山东中医药大学学报2026，Vol.50Issue(1)：37-41,5.DOI:10.16294/j.cnki.1007-659x.2026.01.007
基于一气周流理论论治失眠
Treatment of Insomnia Based on Theory of Qi Circulation
摘要
Abstract
Based on HUANG Yuanyu's theory of"qi circulation"and Peng Ziyi's theory of"circular move-ment of qi",this paper grasps the diagnosis and treatment of insomnia from an overall perspective.It holds that the core pathogenesis of insomnia lies in the failure of spleen(Ji Tu)to ascend,stomach(Wu Tu)to descend,dysfunction of the middle energizer as the hub,stagnation of qi movement,disharmony of stomach qi,insufficiency of qi and blood production,which fails to nourish the heart,leading to restlessness of the mind.Meanwhile,without blood to soften and nourish the liver,the liver loses its tenderness.The acquired foundation cannot nourish the innate foundation,so kidney essence cannot ascend to the heart,resulting in discordance between heart and kidney,disharmony of Zang-Fu organs,and failure of spirit to be housed internally,thus causing insomnia.Based on the mode of qi circulation and combined with clinical practice,this paper discusses the treatment of in-somnia,and puts forward the therapeutic principles of invigorating the spleen to replenish the source and regulating the middle energizer,supporting metal to suppress wood and regulating qi movement,reducing heart fire and tonifying kidney yin to coordinate heart and kidney.On this basis,the self-formulated Chaigui Anshen Decoction(柴归安神方)is proposed to soothe the liver and nourish blood,and strengthen the middle energizer and spleen,providing a new concept for clinical treatment of insomnia.关键词
失眠/一气周流/调理中州/调畅气机/交通心肾/黄元御/彭子益Key words
insomnia/qi circulation/regulating the middle energizer/regulating qi movement/coordinating heart and kidney/HUANG Yuanyu/Peng Ziyi分类
医药卫生引用本文复制引用
胡文静,王建涛,王亚男,雒晨阳,王倩倩,胡敏棣..基于一气周流理论论治失眠[J].山东中医药大学学报,2026,50(1):37-41,5.基金项目
甘肃省名中医传承工作室(批文号:甘中医药发[2024]7号) （批文号:甘中医药发[2024]7号）
