由时间医学浅谈睡眠障碍与月经后期的关系

Discussion on the relationship between sleep disorder and delayed menorrhea under the perspective of chronomedicine

月经是女性性周期的标志,中医根据天人相应的整体观,遵从因时制宜的治疗原则,总结月经周期中气血阴阳消长变化特点辨证施治,在治疗上有较大优势。目前多认为月经周期与中医时间医学中的月节律相关,而与日节律,即昼夜节律或睡眠觉醒活动关系的研究甚少。临床观察到睡眠觉醒节律紊乱的女性常并见月经失调,考虑女性月经周期与睡眠觉醒活动相关,故提出了"昼夜轴"的概念,同时运用中医时间医学理论浅析睡眠障碍与月经后期的关系,以期为月经病的防治提供新思路。

Menstruation is a symbol of female sexual cycle.Based on the holistic view of TCM between human and universe,TCM complies with treatment principles according to the time.This paper summarizes the characteristics of the changes of qi,blood,Yin and Yang in menstrual cycle,which shows great advantages in treatment.At present,it’s widely believed that menstrual cycle is closely related with month rhythm.However,researches about the relationship between the menstruation and the circadian variation,which is also known as the sleep-awakening activity,are very few.In clinical observation,there exists close relationship between the menstruation disturbance and asleep-awake cycle.Thus,we put forward a concept called day-and night-axis,which means the waxing and waning of Yin and Yang in human body depending on the regular daily routines and sleep schedules.Meanwhile,we attempt to elaborate the internal relation between delayed menstruations and sleep disorders,in order to provide new ideas for the prevention and treatment of menstrual diseases.