粟胜勇 张熙 覃美相 林媛媛 蔡慧倩 王甜

    摘要 以阴阳体用关系为理论指导，从调整阴阳使其回归本位的角度出发，分析围绝经期失眠阳不入阴的关键影响因素，论述基于阴阳体用关系指导下针灸治疗围绝经期失眠的临床思路。围绝经期阴虚、阳虚或阴阳两虚均可导致阳气浮越于外上，不能顺利潜藏于内下本位，阳不入阴而发为失眠，是围绝经期失眠的主要病因病机，就此提出协调阳气下潜，使其回归本位，恢复“内阳外阴”本体结构的治疗原则，在临床上结合三焦的生理功能，形成清上焦以泻浮阳、运中焦助阳下潜、补下焦以纳阳归阴的针灸治疗方案，通过使浮越于外、上的阳气顺利潜藏于内、下本位，恢复“内阳外阴”的本体结构，阳得以入阴而治疗本病。

    关键词 阴阳体用关系;内阳外阴;外阳内阴;针灸;三焦;围绝经期失眠;临床思路

    Clinical Thinking of Acupuncture and Moxibustion in the Treatment of Perimenopausal Insomnia Based on Essence-function Relationship between Yin and Yang

    SU Shengyong1，ZHANG Xi1，QIN Meixiang1，LIN Yuanyuan2，CAI Huiqian1，WANG Tian2

    (1 The Affiliated Hospital of Guangxi University of Chinese Medicine，Nanning 530023，China; 2 Guangxi University of Chinese Medicine，Nanning 530001，China)

    Abstract Under the theoretical guidance of the essence-function relationship between yin and yang and from the point of view of adjusting yin and yang to return to the standard，the present study analyzed the key influencing factors of perimenopausal insomnia that yang fails in promoting yin，and discussed the clinical thinking of acupuncture and moxibustion in the treatment of perimenopausal insomnia.Yin deficiency ......