基于“浊邪害清”理论研究老年睡眠碎片化的病机与证治

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Pathogenesis and Syndrome Differentiation of Sleep Fragmentation in the Elderly Based on the Traditional Theory of“Turbid Evil DamagingClarity”

ZHANGMin1，CHEN Yaojin1，CHENShoufei² （1Fujian Academy of Traditional Chinese Medicine，Fuzhou 35ooo3，China; 2 Fuzhou Second General Hospital，Fuzhou 35ooO7，China）

AbstractElderlyindividualsareahigh-riskpopulationforsleepdisorders，oftencharacterizedbylightandfragmentedsepIn traditional Chinesemedicine（TCM），theconceptsof clarityandturbidityrepresenttheexternalmanifestationsofYinand Yang.Theirdynamic balanceis fundamental to maintaining the normal physiologicalfunctionsof theinternalorgans.Withaging， thedeclineof Yingqiand Weiqidisrupts thisharmony，leading toYin-Yang imbalanceandsleep-wakedisturbances.Teeentialpathogenesisofsleepfragmentationinteelderlyliesinqiandblooddeficiency，hilethecorepathogenicfactoris“turbidevildamagingclarity.”herefore，treamentshouldbebasedoeinforcingqiandblod，dfrentiatingbetweeclarityandturbiity，andcamingthespirit（Shen），whileakingintoaccountindividualdiferencesingender，age，sydrometype，nddiual rhythm.

Keywords“Turbid evildamaging clarity”theory；Elderly；Sleep；Pathogenesis；Syndromediferentiationand treatment；Qi and blood; Circadian rhythm; Spirit regulation

中图分类号：R338.63 文献标识码：B doi：10.3969/j. issn.2095-7130.2025.10.063

随着我国老年人口规模的持续扩大，老龄化现象呈现出数量多、速度快、差异大的特点，构建具有中国特色的健康老龄化模式已成为社会各界的普遍共识。（剩余5974字）