基于中医时间节律辨治失眠的研究进展*

作者：彭 彬1，徐世杰1，高 雅2

单位：1.中国中医科学院中医基础理论研究所，北京 100700； 2.中国中医科学院中国医史文献研究所，北京 100700

引用：引用：彭彬，徐世杰，高雅.基于中医时间节律辨治失眠的研究进展[J].中医药导报,2025,31(10):114-119.

DOI：10.13862/j.cn43-1446/r.2025.10.020

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摘要：

归纳中医时间医学视域下失眠病机与治法的研究现况，总结各“时间节律”与失眠病机形成的关系及中医药治疗方法的研究进展。中医“时间节律”主要包括日节律、月节律、季节节律、年龄节律和五运六气节律，各个节律与失眠的发生发展皆有密切联系，导致失眠的病机存在一定的动态演变规律。临床诊疗中针对失眠不同时间节律病机特点，形成了昼夜阴阳分治、十二时辰分治、从月相变化论治、从季节节律论治、从年龄阶段论治和从运气要素论治6种治疗方法。

关键词：失眠；中医时间医学；日节律；月节律；季节节律；年龄节律；五运六气节律；综述

Abstract：

This article summarizes the current research status on the pathogenesis and treatment of insomnia from the perspective of TCM time medicine, and reviews the relationship between various "temporal rhythms" and the formation of insomnia pathogenesis, as well as the research progress in TCM treatment methods. TCM "temporal rhythms" mainly include circadian, monthly, seasonal, age-related, and Five Yun and Six Qi (five elements' motion and six kinds of natural factors) rhythms, all of which are closely related to the occurrence and development of insomnia, leading to a certain dynamic evolution pattern of its pathogenesis. In clinical practice, six treatment methods have been formed targeting the characteristics of insomnia pathogenesis according to different temporal rhythms: treatment based on day-night Yin-Yang division, treatment based on the twelve ancient time units, treatment according to lunar phases, treatment based on seasonal rhythms, treatment according to age stages, and treatment based on Five Yun and Six Qi factors.

Key words：insomnia; time medicine in TCM; circadian rhythm; lunar rhythm; seasonal rhythm; age-related rhythm; Five Yun and Six Qi rhythms; review

发布时间：2026-01-08

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