《黄帝内经》睡眠理论与不寐证治研究

发布时间：2018-01-06 02:24

本文关键词：《黄帝内经》睡眠理论与不寐证治研究　出处：《成都中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：在各方面都飞速发展的当代社会,身处快节奏、多元化环境之中的人们精神长期处于紧绷状态,给人们的身心健康带来了严重的危害。面对当代社会激烈竞争所带来的工作、学习、生活压力,人们常常不能科学健康地安排作息时间,使患上睡眠障碍的人越来越多。睡眠障碍包含多类疾病,失眠是其中最常见的一种。·目前临床上使用苯二氮卓类药物治疗失眠的效果并不十分理想,面对不断增加的失眠人群,寻找安全有效的治疗方法迫在眉睫。中医对于治疗失眠有着长期的经验积累,通过辨证论治祛除导致失眠的因素,从根本上治疗失眠。本文通过查阅先秦至清朝时期的古医籍文献,并结合在CNKI期刊数据库、维普数据库中以“不寐”、“中医”为关键词搜索到的相关文献资料,将失眠的病因、病机、辨证论治进行了整理和分析。本文正文分为四个部分,第一部分是对《黄帝内经》中与睡眠生理机制、失眠病因病机以及失眠的治疗相关的经文进行梳理和分析,第二部分是对先秦至清朝各医家论治不寐的理论和观点进行整理,第三部分例举了临床上最常用的治疗失眠的方剂并对方剂进行分析和讨论,第四部分是关于失眠病因、病机、治疗以及脑与睡眠的讨论。本文通过对相关资料的整理、分析和讨论得出结论,失眠的病因有外感邪气、情志失调、饮食起居调摄不周、体弱、病理产物致病、失治误治、体质因素；失眠的基本病机为营卫失和、精气血亏虚、脏腑失常；失眠的主要病位在心,与肝、胆、脾、胃、肾密切相关,这些脏器的功能异常都可影响心主神明的功能而导致失眠的发生。本文除讨论失眠的辨证论治外,还强调了治疗失眠时应注意外感失眠与阳虚失眠这两个临床上容易被忽视的证型。
[Abstract]:In all aspects of the rapid development of the contemporary society, in a fast-paced, diversified environment in the spirit of people in a long-term tense state. In the face of the pressure of work, study and life brought by the fierce competition in contemporary society, people often can not arrange their time scientifically and healthily. Sleep disorders include many kinds of diseases, insomnia is one of the most common... The clinical use of benzodiazepines to treat insomnia is not very ideal. Facing the increasing number of insomnia people, it is urgent to find safe and effective treatment methods. Chinese medicine has a long-term experience in the treatment of insomnia, through the treatment of syndrome differentiation to eliminate the factors leading to insomnia. Through consulting ancient medical literature from pre-Qin to Qing Dynasty, and combining with CNKI periodical database, WIP database to "insomnia". "TCM" search for the key words of the relevant literature, the cause of insomnia, pathogenesis, syndrome differentiation and treatment were sorted out and analyzed. This text is divided into four parts. The first part of the "Huangdi Internal Classic" and sleep physiological mechanism, insomnia etiology and pathogenesis as well as insomnia treatment of the text related to combing and analysis. The second part is to the pre-Qin to the Qing Dynasty of the theory and views of the treatment of insomnia, the third part of the clinical examples of the most commonly used prescriptions for insomnia and analysis and discussion of prescriptions. Part 4th is about the cause of insomnia, pathogenesis, treatment and brain and sleep discussion. Poor diet, weak health, pathological products pathogenic, lost treatment, physical factors; The basic pathogenesis of insomnia is the disharmony between the camp and the Wei, the deficiency of essence and blood, and the disorder of the viscera. Insomnia is mainly located in the heart, and liver, gallbladder, spleen, stomach, kidney are closely related, these organ dysfunction can affect the function of heart and god leading to the occurrence of insomnia. It is also emphasized that external insomnia and yang deficiency insomnia should be paid attention to when treating insomnia.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R221

【相似文献】