基于王清任调气活血理论探讨围绝经期失眠的诊治

Based on WANG Qingren's Theory of Regulating Qi and Activating Blood,the Diagnosis and Treatment of Perimenopausal Insomnia were Discussed

围绝经期是女性必须经历的特殊生理时期,而失眠是该时期最常见的症状之一。失眠,中医称之为“不寐”,中医学传统认为其病机为“阴阳失调,阳不入阴”。清代医家王清任于《医林改错》中首提不寐一证乃气血凝滞所致,运用血府逐瘀汤治疗,认为“夜不能睡,用安神养血药治之不效者,此方若神”。文章将基于王清任调气活血理论探讨围绝经期失眠的诊治。

Perimenopause is a special physiological period that women have to go through,and insomnia is one of the most common symptoms during this period.Insomnia is called“insomnia”in traditional Chinese medicine,and the traditional Chinese medicine believes that its pathogenesis is“yin and yang imbalance,and yang does not enter yin”.WANG Qingren,a physician in the Qing Dynasty,first mentioned in the“Medical Forest Correction Error”that the evidence of insomnia is caused by the stagnation of Qi and blood,and the use of Xuefu Zhuyu decoction for treatment,thinking that“those who can’t sleep at night,and who can’t be treated with calming and nourishing blood medicine,this prescription is like a god.”This article will discuss the diagnosis and treatment of perimenopausal insomnia based on Wang Qingren’s theory of regulating qi and activating blood.