基于“子午流注方药”理论探讨慢性失眠辨治策略

Exploration on the Syndrome Differentiation and Treatment Strategies for Chronic Insomnia Based on the Theory of "Midnight-Noon Ebb-Flow Medicinal Therapy"

摘要:

慢性失眠是临床常见病、多发病，病程绵长，对生活质量影响大，临床治疗效果易反复，可归属于中医学不寐范畴。本文基于“子午流注方药”理论探讨慢性失眠的辨治策略。“子午流注方药”诊疗技术通过“出生时间”运气归经算法结合临床表现进行经络辨证，并依据“归十二经，应五输穴”原则，让患者在经络开阖时间服用对应协定处方。该技术能有效解决复杂病症的经络定位难题，为临床辨证提供精准切入口，具有辨证迅速、心身同治及疗效显著的优势，可为中医药治疗慢性失眠提供参考。

Abstract:

Abstract： Chronic insomnia is a prevalent clinical disorder characterized by a prolonged course. It severely impairs quality of life of patients and often relapses despite treatment. In traditional Chinese medicine （TCM）， this condition corresponds to the category of "bumei." This paper explores diagnostic and treatment strategies for chronic insomnia based on "midnight-noon ebb-flow medicinal therapy. " The "midnight-noon ebb-flow medicinal therapy" diagnostic and treatment technique employs a "birth-time-based meridian tropism" algorithm，combined with clinical manifestations for syndrome differentiation of meridians. Adhering to the principle of "corresponding to the twelve meridians and five shu points， " patients take specific prescriptions during the opening and closing cycles of their meridians. This technique resolves the difficulty of meridian localization in complex conditions and provides a precise entry point for clinical syndrome differentiation. It offers advantages including rapid syndrome differentiation， simultaneous treatment of body and mind，and remarkable therapeutic efficacy，thereby serving as a valuable reference for TCM treatment of chronic insomnia.