不寐肝气郁结证同证异治的探讨  

Research on mechanism of different treatment for same TCM syndrome of hepatic stagnation insomnia

作　　者：王长松[1] 张良梅[2] 

机构地区：[1]东南大学附属中大医院,南京210009 [2]东南大学医学院,南京210009

出　　处：《中华中医药杂志》2013年第2期480-482,共3页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:对比扶阳和疏肝两种方法治疗不寐肝气郁结证的临床效果,初步探讨该病证同证异治的机制。方法:将辨证属于肝气郁结证的28例不寐患者随机分为两组,分别采用扶阳和疏肝两种方法治疗7-28d,于治疗前、治疗后第7天和治疗后第28天,分3次评估匹兹堡睡眠质量指数(PSQI),并参照《中医内科病证诊断疗效标准》评定疗效。结果:扶阳组和疏肝组第7天、第28天的PSQI差异有统计学意义(P<0.01),扶阳组优于疏肝组。扶阳组总有效率为85.71%,疏肝组总有效率为78.58%,经检验无显著性差异。结论:肝气郁结型不寐患者用扶阳和疏肝两种方法治疗均有一定效果,且扶阳法对于PSQI的改善优于疏肝法。Objective： To study the preliminary mechanism of the different treatment for same TCM syndrome of hepatic stagnation insomnia by comparing the two clinical results of strengthening yang and dispersing liver depression. Methods： 28 patients with hepatic stagnation insomnia were randomly divided into two groups, respectively treated with strengthening yang and dispersing liver depression for 7 to 28 days, evaluated Pittsburgh Sleep Quality Index（PSQI） before treatment, 7 days after treatment, 28 days after treatment, and assessed the clinical analysis with reference to Chinese Medicine Clinical Syndrome Diagnostic criteria. Results： There were statistically significant differences between strengthening yang and dispersing liver depression in PSQI in 7 days and 28 days there were also significant differences in PSQI（P〈0.01）; the total effective rate of strengthening yang was 85.71%, and dispersing liver depression 78.58%; the test was no significant difference. Conclusion： The patients of hepatic stagnation insomnia have good effects with the treatment of strengthening yang and dispersing liver depression, strengthening yang superior to dispersing liver depression in improving the PSQI, and it shows more efficient results.

关 键 词：不寐 肝气郁结证 同证异治 扶阳 疏肝 

分 类 号：R256.23[医药卫生—中医内科学]