段渠教授基于“阴平阳秘”理论调理睡眠维护形神俱美的经验探讨

A Discussion on Professor Duan Qu’s Experience in Regulating Sleep and Maintaining Physical and Spiritual Beauty Based on the Theory of “Yin Ping Yang Mi”

摘要: “阴平阳秘”理论源于《黄帝内经》，是中医阴阳学说的核心思想，为不寐的辨治提供了重要理论指导。段渠教授精研《内经》阴阳学说与卫气运行理论，结合多年临证体悟，创新性地提出不寐的核心病机在于“阳出入阴失和”，并将其归纳为阳出太过、阳出不及、阴血亏虚三类。治以“调阴阳出入之度”为总抓手，确立敛阳入阴、温通升阳、滋阴养血三法，并总结出生地黄–百合、麻黄–桂枝、天麻–钩藤等经验药对，临床疗效显著。段教授还从“形神俱美”的角度认识睡眠的意义，将调理睡眠与维护形神俱美相结合。该治法突破了传统“见眠治眠”、单纯养心安神的局限，从阴阳消长的根本节律层面把握不寐的病机本质，为不寐的中医治疗提供了新思路。

Abstract: The theory of “Yin Ping Yang Mi” originates from the Huangdi Neijing and constitutes a core concept of the Yin-Yang doctrine in Traditional Chinese Medicine, providing important theoretical guidance for the diagnosis and treatment of insomnia. Professor Duan Qu has conducted in-depth research into the Yin-Yang theory and the theory of Wei-Qi circulation in the Inner Canon, and, drawing on many years of clinical experience, has innovatively proposed that the core pathogenesis of insomnia lies in “the disharmony between the entry and exit of Yang into Yin”, categorising it into three types: excessive Yang output, insufficient Yang output, and deficiency of Yin and blood. With “regulating the balance of Yin and Yang” as the overarching principle, he established three therapeutic methods: gathering Yang into Yin, warming and promoting the ascent of Yang, and nourishing Yin and blood. He also summarised empirical herbal combinations, such as raw Rehmannia and lily, Ephedra and Cinnamomum twig, and Gastrodia and Uncaria, which have demonstrated significant clinical efficacy. Professor Duan further understood the significance of sleep from the perspective of “harmony of body and mind”, integrating the regulation of sleep with the maintenance of this harmony. This therapeutic approach breaks through the limitations of the traditional “treating insomnia merely when it manifests” and the simplistic focus on nourishing the heart and calming the spirit. By addressing the pathogenesis of insomnia at the fundamental level of the rhythmic fluctuations of Yin and Yang, it offers a new perspective for the treatment of insomnia in Traditional Chinese Medicine.