柴胡加龍骨牡蠣湯在失眠之應用文獻回顧

Review of the Application of Chai Hu Jia Long Gu Mu Li Tang in Insomnia

施怡伶(Yi-Ling Shih) ； 陳朝宗(Chao-Tsung Chen)

《中醫內科醫學雜誌》 15卷2期 (2017/12) Pp. 1-10

https://doi.org/10.7102/JTCIM.201712_15(2).0001

摘要

睡眠問題是臨床常見的就診原因之一，全台灣慢性失眠症盛行率為11.3%，而到台灣民眾因失眠而就診之意願提高至34.7%。根據2002年健保資料庫的統計，台灣用於治療失眠的中藥方劑中柴胡加龍骨牡蠣湯占12.4%，因此本文提出針對柴胡加龍骨牡蠣湯應用於失眠之不同證型進行討論。結果顯示失眠的證型在肝鬱氣滯、肝鬱化火、虛熱內擾、更年期婦女的失眠上，柴胡加龍骨牡蠣湯皆可改善睡眠時間，且與使用西藥的對照組相比，失眠復發率較低；肝鬱化火的證型停藥2週後也較能保持療效。

關鍵字

失眠 ； 傳統中藥 ； 柴胡加龍骨牡蠣湯

並列摘要

Sleep problems are one of the usual reasons for clinical visits. By 2017, the prevalence rate of chronic insomnia in Taiwan is 11.3%. The willingness of Taiwanese people to seek medical treatment due to insomnia has risen to 34.7%, indicating that people are paying more attention to sleep problems. According to the 2002 health insurance database statistics, Taiwan for the treatment of insomnia in the traditional Chinese medicine recipe Chai Hu Jia Long Gu Mu Li Tang accounted for 12.4%, so this paper presents a discussion on the different syndrome types such as liver qi stagnation, liver depression, and climacteric women, that Chai Hu Jia Long Gu Mu Li Tang applies to insomnia. The results show that insomnia with Chai Hu Jia Long Gu Mu Li Tang can efficiently improve sleep time. Compared with the control group, using Chai Hu Jia Long Gu Mu Li Tang insomnia recurrence rate is low; also after two weeks of withdrawal is also able to maintain efficacy.

並列關鍵字

Insomnia ； Traditional Chinese medication ； Chai Hu Jia Long Gu Mu Li Tang

參考文獻

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