从“昼不精、夜不瞑”论围绝经期抑郁与失眠的证治

Syndrome and the treatment of depression and insomnia in perimenopausal period from ‘no spirit during the day, no sleep during the night’

中医认为"昼不精、夜不瞑","不精"之因在于阳气虚不能鼓舞振奋精神;"不瞑"之因在于阴血亏不能敛藏神志。围绝经期综合征患者由于年龄的原因,"虚"为根本病机,抑郁与失眠的发生分别为阳气与阴血的虚少所致。故针对于围绝经期抑郁与失眠症状的治疗,当遵"昼精、夜瞑"之法,分别以"益气温阳"和"养血滋阴"为治。

In traditional Chinese medicine opinion about ＇no spirit during the day, no sleep during the night＇, the cause of ＇no spirit＇ was that the spirit could not encouraged by yang qi, and the cause of ＇no sleep＇ was that the consciousness could not collection by yin blood. Because of age, ＇deficiency＇ was the fundamental pathogenesis of perimenopausal syndrome, the deficiency of yang qi and yin blood respectively caused depression and insonmia. So the treatment of depression and insomnia in perimenopaual period, should comply with the way of ‘Spirit during the day, sleep during the night＇, treating by ＇warming yang and benefiting qi＇ and ‘tonifying blood and nourishing yin＇.