高原失眠的中藏医研究进展

Traditional Chinese and Tibetan medicine research progress in high altitude insomnia

高原失眠,中藏医称之为"不寐""不得卧",高原地区高海拔、高寒、低氧特殊的环境,很容易就会使睡眠结构发生改变,引起失眠这种症状。中医认为高原失眠的病机是"缺氧"导致的气虚,常累及心、肝、脾、肾等脏腑,导致患者体内阴阳失调,可选用黄芪、西洋参、丹参、炒酸枣仁、夜交藤、生脉饮中成药及甘麦大枣汤等中药进行治疗,同时辅以适当运动、放松疗法。藏医认为高原失眠的病机是隆、赤巴、培根三者失调导致的,特别是"心隆"最易造成失眠,藏医治疗高原失眠有很多独特的疗法,三味豆蔻汤散药膳、藏药沐足、霍尔麦疗法等。高原失眠是一种高原地区独有的疾病,中藏医在这方面治疗经验丰富,对高原失眠的中藏医研究进行归纳总结,有助于对来高原地区不适者及时展开救治,使其更快地恢复健康。

High altitude insomnia is called insomnia and inability to sleep in traditional Chinese and Tibetan medicine.The special environment of high altitude,high cold and low oxygen in plateau areas can easily change the sleep structure and cause insomnia.Traditional Chinese medicine believes that the pathogenesis of high altitude insomnia is qi deficiency caused by hypoxia,which often affects viscera like heart,liver,spleen and kidney,leading to imbalance of Yin and Yang in the patients.Astragalus,American ginseng,salvia miltiorrhizae,parched semen ziziphi spinosae,tuber fleeceflower stem,Shengmai Decoction Chinese patent medicines,and traditional Chinese medicines like Ganmai Dazao Decoction can be used to treat the disease,combining with appropriate exercise and relaxation therapy.Tibetan medicine believes that the pathogenesis of high altitude insomnia is caused by the disorders of Long,Tripa,and Bacon.In particular,Xinlong is most likely to cause insomnia.In Tibetan medicine,there are many unique therapies for high altitude insomnia,including Sanwei Doukou Decoction medicated diet,foot massage with Tibetan medicine,Holme therapy,etc.Insomnia at high altitude is a kind of unique disease in plateau area.Chinese and Tibetan medicine has rich experience in this field.To summarize the Chinese and Tibetan medicine of insomnia at high altitude is helpful for timely treatment of those who come to plateau area and faster recovery of health.