经方辨治围绝经期睡眠障碍临证心得

围绝经期睡眠障碍属中医学绝经前后诸症中的失眠症,临证表现不一,或难以入寐,或寐而易醒,醒后再难入眠,或时醒时寐。该病成因多端,病变涉及多脏,故临症不能一方统治,而应据证辨析,责其病在何脏何腑、病属寒热虚实,理法方药对应方能取得良效。以经方辨证治疗围绝经期睡眠障碍每有效验,列举以甘麦大枣汤、桂枝加龙骨牡蛎汤、桃核承气汤、小陷胸汤、黄连阿胶汤等经方辨证治疗围绝经期睡眠障碍的临证心得。

Clinical Experience on Using Classical Formulas to Treat Sleep Disorder in Perimenopausal Period

Sleep disorder in perimenopausal period is regarded as insomnia before and after menopause by traditional Chinese medicine. Its clinical manifestation is various,for examples,difficulty in falling asleep,restless sleep,broken sleep. Since the causes are various and it usually involves several organs,in clinic one formula cannot treat all the sleep disorder and the treatment should be given based on syndrome differentiation to determine the involved organs,and the Yin,Yang,deficiency and excess. Classical formulas show good effect on treating sleep disorder in perimenopausal period. The clinical experience on using classical formulas to treat such diseases is summarized. The commonly used formulas are Ganmai Dazao decoction,Guizhi Jia Longgu Muli decoction,Hetao Chengqi decoction,Xiaoxianxiong decoction,Huanglian Ejiao decoction.