名中医吴清明应用“胆气春生”理论治疗不寐经验

Wu Qingming's experience in treating insomnia by applying the theory of “gallbladder qi rising in spring”

失眠是常见的内科疾病之一,传统中医学称“不寐”“不眠”等,现代医学称为失眠症,是最常见的睡眠障碍。按照现代医学的标准,其主要表现有在合适的睡眠条件下仍入睡困难,或时睡时醒,或醒后难再入睡,甚则彻夜不眠等。本病病位在“心”,与情志因素等密切相关,其核心病机为心神不安,神气不和。吴清明教授将“不寐”的生理病理与《脾胃论》中的“胆气春生”及其中“少阳为枢”的学术思想相联系,结合自身临床实践经验,提出观点:少阳在气的运化中起着至关重要的调控作用,胆气为人体阳气激发的重要枢纽,在人体阴阳调和中发挥着不可忽视的作用。他阐明了失眠与胆气的关系,主张调节全身气机必先升发胆气,在本病的治疗中取得了较好的临床疗效。

Insomnia is one of the common internal diseases,which is called “insomnia” or “sleeplessness” in traditional Chinese medicine and insomnia in modern medicine,and it is the most common sleep disorder.According to the standards of modern medicine,its main manifestations include difficulty in falling asleep under suitable sleeping conditions,or sometimes waking up when sleeping,or difficulty in falling asleep again after waking up,or even staying awake all night.This disease is located in the “heart” and is closely related to emotional factors.The core mechanism of the disease is that the heart spirit are restless,and the shen and qi are not in harmony.Prof.Wu Qingming linked the physiopathology of “insomnia” with the academic theory of “gallbladder qi rising in spring” and “Shaoyang as the pivot” in “Treatise on Spleen and Stomach”,and combined it with his own clinical experience to put forward the viewpoint that Shaoyang is the center of qi.He put forward the viewpoint that Shaoyang plays a crucial role in regulating the transportation of qi,and gallbladder qi is an important pivot for the stimulation of yang qi in the human body,which plays an indispensable role in the regulation of yin and yang in the human body.He clarified the relationship between insomnia and gallbladder qi,and advocated that regulating the whole body's qi must first elevate gallbladder qi,which has achieved good clinical results in the treatment of this disease.