百合地黄汤治疗围绝经期失眠的经验总结

Experience of Baihe Dihuang decoction in the treatment of perimenopausal insomnia

围绝经期失眠在临床上是常见病、多发病,病因病机复杂。于白莉教授精研《伤寒杂病论》,认为围绝经期失眠当属于"百合病"。本文旨在总结于白莉教授运用百合地黄汤治疗围绝经期失眠的临床经验,于教授认为围绝经期失眠的病因病机总属于阴虚内热,肾水不足,加之七情内伤;治疗上当以补虚清热、养阴宁神为大法,辅以调畅情志。

Perimenopausal insomnia is a common and frequently occurring disease with complicated etiology and pathogenesis.Professor Yu Baili studied the Treatise on Febrile and Miscellaneous Diseases,and believed that insomnia in perimenopausal period belonged to"Baihe disease".The purpose of this paper is to summarize Professor Yu Baili clinical experience in treating perimenopausal women,insomnia with Baihe Dihuang decoction.Professor Yu believes that the etiology and pathogenesis of insomnia in perimenopausal women are yin deficiency and internal heat,deficiency of kidney water and internal injury of seven emotions.In the treatment,the main methods are tonifying deficiency and clearing heat,nourishing yin and tranquilizing mind,supplemented by regulating emotions.