中医辨证治疗失眠临床体会

Clinical Experience of Chinese Medicine Identification and Treatment of Insomnia

失眠是以患者对睡眠时间和(或)质量不满意并影响日间社会功能的一种主观感受。近年来,失眠发病率逐渐升高,且呈年轻化趋势。现代医学主要以苯二氮䓬类及新型非苯二氮䓬类药物对症治疗。中医学认为,失眠病机为阴阳失调、阳不入阴,临证当以虚实为纲,实证以肝气郁结、肝郁化火、痰热内扰、瘀热互结多见,虚证以心脾两虚、心肾不交、热扰心营多见。笔者在临床实践中通过中医辨证治疗该病,取得了较好的疗效,且预后较佳,不易复发。

Insomnia is a subjective feeling that the patient is dissatisfied with the sleep time and/or quality and affects the daytime social function.In recent years,the incidence of insomnia has gradually increased,and is a trend of youthfulness.Modern medicine mainly uses benzodiazepines and new non-benzodiazepine drugs for symptomatic treatment.According to Chinese medicine,the pathogenesis of insomnia is the imbalance of yin and yang,and yang does not enter yin,and the clinical evidence should be based on the outline of deficiency and reality,and the actual evidence is common in liver qi stagnation,liver stagnation,phlegm-heat internal disturbance,and stasis-heat mutual conjunction,and the deficiency evidence is common in the deficiency of the heart and the spleen,the lack of communication between the heart and kidneys,and the disturbance of the heart and the camp of the heat.In clinical practice,the author has achieved better curative effect by treating this disease through traditional Chinese medicine,and the prognosis is better and not easy to recur.