2023年2月第29卷第2期February.2023Vol.29No.2■■■■■■■■■■■■■■■■理论基于《灵枢》解结理论探讨温通针法治疗失眠的机制*高鹏鹏1，王艳2，赵旭春1，方晓丽1，刘强1，赵耀东1，3（1.甘肃中医药大学针灸推拿学院，甘肃兰州730000；2.甘肃中医药大学基础医学院，甘肃兰州730000；3.甘肃中医药大学附属医院针灸中心，甘肃兰州730000）[摘要]基于“解结”理论，从失眠的病因病机、解结理论、温通针法、机理探析四方面解析郑氏温通针法治疗失眠的“解结”机制。失眠有“实结”“虚结”之分，“实结”主要包括肝郁化火、痰热内扰、胃气不和三方面，“虚结”主要包括心脾两虚、心胆气虚、心肾不交三方面。温通针法可通过“温”“通”“补”三大特性解失眠之“实结”与“虚结”，使经脉畅通，气血相通，脏腑和调，阴阳相和。[关键词]解结理论；《灵枢》；温通针法；失眠；针刺；理论探讨[中图分类号]R246.6[文献标识码]A[文章编号]1672-951X（2023）02-0179-04DOI：10.13862/j.cn43-1446/r.2023.02.034DiscussionontheMechanismofWarming-promotingNeedlingMethodintheTreatmentofInsomniabasedontheTheoryofResolvingKnotsinMiraculousPivotGAOPengpeng1,WANGYan2,ZHAOXuchun1,FANGXiaoli1,LIUQiang1,ZHAOYaodong1,3(1.SchoolofAcupunctureandMassage,GansuUniversityofChineseMedicine,LanzhouGansu730000,China;2.BasicMedicalCollege,GansuUniversityofChineseMedicine,LanzhouGansu730000,China;3.AcupunctureCenter,AffiliatedHospitalofGansuUniversityofChineseMedicine,LanzhouGansu730000,China)[Abstract]Basedonthetheoryof"resolvingknots",the"resolvingknots"mechanismofZHENG'swarming-promotingneedlingmethodintreatinginsomniaisanalyzedfromfouraspects:etiologyandpathogenesisofinsomnia,"resolvingknots"theory,warminganddredgingacupuncturemethod,andmechanismanalysis.Theauthorbelievesthatinsomniacanbedividedinto"excessknot"and"deficiencyknot"."Excessknot"mainlyincludesthreeaspects:liverdepressiontransformingfire,phlegmheatinternaldisturbance,andstomachqidisharmony."Deficiencyknot"mainlyincludesthreeaspects:heartandspleendeficiency,heartandgallbladderqideficiency,andheartandkidneydisjunction.Thewarming-promotingneedlingmethodsolvesthe"excessknot"and"defi－ciencyknot"ofinsomni...
