.唐容川从“阴阳水火气血论”辨治失眠的诊疗思路探析[J].中医杂志,2026,67(15):1682-1685. DOI： 10.13288/j.11-2166/r.2026.15.018.

YANG Yi,WANG Shaosong,SUN Jingqing,et al.TANG Rongchuan's Diagnostic and Therapeutic Approach to Insomnia Based on the Theory of "Yin-Yang，Water-Fire，Qi-Blood"[J].Journal of Traditional Chinese Medicine,2026,67(15):1682-1685. DOI： 10.13288/j.11-2166/r.2026.15.018.

摘要

唐容川在《血证论》中提出“阴阳水火气血论”，从水火相生、血火相生角度认识失眠的病机及治疗。认为心肝二脏“血火不安”是失眠的重要病机，血虚不能制火，心火扰神，治宜清火补血，方用黄连阿胶汤；阴虚气滞水停为痰，痰扰心神，治宜滋阴利水行气，方用猪苓汤；血不养肝、肝经有火，火气不宣，治宜养血清火，方用酸枣仁汤；相火亢烈、痰阻气机扰肝魂，治宜行气祛痰，方用温胆汤；浮阳不敛、魂不入肝，治宜敛阳入肝，方用二加龙骨汤化裁。

Abstract

Treatise on Blood Syndromes

（《血证论》）， TANG Rongchuan proposed the theory of "

yin

yang

， water-fire，

-blood"， interpreting the pathogenesis and treatment of insomnia from the perspectives of the mutual generation between water and fire as well as between blood and fire. He considered the "disharmony of blood and fire" in the heart and liver as an important mechanism underlying insomnia. Blood deficiency failing to restrain fire and heart fire harassing the spirit may lead to insomnia， which should be treated by clearing fire and nourishing blood， with

Huanglian Ejiao Decoction

（黄连阿胶汤）.

Yin

deficiency with

stagnation and water retention transforming into phlegm， followed by phlegm disturbing the heart spirit， may cause insomnia， which should be treated by nourishing

yin

， promoting urination， and regulating

， using

Zhuling Decoction

（猪苓汤）. Failure of blood to nourish the liver and the presence of fire in liver channel may result in insomnia， which should be treated by nourishing blood and clearing fire， with

Suanzaoren Decoction

（酸枣仁汤

）. Hyperactivity of ministerial fire and phlegm obstructing

movement， thereby disturbing the liver spirit， should be treated by regulating

and resolving phlegm， with

Wendan Decoction

（温胆汤）. Floating

yang

failing to be restrained and the ethereal soul failing to return to the liver should be treated by restraining

yang

and guiding it back to the liver， with modifications of

Erjia Longgu Decoction

（二加龙骨汤）.

关键词

Keywords

references

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孙洪生，严季澜 . 不寐病名考略［J］. 中华医史杂志， 2004 ， 34 （ 4 ）： 23 - 26 .

戴荣琼，褚剑锋，刘建忠 . 基于传统典籍中不寐的中医病因病机分析［J］. 长春中医药大学学报， 2018 ， 34 （ 6 ）： 1207 - 1210 .

贾玉，贾跃进，郑晓琳 . 中医对失眠认识的探讨及展望［J］. 中华中医药杂志， 2015 ， 30 （ 1 ）： 163 - 166 .

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侯一鸣，郭峥，卞国本，等 . 温胆汤研究进展［J］. 中国中医基础医学杂志， 2024 ， 30 （ 1 ）： 176 - 181 .

常江，李俊玲 . 二加龙骨汤治疗虚阳浮越型失眠症36例［J］. 陕西中医， 2014 ， 35 （ 9 ） 1158 - 1160 .

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The Second Clinical Medical College of Guangzhou University of Chinese Medicine

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine

Guang'anmen Hospital，China Academy of Chinese Medical Sciences

First Clinical School of Shandong University of Traditional Chinese Medicine

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TANG Rongchuan's Diagnostic and Therapeutic Approach to Insomnia Based on the Theory of "Yin-Yang，Water-Fire，Qi-Blood"

DOI：10.13288/j.11-2166/r.2026.15.018

摘要

Abstract

关键词

Keywords

references