基于《黃帝內(nèi)經(jīng)》營衛(wèi)理論談慢性疲勞綜合征睡眠障礙辨治思路

[中圖分類號］R255.5 [文獻標志碼］A [文章編號]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

慢性疲勞綜合征（CFS）以持續(xù)或反復出現(xiàn)6個月及以上的衰弱性疲勞為特征，常伴有低燒或發(fā)熱樣感覺、頭痛、肌肉酸痛、睡眠障礙、認知障礙、自主神經(jīng)系統(tǒng)調(diào)節(jié)障礙等多系統(tǒng)的非特異性癥狀[-3]。（剩余10661字）