女性更年期失眠的中医治疗研究  

Research on Traditional Chinese Medicine Treatment for Female Menopausal Insomnia

作　　者：杨加宁 张立然 

机构地区：[1]黑龙江省中医药科学院,黑龙江 哈尔滨

出　　处：《中医学》2025年第1期30-35,共6页Traditional Chinese Medicine

摘　　要：女性绝经前后,由于卵巢功能退化、性激素水平波动或分泌减少,会导致内分泌失调和植物神经功能紊乱,从而出现更年期综合征。临床表现为烘然汗出、失眠多梦、焦虑烦躁、抑郁等症状,其中失眠最为常见。更年期失眠已经成为女性普遍面临的健康问题,其原因多种多样,包括激素水平变化、心理压力增加和生活方式改变等。中医将更年期失眠归为“不寐”范畴,并与“肾、心、肝”的功能密切相关。主要病因病机包括肾气衰退、肾阴亏虚、心肝火旺和心神失宁。中药和针灸等中医治疗方法对此具有较好的疗效。本文旨在探讨女性更年期失眠的病因病机和中医治疗方法,为更多女性提供帮助。Due to ovarian function degradation, sex hormone level fluctuations, or secretion reductions before and after menopause, women may experience endocrine disorders and autonomic nervous system dysfunction, leading to menopausal syndrome. Clinical manifestations include sudden sweating, insomnia and dreaminess, anxiety and irritability, depression, etc., among which insomnia is the most common. Menopausal insomnia has become a common health issue faced by women, caused by various factors such as hormonal changes, increased psychological pressure, and lifestyle modifications. In traditional Chinese medicine, menopausal insomnia falls under the category of “insomnia” and is closely related to the functions of the “kidneys, heart, and liver”. The main etiology and pathogenesis include kidney qi decline, kidney yin deficiency, heart and liver fire exuberance, and disturbance of the mind. Traditional Chinese medicine treatments like herbal remedies and acupuncture have shown promising effects. This article aims to explore the etiology, pathogenesis, and traditional Chinese medicine treatments for female menopausal insomnia to provide assistance to more women.

关 键 词：女性更年期 失眠 中医治疗 病因病机 

分 类 号：R24[医药卫生—中医临床基础]