五行相生裏的睡眠密碼：莫讓肝木堵了安眠路

在生活的舞臺上，睡眠就像一場神祕而美妙的舞蹈，我們每個人都渴望在這場舞蹈中盡情舒展，享受那份寧靜與愜意。然而，對於許多人來說，失眠卻如同一場揮之不去的噩夢，在寂靜的夜晚肆意糾纏，讓他們在輾轉反側中痛苦不堪。而在這背後，五行相生的古老智慧，就像一把隱藏的鑰匙，或許能爲我們打開通往安眠的大門。

五行相生：生命旋律的和諧樂章

五行相生，是中國古代哲學中一顆璀璨的明珠，它宛如一首悠揚的樂章，奏響着生命和諧共生的旋律。木、火、土、金、水，這五種元素相互依存、相互促進，就像一個緊密相連的大家庭，共同維持着宇宙萬物的平衡與穩定。在人體這個小宇宙中，五行相生同樣發揮着至關重要的作用。肝屬木，心屬火，腎屬水，水生木，木生火，腎水通過肝木滋養心火，心火通過肝木溫滋腎水，形成水火既濟的良好狀態，這是人體健康的重要保障。

這就像一場精心編排的接力賽，腎水是起跑的選手，它帶着滿滿的能量傳遞給肝木；肝木接過接力棒，奮力奔跑，將能量傳遞給心火；心火接過最後一棒，以旺盛的活力完成比賽。只有每個環節都順暢無阻，這場接力賽才能取得勝利，人體才能保持健康。據相關統計，在中醫臨牀診斷中，因五行相生失衡導致的疾病佔比高達[X]%，其中睡眠障礙與五行相生失調的關係尤爲密切。

肝木不通：失眠的罪魁禍首

然而，在現代社會的快節奏生活中，我們的肝木卻常常面臨着各種挑戰。長期的壓力、不良的情緒、不規律的作息，就像一把把鋒利的刀刃，無情地切割着肝木的生機與活力，導致肝木鬱滯不通。這就好比一條原本暢通無阻的河流，被大量的垃圾和淤泥堵塞，水流變得緩慢而艱難。

當肝木不通時，人體的氣機就會失調，上下不通，心腎不交，水火未濟。就像《辨證錄》中所云：“心欲交於腎，而肝通其氣；腎欲交於心，而肝導其津，自然魂定而神安。”一旦肝木這個“交通樞紐”出現問題，心腎之間的溝通就會受阻，神舍失守，神不固攝，容易浮越於外。於是，失眠便悄然降臨。

神不守舍型失眠，以凌晨早醒、醒後難再入睡爲典型特徵。患者常常在丑時（1點 - 3點）或寅時（3點 - 5點）醒來，這兩個時辰正是肝經和肺經當令的時候，肝木不通，氣血運行不暢，就容易在這個時候出現問題。醒後，患者的思緒就像脫繮的野馬，紛擾不斷，難以復眠。同時，還會伴有腰膝痠軟、情緒低落等臟腑失和的症狀。就像我的一位朋友，工作壓力大，長期熬夜，最近一段時間總是凌晨兩三點醒來，醒來後就再也睡不着了，白天精神萎靡，情緒也變得煩躁不安。去醫院檢查，各項指標都正常，後來在中醫的調理下，才知道是肝木不通導致的心腎不交引起的失眠。

疏通肝木：重歸安眠的康莊大道

既然肝木不通是失眠的罪魁禍首，那麼疏通肝木就成了解決失眠問題的關鍵。中醫爲我們提供了許多行之有效的方法。

首先，要調整情緒，保持心情舒暢。情緒就像一把雙刃劍，良好的情緒可以促進肝木的疏通，而不良的情緒則會加重肝木的鬱滯。就像春天裏的陽光，溫暖而明媚，能夠讓樹木茁壯成長；而寒冷的冬天，則會讓樹木變得枯萎凋零。我們要學會釋放壓力，調節情緒，遇到事情要冷靜思考，不要急躁易怒。可以通過聽音樂、看電影、旅遊等方式來放鬆心情，讓肝木在愉悅的氛圍中恢復生機。

其次，要養成良好的作息習慣。熬夜就像一把鋒利的剪刀，無情地剪斷了肝木的生機。晚上1點到凌晨3點是肝經當令的時候，這個時候人體應該進入深度睡眠狀態，讓肝木得到充分的休息和修復。如果這個時候還在熬夜，就會影響肝木的正常功能，導致肝木鬱滯。我們要養成早睡早起的好習慣，保證充足的睡眠時間，讓肝木在黑暗中茁壯成長。

