浅谈《黄帝内经》日节律理论在针灸临床的运用

Application of Circadian Rhythm Theory in Yellow Emperor's Inner Canon in Acupuncture Practice

日节律是指周期时间接近24 h的生物节律,是生物受天地自然影响,逐渐形成的机体内在的生物节律。《黄帝内经》中提出的天人相应思想、“因时制宜”等,均指出人体与自然之间的紧密相关性,强调医者要懂得顺应天地的规律施治,令人体与天地四时规律相吻合,以达到“顺天之时,而病可与期”。书中日节律大致分为四段式、五段式及十二段式等。日节律相关理论亦可以指导医者临床实践,在针刺的输穴选择、深度、手法及时机等方面均可做以参考,因此本研究基于《黄帝内经》中的部分与日节律相关的论述做以总结分析,研究此理论指导针灸临床的实用性。

Circadian rhythm refers to the biological rhythm with a cycle time close to 24 h,which is the internal biological rhythm of organism gradually formed by the natural influence of heaven and earth.In Yellow Emperor's Inner Canon,the thought of correspondence between human and nature and‘adapting to the times’pointed out the close correlation between human body and nature,and emphasized that practitioners should know how to conform to the laws of heaven and earth and make the human body conform to the laws of heaven and earth in four seasons,so as to achieve the goal of‘alleviating illness by conforming to nature’.Circadian rhythms in the book can be roughly divided into four,five and twelve segments.The theory of circadian rhythm can also guide practitioners in acupuncture practice,and can be used as a reference in acupuncture point selection,depth,manipulation,timing and other aspects.Therefore,this study made a summary and analysis based on some statements related to circadian rhythm in Yellow Emperor's Inner Canon,and studied and discussed the practicability of this theory in guiding acupuncture practice.