国医大师肖承悰基于“交通心肾”理论治疗围绝经期失眠经验

Chinese medical master XIAO Chengcong's experience in treating perimenopausal insomnia based on the theory of “harmonizing the heart and kidney”

关键词:  围绝经期失眠  交通心肾  中医药  肖承悰

Key words:  perimenopausal insomnia  harmonizing the heart and kidney  traditional Chinese medicine  XIAO Chengcong

摘要:

七七之际，冲任虚衰，天癸欲竭，肾精亏虚，肾水不充，或真阴不升，阴不制阳，心火独亢，上下不通，心气浮跃，神不守舍，夜不成眠；或阴精不能上奉于心，心气亦不足，心肾失交，神失所养，神志不宁；或君相二火皆衰，君火衰不能下趋，相火衰不能接引，心肾不交，发为不寐。文章将从“心肾不交”探讨围绝经期失眠的病因病机，并进一步地探讨国医大师肖承悰教授治疗该病的学术思想，希冀更多的人关注围绝经期女性的健康。

Abstract:

At the age of “seven sevens”，the Chong and Ren meridians become deficient and weakened，the vital essence is about to be exhausted，and the kidney essence and kidney yin are insufficient. This may lead to the failure of true yin to ascend，the inability of yin to restrain yang，and the isolated hyperactivity of heart fire. The communication between the upper and lower parts of the body is disrupted，resulting in restless heart qi，an unstable spirit，and sleeplessness at night. Alternatively，the yin essence may fail to nourish the heart，leading to insufficient heart qi，disconnection between the heart and kidney，and malnourishment of the spirit，causing restlessness. In some cases，both the sovereign and ministerial fires are weakened，preventing the sovereign fire from descending and the ministerial fire from facilitating the connection between the heart and kidney，leading to insomnia. This article will explore the etiology and pathogenesis of perimenopausal insomnia from the perspective of “harmonizing the heart and kidney” and further discuss the academic ideas of Master of Chinese medical master，Professor XIAO Chengcong，in treating this condition. It is hoped that more attention will be paid to the health of women in the perimenopausal period.