新中医2026，Vol.58Issue(8)：166-169,4.DOI:10.13457/j.cnki.jncm.2026.08.027
基于命门火衰论交通心肾治失眠
Discussion on Restoring Interaction Between Heart and Kidney in the Treatment of Insomnia Based on the Theory of Decline of Life Gate Fire
摘要
Abstract
Traditional Chinese medicine(TCM)posits that the coordinated interaction between the yin and yang of the heart and kidney is the fundamental mechanism underlying normal sleep-wake rhythm regulation,operating under the dynamic equilibrium principle of"yang as the master,yin as the follower."When the ministerial fire of the life gate declines and becomes deficient,it impairs yang qi's steaming and transforming functions,leading to water metabolism disorders,internal retention of water-fluid,and phlegm-turbidity stagnation.These pathological products obstruct the pivotal pathway of the Shaoyin meridian,impeding the ascent,descent,exit,and entry of qi movement between the heart and kidney,consequently triggering insomnia.Alternatively,when both yin and yang are damaged,deficiency fire flares up and disturbs the heart spirit,thereby also causing insomnia.For treating insomnia due to heart-kidney interaction disorder of the ministerial fire decline of life gate type,the fundamental therapeutic principle should be warming and supplementing the yang qi of the life gate to tranquilize the spirit.This should be combined with adjunctive therapies such as dispelling water-fluid,resolving phlegm-fire,and conducting fire back to its source.By restoring the ascending-descending and harmonious interaction of heart-kidney yin and yang,the normalization of the sleep rhythm can ultimately be achieved.关键词
失眠症/命门火衰/心肾不交/病理产物/阳升阴降/温阳安神Key words
Insomnia/Decline of life gate fire/Heart-kidney interaction disorder/Pathological products/Yang ascending and yin descending/Warming yang to tranquilize the spirit分类
医药卫生引用本文复制引用
叶文彬,韦启志,蔡晓靖,庄隆志,庄日耀,洪怡芯..基于命门火衰论交通心肾治失眠[J].新中医,2026,58(8):166-169,4.基金项目
2022福建省厦门市医疗卫生指导性项目(3502Z20224ZD1174) （3502Z20224ZD1174）
