|
| 营卫气机枢转视角下 “胃不和则卧不安” 病机本源考释 |
|
| 投稿时间：2026-09-29 修订日期：2026-09-29 |
| DOI： |
| 中文关键词: 胃不和 卧不安 不寐 营卫理论 气机升降 中医病机 《黄帝内经》 |
| 英文关键词: stomach disharmony restless sleep insomnia Ying-Wei theory Qi ascending and descending TCM pathogenesis 《Huangdi Neijing》 |
| 基金项目: |
|
| 摘要点击次数: 710 |
| 全文下载次数: 0 |
| 中文摘要: |
| “胃不和则卧不安” 源自《素问?逆调论》,是中医从脾胃论治不寐的经典理论内核,为临床辨治失眠提供重要思路。当前国内相关研究多侧重临床应用与现代机制阐释,对经典病机本源的系统挖掘仍有欠缺,缺少对 “胃不和”、营卫运行、气机升降、阴阳交合内在逻辑的深度梳理。本文立足《黄帝内经》原文,结合历代医家阐发,以脾胃为营卫气机升降之枢为切入点,考释 “胃不和则卧不安” 理论本义,重构胃气化生营卫- 胃气调畅则营卫循常 - 阳入于阴而寐安 - 胃失和降则营卫逆乱 - 阳不入阴而卧不安的病机链条,辨析各类胃失和降对营卫、睡眠节律的差异化作用,提炼 “和胃、调气、通营卫” 核心治则,以期丰富不寐病机理论,为临床辨证提供理论参考。 |
| 英文摘要: |
| "When the stomach is disharmonious, one cannot sleep peacefully" originates from 《Su Wen?NiDiaoLun》, and represents the core classical theory in traditional Chinese medicine regarding the treatment of insomnia through the spleen and stomach. It provides an important perspective for clinical differentiation and treatment of insomnia. Current domestic research mainly focuses on clinical applications and modern mechanistic explanations, while systematic exploration of the classical pathogenesis is still lacking. There is insufficient in-depth analysis of the internal logic between "stomach disharmony," the operation of the Ying and Wei, the ascending and descending movement of Qi, and the interplay of Yin and Yang. This paper, based on the original text of the 《Huangdi Neijing》 and combined with interpretations from physicians of successive generations, takes the spleen and stomach as the pivot of the ascending and descending movement of Ying and Wei Qi. It examines the original meaning of the theory "when the stomach is disharmonious, one cannot sleep peacefully," reconstructing the pathological chain as follows: stomach Qi generates Ying and Wei — when stomach Qi is smooth, Ying and Wei function normally — Yang enters Yin, leading to peaceful sleep — when stomach is disharmonious and descending, Ying and Wei are disrupted — Yang does not enter Yin, resulting in restless sleep. The paper differentiates the effects of various types of stomach disharmony on Ying and Wei and sleep rhythm, and extracts the core treatment principles of "harmonize the stomach, regulate Qi, and facilitate Ying and Wei." The study aims to enrich the understanding of the pathogenesis of insomnia and provide a theoretical reference for clinical syndrome differentiation. |
|
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|