王淑玲教授基于“少阴为枢”理论治疗心肾不交型失眠经验

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AbstractProfessor Wang Shuling，oneofthefirstrenownedtraditional Chinese medicine（TCM）physiciansin Hebei Province， is wel-versedintheessenceofthe“pivot mechanism”theory.Sheskilfullyapplies theconceptof“Shaoyinasthepivot”to guide theclinicaldiagnosisand treatmentof insomniacausedbydisharmonybetweentheheartandkidney.Profesor Wangproposesthat“theimbalancebetwen waterandfireoriginates fromdysfunctionofthe pivot mechanism.”Her treatmentprinciplesare twofold：first，toharmonizeYinandYangandrestorethenormaloperationoftheShaoyinpivot；second，toregulatethecommunicationbetweenthehartandkidneytoachievetranquilityofthespiritandpeacefulslep.Arepresentativeclinicalcaseisdiscusd， in whichJiaotaiPllcombinedwithHuangianEjiaoDecoctionwasprescribed，demonstratingtheapplicationoftisthoreticalapproach.Thisexperience provides theoretical guidanceand clinical insights for thediferentiationandtreatmentof insomnia.

Keywords“Shaoyinas the pivot”；Pivot mechanismtheory；Disharmonybetweenthe heartand kidney；Insomnia；Wang Shuling； Clinical experience

中图分类号：R338.63 文献标识码：B doi：10.3969/j. issn.2095-7130.2025.08.062

失眠是神经科常见的疾病，是影响公众健康的一种常见的睡眠一觉醒障碍，主要表现为睡眠时间、深度的不足，失眠日久常伴随日间功能受损及生命质量受到影响，如记忆力下降、注意力不集中、学习能力受损等。（剩余7240字）