“265睡眠紊乱管理法”治疗失眠的理论与方法探析

Analysis of The Theory and Method of"265 Sleep Disorder Management Method"in The Treatment of Insomnia

失眠的出现与波动通常受多因素影响,与生活方式、作息习惯、昼夜节律特点等因素密切相关,应在治疗中予以综合考虑,进行整体管理。在将中医理论与现代睡眠医学理论相结合的基础上,我们提出并建立"265睡眠紊乱管理法"(sleep disturbances-265,简称SD-265法),即以中医整体观为指导,将传统的行为干预与中药治疗相结合的一种治疗方法,用以治疗以失眠为主诉的睡眠紊乱。本方法以调理阴阳、昼夜干预的整体观为指导,结合中药内服、外用以及光照、运动、时辰等6种干预方法,辅以治疗过程中对五脏整体功能的动态评价,体现了中医学特色和优势,对失眠疾患具有普遍性和指导性的治疗意义。

The initiation and fluctuation of insomnia are related with various factors,such as lifestyle,schedule,circadian rhythm and so on.These facts should all be considered and managed in the treatment.According to Traditional Chinese Medicine(TCM)and modern sleep medicine theories,we organize an integrated system to treat insomnia,which is called Sleep Distrubances-265(SD-265).Based on holistic view of TCM,SD-265 integrates the behavioral management,light intervention and Chinese herbs.Interventions will be prescribed by specific timing and Chinese herbs formulas can be prescribed as intake or external use.Self-evaluation of five Zang symptoms are also included in the system.The system of SD-265 has practical and clinical significance for treating insomnia.