中医药学报2025，Vol.53Issue(10)：46-50,5.DOI:10.19664/j.cnki.1002-2392.250208
王新志从"神、气、脏"心身同治失眠经验
Wang Xinzhi's Experience in Treating Insomnia from the Perspective of"Spirit,Qi,and Viscera"with an Integrated Mind-Body Approach
摘要
Abstract
Insomnia refers to a sleep disorder characterized by difficulty initiating or maintaining sleep,resulting in inadequate sleep quality and quantity that fails to meet physiological needs,significantly affecting daytime functioning.Wang Xinzhi,in his extensive clinical practice,emphasizes the understanding and treatment of insomnia through the concepts of Spirit,Qi,and Viscera.He believes that emotional disturbance is the initiating factor in the etiology and pathogenesis of insomnia.Emotional dysregulation can disrupt the mind's peace,cause Qi stagnation,and lead to disharmony of the viscera and bowels,which he describes as"injury to the mind,""injury to Qi,"and"injury to the organs,"ultimately resulting in insomnia.The clinical treatment principles include calming the mind,harmonizing Qi circulation,and regulating viscera and bowels.This approach integrates the treatment of mind,Qi and body,with a focus on psychological counseling.Wang summarized a four-step psychological defense method:"plan,act,compete,change,"which emphasizes identifying emotional disorders,prescribing"mental medicine"to correct cognitive patterns,and enhancing positive psychological suggestions.In physical treatment,he advocates"restoring normalcy,"using Spirit-calming medications to restore the normal Qi of the heart and regulating the viscera and bowels to harmonize the Qi mechanism.The therapeutic focus is placed on the"pivot of the spleen and stomach"and the harmonization of the lesser yang meridians and organs to adjust the Qi's normal ascending,descending,exiting and entering.This approach ultimately restores the normal order of"Spirit,Qi,and viscera"within the body.关键词
不寐/心身同治/心理疏导/名医经验/王新志Key words
Insomnia/Integrated mind-body treatment/Psychological counseling/Eminent physician's experience/Wang Xinzhi分类
医药卫生引用本文复制引用
余欢,孙永康,宋研博,王新志..王新志从"神、气、脏"心身同治失眠经验[J].中医药学报,2025,53(10):46-50,5.基金项目
中医药传承与创新"百千万"人才工程(岐黄工程)——国家中医药领军人才支持计划(国中医药人教函[2018]284号) （岐黄工程）
河南省"双一流"创建学科中医学科学研究专项课题(HSRP-DFCTCM-2023-5-07,HSRP-DFCTCM-2023-8-29) （HSRP-DFCTCM-2023-5-07,HSRP-DFCTCM-2023-8-29）
河南中医药大学2023年度研究生科研创新项目(2023KYCX035) （2023KYCX035）
