基于营卫理论探讨从经络辨治失眠

Treating Insomnia by Meridians and Collaterals Syndrome Differentiation Based on Ying-Wei Theory

营卫理论主要从邪气客于五脏六腑,卫气不得入阴及营气衰少,气道不利,卫气内伐两方面阐述失眠病机。针灸治病,首在辨证。通过挖掘《灵枢》中有关营卫理论,从营卫运行与交会的角度阐述针刺治疗失眠的辨证取穴,从整体结合局部进行系统的营卫体系经络辨证,以针刺结合多种中医特色疗法治疗失眠。从营卫的运行与交会初探针灸治疗失眠的辨经取穴,涉及到营气与卫气的运行规律及其指导下的辨经取穴两个方面。辨证的重点在于如何辨别营卫的盛衰,涉及营气虚实辨证、卫气失常辨证,并以局部诊法辅助诊断,尤重腹诊及眼诊。随证治之,则需要针灸、拔罐、放血、中药多种治疗方法的综合应用。

Based on ying-wei theory,the disease mechanism of insomnia is that evil qi invades and locates in the five zang organs and six fu-organs,leading to wei qi failing to enter yin,or that deficiency of ying qi leads to unsmooth qi passage and internal invasion by wei qi. For acupuncture and moxibustion,syndrome differentiation is of the highest importance. Through excavation of the ying-wei theory from The Spiritual Pivot,the selection of major points for insomnia based on circulation and intersection of ying qi and wei qi was explored,and the systemic syndrome differentiation of channels and collaterals based on ying-wei theory by combining the general and the local was performed,and acupuncture was combined with other traditional Chinese medicine treatment to treat insomnia. Based on circulation and intersection of ying qi and wei qi the selection of major points for insomnia was explored,which involves the circulation law of ying qi and wei qi and points selection based on channel differentiation. The key point for syndrome differentiation is how to determine the condition of ying qi and wei qi,involving the differentiation of ying-wei deficiency or excess,and syndrome differentiation of wei qi disorder. Besides,the local diagnosis is applied to help diagno- sis,especially the abdominal diagnosis and ocular diagnosis. The treatment should be based on the syndromes by using various therapies like acupuncture,moxibustion,cupping,blood letting and Chinese medicinals.