从调气安神角度探讨三部推拿法治疗失眠症的理论基础

Exploration on the theoretical basis of treating insomnia with three-part tuina manipulation from regulating qi and tranquilizing spirit

中医推拿治疗失眠症疗效确切,广泛应用于临床,其中三部推拿法治疗失眠技术作为全国中医临床推广项目,是临床常用的治疗方法之一。三部推拿法以调气安神理论为基础,从《黄帝内经》中失眠的总病机阳不入阴、营卫失度、脏腑失和三方面出发,基于所涉及的阴阳学说、营卫学说、五脏论均为气论体系的组成部分,概括失眠病机的共性是气机不畅,阴阳不和,神不守舍而卧不得安。周运峰教授结合推拿手法的特点和推拿治疗的特征,经20余年临床实践总结,凝练形成安全有效的“三部推拿法治疗失眠技术”操作规范,能够调畅气机安神定志,从整体上治疗失眠症。

Chinese tuina treatment of insomnia curative effect is accurate,widely used in clinical,three-part tuina manipulation treatment of insomnia technology as a national Chinese medicine clinical promotion project,is one of the commonly used clinical treatment methods.Three-part tuina manipulation are based on the theory of regulating qi and calming the nerves,starting from three aspects of insomnia in the Huangdi Neijing:yang does not enter yin,construction-defense disharmony,and viscera is deharmonized.Based on the theory of yin and yang,the theory of construction and defense,and the theory of five viscera,they are all components of the qi theory system.The common features of the pathogenesis of insomnia are that the qi movement is not smooth,the yin and yang are not in harmony,and the spirit cannot be kept within and cannot sleep peacefully.Professor ZHOU Yun-feng combined with the characteristics of tuina manipulation and the characteristics of tuina treatment,after more than 20 years of clinical practice,condense and form a safe and effective three-part tuina manipulation to treat insomnia technical operation specifications,can regulating qi and calming spirit,from the overall treatment of insomnia.