从“三焦出气”谈失眠的认知和诊治思路

【作者】 李铮；

【导师】 张银柱；

【作者基本信息】 北京中医药大学 ， 中医基础理论， 2012， 硕士

【摘要】 失眠是一种严重影响人们正常生活,破坏机体健康的疾病。随着我国人民生活节奏以及饮食起居等各方面生活的改变,失眠的发病率呈现出逐渐升高的趋势,尤其在中老年群体中最为多见,严重影响人们的身心健康。中医自《黄帝内经》时期,即对此病有所论述。经过历代医家的临床经验总结,形成了多种多样的认知和辩证论治理论。本文从“三焦出气”角度出发,以三焦—气的生成和气机—睡眠之间的密切联系为线索,首先分析睡眠生理的“常”,再分析失眠病理的“变”,进而对失眠的辨证论治上从“三焦出气—气的生成和气机运行失调—失眠的认知”这一思路去加以系统的分析和把握。本文收集和整理了睡眠的生理机能著述,以及和气、气机、三焦、三焦出气等相关的文献资料；从“三焦出气”角度系统的对失眠的常见病因和病机进行分析和阐释,研究和探讨失眠这一睡眠障碍疾病的认知及论治理论内涵,并在此基础上,提出深入开展对“三焦出气”理论和失眠病因病机系统认知思路的设想和展望。希望本文能够为进一步研究三焦本质,以及对失眠的认知和诊治,提供思路和理论依据。更多还原

【Abstract】 Insomnia is a disease of a serious impact on people’s normal life, and undermine the health of the body. With the change of China’s pace of life, as well as the daily diet and other aspects of life, the incidence of insomnia show a gradual increasing trend, especially in the older age groups the most common, serious impact on people’s physical and mental health. Since the period of the "Inner Canon of Yellow Emperor" of this disease Chinese medicine are discussed. After a summary of the clinical experience of the ancient physicians,a variety of cognitive and dialectical theory of governance theory formed. This article from the perspective of the "triple burner outlet the first analysis of sleep physiology of" normal "for clues to the close link between the triple burner-gas generation and gas machine-sleep, re-analysis of pathological insomnia" change ", thus insomnia from the "triple burner outlet-the generation and functional activities of Qi run disorders-insomnia cognitive" thinking on the diagnosis and treatment to be the analysis and understanding of the system.We collected and compiled the writing of the physiology of sleep, and gas, qi transformation, triple burner, triple burner outlet and other related documents; analysis and interpretation of the "triple burner outlet angle system insomnia common causes and pathogenesis, research andexplore insomnia sleep disorders, cognitive and connotation of governance theory, and on this basis, the depth of the "triple burner outlet" theory and insomnia etiology and pathogenesis of cognitive thinking visions and perspectives. I hope this can in order to further study sanjiao essence, as well as cognitive and treatment of insomnia, to provide ideas and theoretical basis.更多还原