基于《黄帝内经》营卫理论谈慢性疲劳综合征睡眠障碍辨治思路
[中图分类号］R255.5 [文献标志码］A [文章编号]0256-7415（2025）10-0156-06
DOI：10.13457/j.cnki.jncm.2025.10.030
Discussion on Diagnostic and Treatment Approach for Sleep Disorders in Chronic Fatigue Syndrome Based on Nutrient and Defense Theory in Huang Di Nei Jing
LI Jiayang1，CHEN Shuangyu¹，CHEN Bihua1，CHAI Yinying1，QIU Shengliang²
1.TheFirstSchoolofClinicalMedicine，ZhejiangChineseMedicalUniversity，HangzhouZhejiang310O53，China；2.TheFirst AffliatedHospitalofZhejiangChineseMedicalUniversityZhejiangProvincialHospitalofraditionalChineseMedicine，Hagzhou Zhejiang 310006，China
Abstract：Sleep disorders are prominent nonspecific symptoms in chronic fatigue syndrome （CFS），often characterized bycomplex pathogenesis and acombination of deficiency and excessin clinical presentations.The Huang Di Nei Jing（TheYelow Emperor's Inner Classic）interprets thesepathologicalchanges throughthechangesof nutrient and defense，suggesting that thecore mechanism of disrupted sleep-wake cycles lies in the disharmonyof nutrient defense.Based onthe nutrientand defense theory，thisstudy explores the etiologyand pathogensisof sleep disorders andthe mechanisms behind the formationof sleeprhythms.It is foundthat nutrientand defense relyon the harmonyof yinand yang，qi and blood，viscera and bowels，and meridian andcollateral to maintain theirbalanceand the body's circadian rhythm.The treatment of sleep disorders in CFS should therefore focus on harmonizing nutrient and defense. This can beachieved by regulating the middle energizerto aid transformation and transportation，expelling pathogens， regulating qi，unblocking meridians，nurturing yin，subduing yang，and harmonizing nutrient anddefense to restore their balance.This approach provides areference forthe Chinese medicine diagnosis and treatment of sleep disorders in CFS.
Keywords：Chronic fatigue syndrome；Sleep disorders；Huang Di Nei Jing；Nutrient and defense；Diagnostic and treatment approach
慢性疲劳综合征（CFS）以持续或反复出现6个月及以上的衰弱性疲劳为特征，常伴有低烧或发热样感觉、头痛、肌肉酸痛、睡眠障碍、认知障碍、自主神经系统调节障碍等多系统的非特异性症状[-3]。（剩余10661字）