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基于“一纲四目”理论的睡眠障碍中医辨治思路

Traditional Chinese Medicine approaches to syndrome differentiation and treatment of sleep disorders based on the theory of“One Guiding Principle and Four Specific Methods”
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摘要 本文立足于极端环境,根据“天人相应”理论系统解析了昼夜节律紊乱、失重状态下的阴阳失衡、气血逆乱、环境变化所致的情志郁结、饮食排泄异常及六淫邪气等多重病机引起的睡眠障碍。提出调和阴阳为治则和纲领,以平逆气血、调畅气机、调和心肾、通调血脉为具体治法,形成“一纲四目”治法。同时,结合经典方剂的加减应用,形成一个具有多维病机的诊疗思路。本文以中医理论为基础,方药新用,推动了中医药在特殊环境医学中的深度融合,为极端环境作业人员健康管理提供具有中医特色的解决方案,助力特殊环境医学向“防治结合”的现代医学模式转型。 This paper focuses on extreme environments and systematically analyzes sleep disorders caused by multiple pathogenesis,including circadian rhythm disorder,yin-yang imbalance and qi-blood disorder under weightlessness,emotional depression due to environmental changes,abnormal diet and excretion,and six excesses pathogenic factors,in accordance with the theory of correspondence between nature and human.It proposes harmonizing yin and yang as the core therapeutic principle and guiding framework,with specific methods including calming rebellious qi-blood,regulating qi movement,harmonizing heart and kidney,and dredging and regulating blood vessels,thus forming the"one guiding principle and four specific methods"treatment strategy.Additionally,by integrating the modified application of classic formulas,a diagnostic and therapeutic approach targeting multidimensional pathogenesis is established.This study aims to promote the in-depth integration of Traditional Chinese Medicine(TCM)in extreme environmental medicine through TCM theories and innovative application of prescriptions,provide TCM-characterized solutions for health management of workers in extreme environments,and facilitate the transformation of extreme environmental medicine toward the modern medical model of"prevention-treatment integration".
作者 陈蓓 吴堉伦 朱伟杰 蔡俊杰 张梦晗 林雪娟 陈逸梦 Chen Bei;Wu Yulun;Zhu Weijie;Cai Junjie;Zhang Menghan;Lin Xuejuan;Chen Yimeng(College of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;College of Humanities and Management,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Research Base of Traditional Chinese Medicine Syndrome,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;The Jian Du National Traditional Chinese Medicine Studio&The Fujian Du Jian Geriatrics School Inheritance Studio,Fuzhou 350001,China)
出处 《航天医学与医学工程》 2025年第4期337-342,共6页 Space Medicine & Medical Engineering
关键词 天人相应 睡眠障碍 阴阳失衡 一纲四目 correspondence between nature and human sleep disorder yin-yang imbalance One Guiding Principle and Four Specific Methods
作者简介 通讯作者:林雪娟,Email:lxjfjzy@126.com;通讯作者:陈逸梦,Email:250767010@qq.com。
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