山西中医药大学学报2025，Vol.26Issue(11)：1235-1240,6.DOI:10.19763/j.cnki.2096-7403.2025.11.11
基于五脏神理论指导针刺治疗失眠症思路探析
Exploring acupuncture treatment for insomnia based on the five-zang-spirit theory
摘要
Abstract
Insomnia is characterized by persistent decline in sleep quality,reduced sleep duration,and associated impairment in daytime physiological functions.The five spirits(heart-spirit,lung-po,liver-hun,spleen-yi,kidney-zhi)reside within their respective viscera,nourished by visceral essences,and collectively regulate visceral qi dynamics to coor-dinate human life activities.This study explores the pathological mechanisms of insomnia through the theoretical framework of the five-spirit system,elucidating its core principles and establishing spirit dysregulation as the key pathophysiological basis for insomnia onset and progression.Specifically,when the heart-spirit is impaired,sleep initiation becomes difficult;when the lung-po is compromised,sleep manifests as light with frequent awakenings;liver-hun disturbance leads to exces-sive dreaming;spleen-yi disharmony causes incessant thinking that prevents sleep;and kidney-zhi instability results in premature awakening.Among these,heart-spirit dysregulation constitutes the root cause of insomnia,while disturbances in the other four spirits correspond to distinct clinical manifestations.A systematic evaluation of insomnia based on the five-spirit system,integrated with modern medicine,provides theoretical foundations for clarifying pathological mechanisms and identifying therapeutic targets.Acupuncture treatment should prioritize"regulating the spirit and calming the viscera"as the guiding principle.Concretely:heart-spirit instability requires pacifying shen and stabilizing zhi to tranquilize the heart;lung-po failure necessitates astringing po and descending qi to harmonize the lung;liver-hun disturbance demands soothing the liver and regulating hun for free-flowing qi;spleen-yi disharmony calls for fortifying the spleen and calming yi to center the mind;kidney-zhi deficiency requires nourishing the kidney and strengthening zhi to consolidate the foundation.Acu-point selection should include Baihui(GV20),Sishencong(EX-HN1),and Yintang(GV29)to collectively stabilize the five spirits,combined with back transport point and source point corresponding to each viscera to harmonize the five zang-organs and promote sleep.关键词
五脏神/失眠症/针刺/理论探讨/自主神经功能紊乱Key words
five-spirit system/insomnia/acupuncture/theoretical exploration/autonomic dysfunction分类
医药卫生引用本文复制引用
Chen Cuicui,Li Jing,Li Rui,Gu Xinyue,Wang Meijia,Zhou Changchang,Lu Jin..基于五脏神理论指导针刺治疗失眠症思路探析[J].山西中医药大学学报,2025,26(11):1235-1240,6.基金项目
江苏省科教强卫青年医学重点人才项目(QNRC2016130) （QNRC2016130）
南京市卫生科技发展专项资金项目(YKK24169) （YKK24169）
南京市名中医工作室(LJ-2017-NJ) （LJ-2017-NJ）
