主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2020, Vol. 43 ›› Issue (9): 776-779.doi: 10.3969/j.issn.1006-2157.2020.09.012

• 临床研究 • 上一篇    下一篇

从《黄帝内经》探讨不寐与肾的关系*

田栋, 席崇程, 廖书琴, 黄俊伟, 史延昊, 刘金涛, 张宁, 王维广, 陈子杰, 翟双庆#   

  1. 北京中医药大学 北京 100029
  • 收稿日期:2020-03-13 发布日期:2020-09-29
  • 通讯作者: #翟双庆,男,博士,教授,博士生导师,主要研究方向:《黄帝内经》中医基础理论研究,E-mail:zsq2098@163.com
  • 作者简介:田栋,男,在读硕士生
  • 基金资助:
    *国家重点研发计划项目(No.2018YFC1704100,No.2018YFC1704105)

Relationship between insomnia and kidney in Huangdi Neijing*

Tian Dong, Xi Chongcheng, Liao Shuqin, Huang Junwei, Shi Yanhao, Liu Jintao, Zhang Ning, Wang Weiguang, Chen Zijie, Zhai Shuangqing#   

  1. Beijing University of Chinese Medicine, Beijing 100029
  • Received:2020-03-13 Published:2020-09-29
  • Contact: Prof. Zhai Shuangqing, Ph.D., Doctoral Supervisor. Beijing University of Chinese Medicine. No. 11 Beisanhuan Donglu Road, Chaoyang District, Beijing 100029. E-mail: zsq2098@163.com
  • Supported by:
    National Key R&D Programmes, Ministry of Science and Technology of China (No. 2018YFC1704100, No. 2018YFC1704105)

摘要: 《黄帝内经》(以下简称《内经》)中无“不寐”病名,但《内经》中“目不暝”“卧不安”等是对不寐的论述。通过分析《内经》中关于不寐的论述,认为不寐的直接原因为痰饮水邪扰胃,胃气不和则卧不安。痰饮水邪致病的根源在于肾所主的两个方面:一方面为肾主气化,人体气化功能正常,则无痰饮水患;另一方面为肾主藏精,肾精充足,五脏安和,无水邪产生,精神内守,人即安寐。从两方面阐发不寐的机理乃由肾所主,既是对不寐与肾相关性的理论补充,又为不寐的辨证论治提供指导建议。

关键词: 不寐, 黄帝内经, 肾, 肾主气化, 肾主藏精

Abstract: Although no such disease name as “不寐” (literally, insomnia) was mentioned in Huangdi Neijing (Huangdi’s Internal Classic, hereinafter referred to as Neijing), discussions on related symptoms like “目不暝” (literally, inability to close one’s eyes) and “卧不安” (literally, restless sleep) were recorded in Neijing. Based on an analysis of the discussion related to insomnia in Neijing, it is believed that the direct cause of insomnia is that phlegm-fluid retention disturbs the stomach, which in turn leads to restless sleep. The root cause of phlegm-fluid retention, however, lies in two functions of the kidney. First, the kidney controls qi transformation, whose normal function causes no phlegm-fluid retention. Second, as the kidney stores essence, whose abundance places the five zang organs in peace without phlegm-fluid retention and keeps essence and spirit in the interior resulting in sound sleep. This approach to explaining the reasons for and mechanism of insomnia in terms of the functions of the kidney not only complements the theoretical discussion of the relationship between insomnia and kidney but also provides guidance and suggestions for the treatment of insomnia based on pattern differentiation.

Key words: insomnia, Huangdi Neijing, kidney, the kidney governs qi transformation, the kidney stores essence

中图分类号: 

  • R255.9