摘要
本文认为《内经》、《难经》均强调"血气盛,肌肉滑,气道通,营卫之行不失于常",是正常睡眠的重要条件。三焦不是一个固化了的抽象概念,而是一个变动之"象",是用"以象定藏"的方式来"因变以正名"的藏象概念的典型。三焦"有名而无形"具有深刻的内涵。三焦"决渎"功能不应当局限于"水液代谢",而水道也并非仅指"津液的通路"。经典文本的"渎"、"水道"、"气道"、"水谷之道"、"营卫之道"、"脉"、"经脉"具有同一性,都归三焦统辖。营卫之行与天道度数相应;三焦总领营卫气血之生会;三焦决渎功能失司致使气道涩、营卫通利失常是形成不寐症的关键。试举半夏秫米汤及血府逐瘀汤为例来阐释从三焦决渎来治疗不寐症的可能性。本文的宗旨在于探讨回归象思维的认识论路线,还中医经典时期对于不寐症认识与治疗以本来面目。
Neijin and nanjin both emphasized that flourish blood and qi,moist muscle, smooth-operating ql channel anti tlme-accorciing moved yingwei are major conditions for a good sleep. Sanjiao is not a solidified abstractive concept,but a cang, which is continuously changing and could only be detected by its xiang. This nameable but formless characteristic of sanjiao is of great meanings. The channel-dredge function of sanjiao should not be confined to water metabolism, nor should the channel taken just for water channel. The channel, water channel, qi channel, nutriment channel, yingwei channel, mai and j ingmai in neijing and nanjing are ac- tually a same being, and all governed by sanjiao. The move of yingwei is in correspondence with the move of time. And as governor of yingwei, qi and blood＇s movement,the disfunction of sanjiao＇s dredging of these channels is a major cause of insomnia. This pa- per tried to illustrate the possibility of cure insomnia through the regain of sanjiao＇s dredging function, and with the example of using BanxiaSumi and XuefuZhuyu decoctions. The paper also meant to give a rethinking of the epistemology of xiang-thinking and uncover the real side of classic understanding and treatment of insomnia.
出处
《浙江中医药大学学报》
CAS
2011年第3期448-451,共4页
Journal of Zhejiang Chinese Medical University
关键词
不寐
三焦
决渎
营卫
半夏秫米汤
血府逐瘀汤
insomnia
Sanjiao
channel-dredging
Yingwei
BanxiaShumi decoction
XuefuZhuyu decoction
