阴阳卫气循行与失眠的关系探析

Exploration of the Relationship between Yin-Yang Defensive Qi Circulation and Insomnia

摘要: 本文旨在探讨卫气循行、阴阳相交及五脏协同在寤寐(即睡眠与觉醒)过程中的关键作用。根据中医理论，卫气的正常循行是维持寤寐转换的枢机，其运行规律直接影响睡眠质量。阴阳相交则是寤寐转换的起始点，阴阳平衡的失调会导致失眠等睡眠障碍。此外，五脏(心、肝、脾、肺、肾)的功能协调对维持生命活动至关重要，其中心主神明、肝藏血、脾主运化、肺主气、肾藏精，五脏功能的协同作用是保证良好睡眠的基础。通过分析《黄帝内经》等相关经典文献，并结合现代神经科学研究成果，本文揭示了中医理论在解释和治疗睡眠障碍方面的独特优势，为临床治疗提供理论依据。

Abstract: This study explores the pivotal roles of Wei Qi circulation, Yin-Yang interaction, and five-zang organ synergy in regulating the sleep-wake cycle. According to Traditional Chinese Medicine (TCM) theory, the proper circulation of Defensive Qi serves as the key mechanism governing sleep-wake transitions, with its rhythmic movement directly influencing sleep quality. Meanwhile, Yin-Yang interaction constitutes the initiating point of sleep-wake alternation, and disruptions in their balance may lead to sleep disorders such as insomnia. Furthermore, the functional coordination of the five zang organs (heart, liver, spleen, lung, and kidney) is essential for sustaining vital physiological processes. The heart governs mental activity, the liver stores blood, the spleen manages digestion, the lung controls respiration, and the kidney preserves essence. Their harmonious synergy provides the physiological foundation for restorative sleep. By analyzing classical TCM texts Huangdi Neijing and integrating modern neuroscience research, this paper elucidates the unique advantages of TCM theory in explaining and treating sleep disorders, offering a theoretical framework for clinical interventions.