基于开阖枢理论探讨三阴交、神门治疗不寐机理与运用

Mechanism and Application of SP6 and HT7 in Treating Insomnia,Based on The Theory of'Kai-he-shu'

三阴三阳开阖枢调节人体阴阳气化并使阴阳出入顺应昼夜节律。本文基于《黄帝内经》阴阳离合的开阖枢理论阐释人体寤寐机制,认为三阴三阳开阖枢应天时而调阴阳是正常寤寐的生理基础;指出不寐的发生与经气开阖枢功能失调导致阴阳出入失常有关。针灸治疗疾病的着眼点在于调整人体阴阳,而不寐的根本病机就在于阴阳失交、阳不入阴。三阴交、神门可调节三阴开阖枢而治疗不寐。由于三阴经气开阖枢发生于21点~7点的时间特性,治疗时可采用针刺与穴位敷贴相结合的方法。针刺三阴交用补法,补太阴经气以助开机正常启运;针刺神门用平补平泻法,疏利少阴枢机以协调阴阳。并于夜间将补气安神类药物敷贴于三阴交、神门,于三阴主时调节人体经气开阖枢,恢复阴阳出入的正常状态以治疗不寐。

The‘Kai-He-Shu’of three Yin and three Yang regulates the movement of Yin and Yang in human body,and makes the process coordinate with the circadian rhythm,which is the physiological basis of normal sleep.Based on the theory of‘Kai-He-Shu’in the Inner Canon of Huangdi,this paper explained the mechanism of sleep and wakefulness,and pointed out that the occurrence of insomnia is related to the disorder of Yin and Yang,resulted from the disorder of‘Kai-He-Shu’.The aim of acupuncture and moxibustion treatment of diseases is to adjust the Yin and Yang of the human body,and the fundamental pathology of insomnia does lie in the disorder of Yin and Yang.SP6 and HT7 can adjust the‘Kai-He-Shu’of three Yin to treat insomnia.Due to the time characteristic of‘Kai-He-Shu’,needling and acupoint sticking therapy can be used in treatment.Acupuncture SP6 with the method of supplement to open the gate of Taiyin,acupuncture HT7 with mild reinforcing-reducing method to activate the hinge of Shaoyin,and apply the traditional Chinese medicinal materials with the function of supplying vital force and soothing nerves to the skins where SP6 and HT7 are,to recover the function of‘Kai-He-Shu’at the time of three Yin,restore the normal state of Yin and Yang to treat insomnia.