摘要
围绝经期是女性绝经前后的一段特殊时期,失眠是这一特殊时期的主要表现。蔡圣朝教授认为围绝经期失眠病机为冲任虚损,玄府失司,阴阳失调,神机失用,从临床中总结出常见的四种证型:精血亏虚型、阳虚郁滞型、肝郁气滞型、阴虚火旺型。独创“调任通玄安神针法”,分别从补益精血,养虚开玄;温补阳气,通滞开玄;宣通气机,散郁开玄;滋阴降火,清心开玄四个方面治疗,以期为临床治疗围绝经期失眠提供新的辨证论治思路。
The perimenopausal period is a unique phase for women around menopause,with insomnia as a primary symptom.Professor Cai Shengchao identifies the pathogenesis of perimenopausal insomnia as deficiencies in the Thoroughfare and conception vessels,dysfunction of the“Xuanfu,”imbalance of Yin and Yang,and vital activity apraxia.Based on clinical observations,he has categorized four common syndrome types:deficiency of essence and blood,stagnation due to Yang deficiency,qi stagnation due to liver depression,and Yin deficiency with effulgent fire.His original“acupuncture technique for regulating conception vessel and opening“Xuanfu”to tranquilize mind”addresses treatment from four perspectives:tonifying and replenishing essence and blood to tonify deficiency and open“Xuanfu”;warming and tonifying Yang qi to unblock stagnation and open“Xuanfu”;diffusing and unblocking qi movement to dissipate stagnation and open“Xuanfu”;and enrich Yin to down-bear fire and clear the heart to open“Xuanfu”.This approach aims to provide new perspectives for the clinical treatment of perimenopausal insomnia based on syndrome differentiation.
作者
鹿思佳
蔡圣朝
LU Sijia;CAI Shengchao(The Second Clinical Medical College,Anhui University of Chinese Medicine,Hefei 230022,China;The Second Affiliated Hospital,Anhui University of Chinese Medicine,Hefei 230061,China)
出处
《中医药学报》
CAS
2025年第1期62-65,共4页
Acta Chinese Medicine and Pharmacology
基金
安徽省卫生健康委科研项目(AHWJ2021b033)
周氏梅花针灸流派工作室(皖中医药发展秘﹝2021﹞30号)
国家中医药管理局全国名老中医药专家传承工作室蔡圣朝工作室建设项目(中国中医药人教发〔2014〕47号)。
关键词
玄府
冲任
围绝经期失眠
针灸
Xuanfu
Thoroughfare and conception vessels
Perimenopausal insomnia
Acupuncture