最後，還可以通過中醫的調理方法來疏通肝木。比如，可以服用一些疏肝理氣的中藥，如柴胡疏肝散、逍遙丸等；也可以進行鍼灸、按摩等理療，刺激肝經的穴位，促進氣血運行。就像給堵塞的河流進行疏通和清理，讓水流重新恢復暢通無阻。

五行相生，是大自然賦予我們的寶貴財富；肝木通暢，是我們擁有良好睡眠的重要保障。讓我們珍惜這份古老的智慧，從調整情緒、養成良好的作息習慣做起，疏通肝木，重歸安眠的康莊大道。讓每一個夜晚都能成爲我們放鬆身心、恢復活力的美好時光，讓我們在甜美的夢鄉中迎接新一天的朝陽。

作者簡介：梁世傑 原首都醫科大學中醫門診部中醫主治醫師，本科學歷，從事中醫臨牀工作25年，積累了較豐富的臨牀經驗。師從首都醫科大學附屬北京中醫院肝病科主任醫師、著名老中醫陳勇，侍診多載，深得器重，盡得真傳！擅用“商湯經方分類療法”、專病專方結合“焦樹德學術思想”“關幼波十綱辨證”學術思想治療疑難雜症爲特色。現任北京樹德堂中醫研究院研究員，北京中醫藥薪火傳承新3+3工程—焦樹德門人（陳勇）傳承工作站研究員，國際易聯易學與養生專委會常務理事，中國中醫藥研究促進會焦樹德學術傳承專業委員會委員，中國藥文化研究會中醫藥慢病防治分會首批癌症領域入庫專家。榮獲2020年中國中醫藥研究促進會仲景醫學分會舉辦的第八屆醫聖仲景南陽論壇“經方名醫”榮譽稱號。2023年首屆京津冀“扁鵲杯”燕趙醫學研究主題徵文優秀獎獲得者。事蹟入選《當代科學家》雜誌、《中華英才》雜誌。

The five-letter sleep code: don''t let liverwood block your sleeping path

On the stage of life, sleep is like a mysterious and wonderful dance in which each of us yearns to unfold and enjoy the serenity and comfort. However, for many people, insomnia is like a lingering nightmare that lingers on a quiet night, leaving them miserable as they turn and turn. And behind this, the ancient wisdom of the five branches, like a hidden key, may open the door to sleeping.

Five Elements Born: A Harmonious Symphony of the Melody of Life

The birth of the five branches is a brilliant pearl in ancient Chinese philosophy, and it is like a melodic piece that sounds the melody of harmonious coexistence of life. The five elements, wood, fire, earth, gold and water, are interdependent and mutually reinforcing, like a closely connected family, which together maintain the balance and stability of everything in the universe. In the small universe of the human body, the birth of the five rays also plays a crucial role. Liverwood, heart fire, kidney water, aquatic wood, wood makes fire, kleen water nourishes heart fire through liverwood, heartfire nourishes kidney water through liver wood, and forms a good state of water and fire, which is an important safeguard for human health.

It''s like a carefully choreographed relay race, where kidney water is the starting runner, and it passes full of energy to the liverwood; Liverwood takes the baton and runs hard, transferring energy to the heart fire. Heart fire took the last baton and finished the game with great energy. Only if every step is smooth and unimpeded can the relay win and the human body remain healthy.According to relevant statistics, in the clinical diagnosis of TCM, the proportion of diseases caused by the imbalance of the five elements is as high as [X]%, of which sleep disorder is particularly closely related to the disorder of the five elements.

Liver dysfunction: the culprit of insomnia

However, in the fast-paced life of modern society, our hepatocytes often face various challenges. Long-term stress, poor emotions, and irregular routines are like sharp knives that relentlessly cut the vitality and vitality of the liverwood, causing the liver wood to become demented. It''s like a river that was once unimpeded, but was blocked by a lot of garbage and silt, and the flow became slow and difficult.

When the liver and wood are not connected, the human body''s air machinery will be dysregulated, up and down, the heart and kidney cannot communicate, and water and fire cannot be treated. As the Book of Epigraphy states:“The heart desires to communicate with the kidney, and the liver communicates with the qi; The kidney desires to communicate with the heart, while the liver leads to its benefits, and the natural soul is secure and God is safe.”Once there is a problem with the "transportation hub" of the liverwood, communication between the heart and kidney is blocked, the spirit is lost, the spirit does not rest, and the spirit easily floats out. Then, insomnia came quietly.

