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从“营虚神扰”探析不寐病机及针灸选穴思路 被引量:26

Exploring the pathogenesis and acupuncture and moxibustion selection of insomnia based on the perspective of’the deficiency of nutrient blood and disturbance of mind’
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摘要 "营虚神扰"是不寐的重要病机,"营虚神扰"包括虚、实两层含义,营血亏虚、神失所养为"虚",邪气扰心、神扰不宁为"实"。谨守不寐"营虚神扰"病机,治疗不寐当以养营、祛邪、安神为主,根据辨证各有侧重。针灸选用神门、三阴交配伍治疗不寐,神门、三阴交配伍具有养营安神、祛邪宁神的作用,契合不寐"营虚神扰"病机和相应治疗原则,是针灸治疗不寐的基本主穴。 ‘The deficiency of nutrient blood and disturbance of mind’is an important pathogenesis of insomnia,and it has two meanings,the one is‘deficiency’,which means that nutrient blood is insufficient and can not nourish mind;the other is‘excess’,referring to that restless sleep due to the disturbance of pathogenic factors.Under the guidance of this pathogenesis,we can adopt the methods of‘nourishing blood’and(or)‘eliminating pathogenic factors’and‘calming down the mind’according to the patients’conditions.Shenmen(HT 7)and Sanyinjiao(SP 6)are used to treat insomnia.And the combined use of the two acupoints is in accordance with this pathogenesis and the corresponding treatment principle of the disease,playing a role to tonify nutrient blood and solve pathogenic factors to calm down mind.They are the basic main points of acupuncture and moxibustion in the treatment of insomnia.
作者 吴裴 诸毅晖 宋孝军 杜莉 WU Pei;ZHU Yi-hui;SONG Xiao-jun;DU Li(School of Acupuncture-Moxibustion and Tuina,Chengdu University of TCM,Chengdu 610075,China)
出处 《中华中医药杂志》 CAS CSCD 北大核心 2020年第11期5474-5476,共3页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 国家自然科学基金项目(No.81673885)。
关键词 不寐 营虚神扰 针灸 神门 三阴交 Insomnia Deficiency of nutrient blood and disturbance of mind Acupuncture and moxibustion Shenmen(HT 7) Sanyinjiao(SP 6)
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