不寐中医诊疗研究概述

Research Overview of the Diagnosis and Treatment of Insomnia in Traditional Chinese Medicine

近年来,随着生活节奏的加快,人们的生活、学习、工作及精神压力不断增加,不寐患者的数量呈明显上升趋势。慢性不寐不仅会使人产生头晕、乏力、口干、汗出等躯体化症状和心烦、易怒、不安等精神情感障碍,而且会增加人体罹患心脏病、卒中、痴呆等疾病的风险。目前,现代医学治疗不寐仍以镇静催眠药物为主,虽然其在短时间内具有一定的疗效,但长期使用不良反应较大,易产生依赖性和成瘾性,而中医对不寐有较早的认识,经过历代中医长期的临床实践观察,形成了丰富的诊疗不寐的理论与实践经验,因其治疗安全,疗效确切,且不良反应较少,目前仍广泛应用于不寐的临床治疗。因此,文章从病因病机、分型、论治3方面对中医诊疗不寐进行了综述,以期为今后的研究及临床提供参考。

In recent years,with the development of society and the acceleration of the pace of life,people's life,study,work and mental pressure continue to increase,and the number of patients with insomnia shows a significant upward trend.Chronic sleeplessness not only causes somatic symptoms such as dizziness,fatigue,dry mouth,sweating,and mental and emotional disorders such as upset,irritability,and restlessness,but also increases the risk of heart disease,stroke,dementia and other diseases.At present,the modern medical treatment of insomnia is still mainly sedative hypnotic drugs,although it has a certain effect in a short time,but the long-term use of side effects are larger,easy to produce dependence and addiction,and traditional Chinese medicine has an earlier understanding of insomnia,through the long-term clinical practice of traditional Chinese medicine observation,formed a wealth of diagnosis and treatment of insomnia theory and practical experience,because of its safe treatment,accurate efficacy,and fewer side effects,is still widely used in the clinical treatment of insomnia.Therefore,this article summarizes the diagnosis and treatment of insomnia in Traditional Chinese Medicine from three aspects:aetiology pathogenesis,syndrome differentiation and treatment variation,in order to provide reference for future research and clinical practice of insomnia.