黄连温胆汤治疗痰热内扰型失眠23例临床观察

Huanglian Wendantang Treatment Phlegm Heat in One Type of Insomnia 23 Cases of Clinical Observation

[目的]观察黄连温胆汤治疗痰热内扰型失眠疗效。[方法]使用前瞻性设计方法,23例(住院/门诊)患者使用黄连温胆汤(姜半夏9g,陈皮、茯苓、竹茹各10g,枳实、甘草各6g,黄连8g,大枣2枚;热邪偏盛加黄芩、栀子、生地各10g;兼有肝气不疏加合欢皮、佛手各10g;年迈血少、久病血虚加当归10g,酸枣仁20g,远志9g,柏子仁10g,夜交藤15g,党参10g;病程日久,不寐较重加生龙骨、生牡蛎各20g,五味子15g),1剂/d,水煎500m L,早晚口服。连续治疗7d为1疗程。观测临床症状、睡眠状态、不良反应。连续治疗4疗程,判定疗效。[结果]痊愈16例,显效4例,有效2例,无效1例,总有效率95.70%。[结论]黄连温胆汤治疗痰热内扰型失眠,疗效满意,无严重不良反应,值得推广。

[Objective]To study the curative effect of Huanglian Wendantang treatment phlegm heat in one type of insomnia.[Methods]23 cases of clinic patients using huanglian wendan tang（ginger processed pinellia 9g,tangerine peel 10 g,tuckahoe 10 g,bamboo shavings 10 g,immature bitter orange 6g,glycyrrhiza uralensis 6g,coptis chinensis 8g,Jujube 2mei,heat evil remedying scutellaria baicalensis,gardenia,rhizome of rehmannia every 10 g,diseases don＇t thin silk tree albizzia bark,finger citron every 10 g,old blood less and a long illness blood deficiency angelica 10 g,Semen Ziziphi spinosae 20 g,polygala tenuifolia 9g, platycladi Seed 10 g,tuber fleeceflower Stem 15 g,Codonopsis pilosula 10 g,Course of time,Insomnia is heavier crude dragon bone 20 g,oysters-raw 20 g,Schisandra chinensis 15g）,1dose/day,Fried 500 ml water,morning and evening oral,continuous treatment 7 d is 1 treatment course,observation of clinical symptoms and adverse reactionsn.Afer four courses of treatment,to determine efficacy.[Result]Cure 16 cases;4 cases were markedly improved.Effective in 2 cases;invalid in 1 case;total effective rate was 95.7%.[Conclusion]The curative effect of Huanglian Wendantang treatment phlegm heat in one type of insomnia,satisfied curative effect,no side effect,is worth promoting.