《灵枢·卫气行》疑义辨析

Discussion about Weiqixing in Lingshu

《黄帝内经·卫气行》篇奠定了中医睡眠医学的基础,是中医基础理论的重要组成部分。然而,长期以来,关于文中卫气出入循行的认识似乎存在前后矛盾,因而一直受到一些质疑和非议。本文通过《黄帝内经·卫气行》篇"夜"、"藏"、"日"、"身"等文字含义的分析,提出《灵枢·卫气行》篇后一节经文主要讲的是卫气"昼行于阳"或者说"在于身"的情形,和前一节经文所言的卫气总的运行规律并不相悖。澄清这一点,对于进一步研究卫气出入循行的变化规律,推动中医睡眠医学的发展和完善,具有重要的理论和实践指导意义。

Weiqixing in Inner Canon of Yellow Emperor laid the foundation of sleep medicine which was an important part of the basic theory of TCM, however, the cyclic order of defensive qi in different paragraphs seemed to be inconsistent and lead it to be in doubt. Through analysis of the meanings of the concept of ye, cang, ri, shen in the context of Weiqixing in Inner Canon of Yellow Emperor, it may be concluded that what was said in the latter paragraph of Weiqixing in Lingshu was mainly about the situation that defensive qi running in the daytime or lying in the body surface. It is not inconsistent with total operating rule of defensive qi what is mentioned in the previous paragraph. To clarify this point, it is important theoretical and practical significance in further studies on the circulation of defensive qi and sleep medicine in TCM.