从痰湿论治失眠验案举隅  

A case study on treating insomnia from phlegm and dampness

作　　者：刘洁[1] 邓建华[2] LIU Jie;DENG Jianhua

机构地区：[1]广西中医药大学,广西南宁530200 [2]桂林市中医医院,广西桂林541000

出　　处：《中医临床研究》2023年第30期86-89,共4页Clinical Journal Of Chinese Medicine

摘　　要：失眠是临床常见的睡眠障碍之一,临床主要以入睡困难,睡眠维持困难,早醒或无舒爽睡眠为主要临床特征,中医学称其为“不寐”。近年来由于社会经济的飞速发展、多种压力的产生、现代人生活习惯的改变等原因,失眠患者在临床中越来越多见。长期失眠会严重影响患者的日间活动,给患者的身体、心理、生活等带来严重影响。现代医学对于失眠的治疗主要沿用传统镇静安眠药物(主要为苯二氮?类药物),此类药物虽然在改善失眠上有较好的疗效,但其具有成瘾性、依赖性等不良反应,且一旦中断药物使用,容易产生戒断反应,反而使得失眠症状更加严重。中医学在长期临床实践中因其疗效佳、不良反应小的优势而受到广泛关注,其中安神药、补虚药、清热药是治疗失眠比较常用的中药类别,在临床中常被各医家使用。邓建华主任医师在临床采用传统中医治疗失眠经验丰富,擅长从痰湿论治失眠,配合对患者进行一定的心理疏导,治疗效果颇佳。其认为在临床中失眠患者多夹有痰湿,故拟方中多采用祛痰湿之品配合健脾燥湿的药物。文章通过举例邓建华主任医师的临床验案,探讨痰湿与失眠之关系,浅析其临床中的用药特点并简要阐明其治疗观点,为临床治疗失眠提供新的思路。Insomnia is one of the common clinical sleep disorders,clinical it mainly manifests in falling asleep difficulties,sleep maintenance difficulties,early waking up or no comfortable sleep,which are the main clinical characteristics,the motherland medicine calls it“sleepless”.In recent years,due to the rapid development of social economy,the generation of a variety of pressures,changes in modern living habits and other reasons,insomnia patients in the clinic are more and more common.Long-term insomnia will seriously affect the patient’s daytime activities,which pose serious impacts on the body,psychology and life of patients.Modern medicine mainly uses traditional sedative drugs for insomnia(mainly benzodiazepines).Although such drugs have good efficacy in relieving insomnia,they have adverse reactions such as drug addiction and dependence,and once the drug use is interrupted,it is easy to produce withdrawal reaction,which makes insomnia symptoms more serious.In long-term clinical practice,traditional medicine has been widely concerned because of its advantages of good efficacy and small side effects.Among them,drugs for calming the mind,supplementing deficiency and clearing heat are commonly used in the treatment of insomnia,and are often used by doctors in clinical practice.Chief Director DENG Jianhua has rich experience in the clinical use of traditional Chinese medicine to treat insomnia,and is good at treating insomnia from phlegm and dampness,combined with a certain psychological counseling of patients,the treatment effect is quite good.Chief Director DENG holds that in clinical insomnia patients,phlegm and dampness are often mixed,so the prescription mainly uses the drugs to remove phlegm and dampness and the drugs to strengthen spleen and dry dampness.Through citing the clinical case of Chief Director DENG Jianhua,the paper discusses the relationship between phlegm dampness and insomnia,analyzes the clinical characteristics of the drug use and briefly expounds the treatment views,providing new ideas fo

关 键 词：不寐 痰湿论治 验案 

分 类 号：R249[医药卫生—中医临床基础]