摘要
心有心之玄府,玄府具有喜开恶阖的特性,内生之邪如肝火、痰热等阻滞玄府,使神机出入无常,阴阳失交;亦或心无所养,因虚而滞,心之玄府阻滞不能荣,神机掌控无力,发为失眠。病位在心之玄府,基本病机为内生邪热阻滞和虚不能养导致的心之玄府闭塞。宜首辨虚实,实证主要为邪热扰心、心神不安致玄府闭塞,治疗应从祛邪开玄入手;虚证主要为心失所养,玄府因虚而滞,治疗应补虚开玄。针刺主穴选用申脉、照海、安眠、百会、四神聪、内关、神门等,痰热所致失眠,治以清热通玄,配穴选用公孙、丰隆等;肝功能失调所致失眠,配穴选用三阴交、行间等;心脾两虚所致失眠,配穴选用灵道、足三里、血海等;心肾不交所致失眠,配穴选用灵道、太溪、涌泉等;心胆二脏玄府失养所致失眠,配穴选用灵道、本神、风池等。
The heart has sweat pores,which have the characteristics of liking to open and dislike to close.If internal pathogens,such as liver fire and phlegm heat,etc.block sweat pores,vital activities will be in disorder and yin and yang will not interact each other.Or the heart has not enough nourishment,and is stagnant due to deficiency.If the heart sweat pores are stagnated,vital activity has dysfunction,insomnia will occur.The disease is located in the sweat pores of the heart.The basic pathogenesis is the blockage of the sweat pores of the heart caused by internal pathogenic heat and deficiency.It is necessary to distinguish the deficiency from the excess first.The excess syndrome is mainly manifested as the pathogenic heat and the disturbance of the mind,which leads to the blockage of the sweat pores.The treatment should start with eliminating the pathogenic heat and opening the sweat pores.Deficiency syndrome is mainly caused by the loss of nutrient for the heart,and the sweat pores are stagnant due to deficiency.The treatment should supplement the deficiency and open the sweat pores.Shenmai(BL 62),Zhaohai(KI 6),Baihui(DU 20),Sishencong(EX-HN1),Neiguan(PC 6) and Shenmen(HT 7),etc.are selected as the main acupuncture points.Insomnia caused by phlegm heat should be treated by clearing away heat and dredging sweat pores,and Gongsun(SP 4) and Fenglong(ST 40) can be selected as matching points.For insomnia caused by liver dysfunction,Sanyinjiao(SP 6) and Xingjian(LV 2) are selected as the matching points.For insomnia caused by heart-spleen deficiency,Lingdao(HT 4),Zusanli(ST 36),Xuehai(SP 10) are selected as the matching points.For insomnia caused by heart-kidney non-interaction,Lingdao(HT 4),Taixi(KI 3),Yongquan(KI 1) and other points should be selected.For insomnia caused by the loss of nourishment of the sweat pores of the heart and gallbladder,the Lingdao(HT 4),Benshen(GB 13),Fengchi(GB 20),etc.,can be selected as matching points.
作者
王昊阳
马建华
WANG Hao-yang;MA Jian-hua(Shandong University of Traditional Chinese Medicine,Jinan,Shandong,China,250000;Jinan Hospital of Traditional Chinese Medicine,Jinan,Shandong,China,250000)
出处
《河南中医》
2022年第8期1161-1164,共4页
Henan Traditional Chinese Medicine
关键词
失眠
针刺治疗
玄府理论
祛邪开玄
补虚开玄
theory of sweat pores
insomnia
acupuncture
removing pathogens and opening the sweat pores
supplementing the deficiency and opening the sweat pores
