摘要：失眠是以不能获得正常睡眠为特征的病症，其基本病机为阳盛阴衰，阴阳失交。不良的生活作息以及渐增的社会压力导致邪实久积人体，化热伤及阴精，阳气旺盛亢于外而成“外阳内阴”的倒置之“体”，阴阳运动后互相背离发为失眠。中焦泛指脾胃，脾主运化，脾胃为气血生化之源，脾胃功能强盛能够祛湿化痰，攻邪消壅，亦能够益气补血，调补亏虚，补虚泻实而平衡阴阳，又因其位置关键，可以联系上下二焦而调和阴阳。通过以“阴阳体用”关系为理论基础阐述失眠的病机，针灸结合为治疗手段，通过调理中焦达到阴阳平衡，构建“内阳外阴”的本位结构而治失眠。

    关键词：失眠；阴阳体用；中焦；针灸；脑肠轴

    中图分类号：R256.23" 文献标志码：A" 文章编号：1007-2349(2025)02-0019-04

    Discussion on the Acupuncture Approach to Treating Insomnia from the Perspective ofMiddle Burner Regulation Based on the Yin-Yang Theory of Form and Function

    ZHANG Lei1， ZENG Zu-xian1， LI Shi-nong1， ZHANG Wei-dong2

    (1. Shanxi University of Traditional Chinese Medicine， Taiyuan 030024， China; 2. Shanxi Acupuncture Hospital， Taiyuan 030006， China)

    【Abstract】Insomnia is a disorder characterized by the inability to achieve normal sleep， with its fundamental pathogenesis attributed to an imbalance of yin and yang， namely， excessive yang and deficient yin leading to their dysregulation. Poor lifestyle habits and increasing societal pressures result in the accumulation of pathogenic factors， which transform into heat that damages yin essence. This creates a pathological state of \"external yang and internal yin ......