温阳法治疗阳虚型失眠症40例

Retrospective Analysis on 40 Cases of Yang Deficiency Insomnia Treated with Warming Yang Therapeutic Principle

目的:探讨温阳法治疗阳虚型失眠症的临床疗效及意义。方法:回顾性分析2009年11月—2010年4月杨志敏教授运用温阳法治疗的40例失眠症患者的中医临床特征,并评价治疗前后睡眠(匹兹堡睡眠质量指数)和情绪障碍(焦虑抑郁量表和抑郁自评量表)改善情况。结果:40例失眠患者中除失眠主症外出现频率较高的中医兼症依次是神疲乏力、畏寒怕冷、手足不温、烦躁不安、紧张焦虑、心悸心慌、口干喜温饮、头晕、大便溏、夜尿多、腰膝酸痛;舌脉象依次是舌淡、舌胖、舌边有齿印、苔白、苔润、脉沉、脉细、脉弱。与治疗前相比,治疗后匹兹堡睡眠质量评分及焦虑和抑郁自评量表评分均明显降低,差异具有非常显著性意义(P<0.01)。治疗后总有效率为82.5%,且无明显不良反应。结论:运用温阳法治疗阳虚型失眠疗效确切,具有其临床应用价值。

Objective：To investigate clinical therapeutic effect and significance of treatment on yang deficiency insomnia with warming yang therapeutic principle. Methods ： Retrospective analysis was performed on data of 40 patients with primary insomnia treated with warming yang therapeutic principle administrated by Professor YangZhi-min from November,2009 to April,2010, which include the clinical characteristic of traditional Chinese medicine（TCM） and evaluation with the changes in sleep（ Pittsburg Sleep Quality Index） and mood（ Self-rating Anxiety Scale and Self-rating Depression Scale） disorders between before and after treatment. Results ：Accompanying symptoms followed by high frequency on 40 patients with primary insomnia except the main symptoms are lassitude, aversion to cold, cold limbs, restlessness, anxiety, palpitations, thirst with desire for warm drinking, dizzi- ness,loose stools, frequent urination at night, sore weak loins and knees ;Tongue and pluse shows followed by high frequency are pale tongue, fat tongue,teeth marks side of tongue, white tongue coating, moist tongue coating, sunken pule, thready pulse, weak pluse. Compared with before treatment,after treatment,the PSQI scores and the SAS and SDS scores were significantly lower,the difference was very significant（ P 〈 0.01 ）. Total effective rate after treatment is 82. 5% with no obvious adverse reactions. Conclusion：Treatment on yang deficiency insomnia with warming yang therapeutic principle is effective,with its clinical application value.