从五脏藏神的理论内涵探讨五脏俞治疗失眠症

Study on the shu-points of five zang (viscera) for treatment of insomnia based on the theory of the five zang (viscera) storing vitality

根据导师东贵荣教授内伤病“脏腑、阴阳、气血、虚实”辨证法则及调五脏神辨证立法治疗失眠症的学术思想,查阅古今中医文献,从五脏神的含义及其功能、五脏神的整体调控机制、邪致五脏神之太过或不及的失眠症的病因病机、依据五脏藏神分型辨证、配穴立法论治不寐的理论及取穴原则,分析五脏神对机体整体的调控功能以及与心神、脑神之间的关系。阐述针刺五脏俞穴调节五脏神志治疗失眠症的立法依据,从而建立并提出针刺膀胱经五脏俞穴治疗失眠症的方法和理论。

According to Prof. DONG Gui-rong＇s law of syndrome differentiation of “viscera, yin and yang, qi and blood, deficiency and excess” in internal injury diseases and academic thought of syndrome differentiation of regulating five zang vitality for treatment of insomnia, the author consults a great number of ancient and modern literature of TCM, analyzes the controlling functions of five zang storing vitality on whole organism and the relation between heart＇vitality and brain vitality, and explain the basis of acupuncture at five-zang shu-points of the Gallbladder Channel to regulate vitality of five zang-organs for treatment of insomnia from intension and functions of five zang vitality, whole regulative mechanism of five zang vitality, the cause and pathogenesis of insomnia of over or too less five zang-vitality induced by pathogenic factors, and according to typing and syndrome differentiation of five zang vitality, theory and principle of acupoint selection, so as to establish and put forward the method and theory of acupuncture at five zang shu-points of the Gallbladder Channel for treatment of insomnia.