摘要
围绝经期失眠主要发病机制被认为是肾虚,病位主要在心,主宰在脑。中医学认为脑、心、肾关系密切,在物质、功能、经络中相互关联形成功能相关的轴,形成“脑-心-肾”轴理论。睡眠的正常维持与神之安宁密切相关,而神不得安宁则是睡眠障碍的根本病因。在围绝经期失眠中,心神不安是关键,脑神失养是本源。天癸竭为围绝经期发病之基础,女子七七之年肾中精气虚衰至一定程度,天癸竭,生殖轴被截断,“脑-心-肾”轴之平衡关系被打破,肾精亏虚,脑神失养,心神不安,遂出现失眠等一系列的症状。文章结合围绝经期失眠的病因和病理特征,深入探讨其发病机制,并从古典文献中选择了肾俞穴、心俞穴、神庭穴等穴位,为临床治疗提供了一些思路。
The main pathogenesis of perimenopausal insomnia is kidney deficiency,with the disease mainly located in the heart and dominated by the brain.Traditional Chinese medicine believes that the brain,heart,and kidney are closely related,forming a functional axis through the interconnection of matter,function,and meridians,forming the"brain-heart-kidney"axis theory.The tranquility of the mind is a key factor in maintaining normal sleep,restlessness of the mind is the fundamental cause of sleep disorders,restlessness of the mind is the key to the onset of perimenopausal insomnia,and lack of mental nourishment is the root cause of perimenopausal insomnia.Tiangui exhaustion is the basis for the onset of perimenopause.In the seventh seven-year of a woman's life,the deficiency of kidney essence and Qi reaches a certain level.Tiangui exhaustion cuts off the reproductive axis,disrupting the balance between the brain-heart-kidney axis,causing deficiency of kidney essence,loss of brain and spirit,and anxiety,leading to a series of symptoms such as insomnia.The article explores the pathogenesis of perimenopausal insomnia based on its etiology and pathological characteristics,and selects acupoints such as Shenshu(BL23),Xinshu(BL15),and Shenting(GV24)from classical literature,providing ideas for clinical diagnosis and treatment of this disease.
作者
王健
任路
WANG Jian;REN Lu(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)
出处
《中国中医基础医学杂志》
2025年第8期1459-1461,共3页
JOURNAL OF BASIC CHINESE MEDICINE
基金
国家自然科学基金项目(82274665)
国家重点研发计划中医药现代化研究专项(2018YFC1704301)
辽宁省特聘教授项目(辽教发〔2015〕153号)。
关键词
围绝经期失眠
睡眠障碍
脑-心-肾轴
针灸
Perimenopausal insomnia
Sleep disorders
Brain-heart-kidney axis
Acupuncture
