实用中医内科杂志2026，Vol.40Issue(4)：20-23,4.DOI:10.13729/j.issn.1671-7813.Z25050812
基于"肝肾同源"理论探讨失眠的病机及论治
Exploring the Pathogenesis and Treatment of Insomnia Based on the Theory of Homology of Liver and Kidney
摘要
Abstract
Insomnia is a sleep disorder characterized by core symptoms of difficulty initiating sleep,maintaining sleep,or early morning awakening,accompanied by daytime functional impairment.With rising incidence rates and emerging trends of chronicity and younger onset,it significantly compromises patients'quality of life.Traditional Chinese Medicine(TCM)addres-ses insomnia through the theoretical framework of ＂Homology of Liver and Kidney＂,demonstrating unique advantages in holistic regulation of physical and mental states while managing both symptoms and root causes.Physiologically,the coordinated func-tions of the liver and kidney ensure sleep regulation through hun-zhi homeostasis as the regulatory mechanism,essence-blood mutual generation forming the material basis for sleep maintenance,and storage-discharge synergy and co-governance of min-isterial fire function maintaining circadian rhythm.Contemporary research confirms that its therapeutic mechanisms involve neuro-endocrine-immune network regulation,objectively verified through sleep architecture parameters.Pathologically,deficiency of liver-kidney essence-blood leads to instability of hun-zhi and ministerial fire hyperactivity disturbing the heart-mind(shen),while impaired liver qi dispersion and deficient kidney storage cause yin-yang imbalance and disharmony of ying-nu-trient and wei-defense systems.Given modern lifestyle patterns characterized by nocturnal essence depletion due to late-night routines and emotional stagnation,this study proposes three syndrome differentiation patterns under the liver-kidney homology framework:Liver-Kidney Yin Deficiency Pattern,Kidney Deficiency with Liver Qi Stagnation Pattern and Kidney Deficiency with Liver Qi Rebellion Pattern.Corresponding therapeutic strategies emphasize liver-kidney nourishing,kidney-tonifying with liver-soothing,and kidney-fortifying with liver-pacifying approaches,complemented by mind-calming therapy.The integration of physical form,vital energy,and mental spirit through the harmonization of liver and kidney systems demonstrates potential for sleep improvement,offering a novel therapeutic paradigm for Traditional Chinese Medicine in insomnia management.关键词
失眠/不寐/肝肾同源:乙癸同源Key words
Insomnia/Insomnia(Bumei)/Homology of Liver and Kidney/Yi-Gui Homology分类
医药卫生引用本文复制引用
赵孟婷,杨凛然,廖菁,邓奕辉..基于"肝肾同源"理论探讨失眠的病机及论治[J].实用中医内科杂志,2026,40(4):20-23,4.基金项目
国家级大学生创新创业训练计划项目(202110541091) （202110541091）
湖南省自然科学基金创新研究群体项目(2024JJ1007) （2024JJ1007）
湖南省科技创新计划资助项目(2020RC4050) （2020RC4050）
