基于昼夜节律的朝暮分调法探析

Separated Adjustment in the Morning and Evening based on Circadian Rhythm

基于自然界阴阳消长气机升降的昼夜节律,因时制宜,于晨昏分别采用不同方药分而调之的治法策略是为朝暮分调法。其内涵为朝暮二法并用,以分调阴阳为总则,可细分为脾肾分补、分调营卫、宣上填下、清金补火、通阳摄阴、斡旋中焦六法。诸法各有倚重,然皆以阴阳升降为纲目、顺昼夜节律为枢机、用丸膏缓进以补虚为核心特点,随证变法,可为临床疑难病证提供治法思路。

According to the circadian rhythm of the waxing and waning of yin and yang,as well as the ascending and descending of qi movement in the natural world,treatment should be administered during the most optimal time,and thus separated adjustment method is formulated by using different formulas in the morning and evening.The connotation of the separated adjustment method is to use the two methods simultaneously;and the general principle is to adjust yin and yang separately,which can be subdivided into six categories:separately supplement spleen-kidney,separately adjust Ying-Wei(营卫),diffuse the upper and supplement the lower,clear metal and supplement fire,unblock yang and contain yin,and mediate middle jiao(焦).Although different methods have their own focus,all take"ascending and descending of yin and yang"as the key principle,follow the circadian rhythm,supplement deficiency with mild paste and pills,and change the method according to the syndromes,providing ideas for treating intractable diseases.