中医药调治亚健康失眠概况

亚健康状态普遍存在,是当今社会威胁人类健康的隐形杀手,调查表明75%的人处于亚健康状态,而失眠又占其中的42.5%。西医针对亚健康失眠多使用镇静催眠药物,甚则运用抗精神类药物达到睡眠的生理要求,此类药物会引起日间困倦和认知功能的损害,并会产生耐药性和依赖性。祖国医学对亚健康的认识结合了"治未病"的观点,强调未病先防,既病防传的理论。中医药治疗亚健康失眠的优势在于可根据中医辩证分型,采用不同方药论治,针对性强,因而取得了较为满意的疗效;且治疗手段多样,包括针灸、耳穴、心理干预、气功等。适当的联合运用或可获得可喜的疗效。用中医养生保健理念纠正不良睡眠习惯,保持健康的生活方式对预防亚健康失眠起到重要作用。应加强多中心大样本的临床研究,以加深对亚健康失眠的证候分布及辩证规律的认识,从而进一步丰富和完善中医学对亚健康失眠的诊治理论和治疗手段。

Treatment and Regulation of Sub-health Insomnia by Chinese Medicine

The state of sub-health is a common hidden killer to human health currently. Investigation reveals that 75% of the population has the problem of sub-health,and 42.5% of them belongs to insomnia.In Western medicine, sedative hypnotics or even antipsychotic drugs are used for sub-health insomnia, with induced sleepy and tired in daytime or even cognitive impairment. Sometimes, dependence and drug resistance may also occur. However, the handling of sub-health insomnia by Chinese medicine is combined with the viewpoint of preventive medicine. It emphasizes prevention before the disease and the prevention of transformation when a disease is there. The advantages of treatment of sub-health insomnia by Chinese medicine lie in the differentiation of syndromes and the remedies accordingly, and above all the satisfactory efficacy. Acupuncture, psychological intervention and breathing exercise are all additionally involved if needed. The combined treatment may gain gratifying efficacy. Correction of bad sleep habit by keeping health with Chinese medical concept and maintenance of healthy life style are important for preventing of sub-health insomnia.Large-scale sampling with multi-centered design should be the future model in clinical research. It will help the understanding of the syndrome and differentiation distributions in sub-health insomnia, so as to enrich the therapeutic principal and means in the treatment of sub-health insomnia by Chinese medicine.