Insomnia, which is characterized by waking early in the morning and having difficulty falling asleep after waking, is typical. Patients often wake up at ugly (1 - 3 o''clock) or midday (3 - 5 o''Clock), which is when the liver and lung meridians are called. The liver is not accessible and the air and blood are not functioning properly, so problems are easily caused at this time. After waking up, the patient''s thoughts are like wild horses that are out of control, and it is difficult to get back to sleep. At the same time, it will also be accompanied by symptoms of internal disharmony such as weakness in the knee and low mood. Like a friend of mine, he has a very stressful job and stays up late for a long time. Recently, he has been waking up at two or three in the morning. When he wakes up, he can no longer sleep. He is mentally weak during the day and his mood becomes restless. After going to the hospital to check, all the indicators were normal, and under the treatment of traditional Chinese medicine, it was learned that the insomnia was caused by the intersection of the heart and kidney caused by liver failure.

Healing the Liverwood: The Way to a Healthy Home Again

Since inconnectivity of the liverwood is the main culprit of insomnia, cleaning the liver wood is the key to solving the insomnia problem. Traditional Chinese medicine provides us with many effective methods.

First, try to adjust your mood and keep your mood up. Emotions are like a double-edged sword. Good emotions can promote the clearance of the liver wood, while bad emotions can aggravate the liverwood depression. Like the sun in spring, warm and sunny, which allows the trees to thrive; The cold winter causes the trees to wither and fade. We must learn to release stress, regulate emotions, think calmly in the face of events, and not be irritable or irritable. You can relax your mood by listening to music, watching movies, traveling, etc., and allow liverwood to return to life in a pleasant atmosphere.

Second, develop good habits. Staying up late is like a sharp pair of scissors, ruthlessly cutting off the life of the liverwood. From 1 p.m. to 3 a.m. is the time of the liver meridian, and at this time the human body should enter a deep sleep state to allow the liver wood to be fully rested and repaired. If you stay up late at this time, it will affect the normal function of the hepatocytes and cause hepatocytes to become depressed. We should develop the good habit of going to bed early and getting up early, ensure adequate sleep time, and allow the liverwood to thrive in the dark.

Finally, it is also possible to clear the liverwood through traditional Chinese healing methods.For example, you can take some Chinese medicines for liver detoxification, such as Chaihou liver evacuation and 逍遙丸.It is also possible to perform acupuncture, massage and other physiotherapy to stimulate the points of the liver and promote the flow of qi and blood. It is like removing and clearing a blocked river so that the flow of water can resume unimpeded.

The birth of the five branches is a precious asset given to us by nature. Liver fluidity is an important guarantee for good sleep. Let us cherish this ancient wisdom and begin by adjusting our emotions and developing good habits to clear the liverwood and return to the healthy road of sleeping. Let each night be a great time to relax and rejuvenate, and let us welcome the dawn of a new day in a sweet dream.

Author Profile: Liang Shi-jie was a chief physician of traditional Chinese medicine at the Traditional Chinese Medicine Outpatient Clinic of Capital Medical University. He holds a bachelor’s degree and has been involved in clinical work in traditional Chinese medicine for 25 years, accumulating extensive clinical experience. He studied under Chen Yong, a renowned senior traditional Chinese medicine practitioner at the Hepatology Department of Beijing Hospital Affiliated to Capital Medical University. Over the years, he gained great respect and acquired genuine expertise. He specializes in using the “Shang Tang Classic Classification Therapy” and combining specific treatments for specific diseases with the “Jiao Shu-de Academic Thought” and the “Guan You-bo Ten-Principle Diagnosis” approach to treat complex and rare conditions. Currently, he serves as a researcher at the Beijing Shu-de-Tang Traditional Chinese Medicine Research Institute and a researcher at the Jia Shu-de Disciples (Chen Yong) Heritage Workstation of the Beijing New 3+3 Project for the Succession of Traditional Chinese Medicine. He is a member of the Executive Committee of the International Yi-lian Yi-xue and Health Preservation Committee, a member of the Jia Shu-de Academic Heritage Committee of the China Research Promotion Association for Traditional Chinese Medicine, and a first-batch expert in the cancer field of the China Cultural Research Association for Traditional Chinese Medicine’s Prevention of Chronic Diseases. He was awarded the title of “Expert in Classic Prescriptions” at the Eighth Symposium of the Medicine Saint Zhang Zhongjing of Nanyang, organized by the China Research Promotion Association of Traditional Chinese Medicine in 2020. In 2023, he won the Excellence Award in the First Beijing-Tianjin-Hebei “Bian Que Cup” Symposium on Yan-Zhao Medical Research. His achievements have been featured in the magazines “Contemporary Scientists” and “China’s Elite”.