失眠個案之中藥介入療效報告

失眠症在精神醫學裡是屬於睡眠障礙的一種，亦為臨床常見的疾病之一。主要症狀為睡眠時間或深度不足，及不能消除疲勞、無法恢復體力及精神；醒後易神疲乏力、頭暈頭痛、甚者心神不寧等。現代醫學對於失眠症之治療多採對「症」治療，使用化學合成之鎮靜藥物，長期使用多產生藥物依賴性及諸多副作用。本病例患者為一54歲男性，失眠、長期情緒低落等精神症狀已十數年餘，西醫精神科長期治療未癒，症反加重。近一個月失眠情形加劇，全身自覺倦怠莫名，易眼乾眼癢，口苦口乾，大便不暢，納差，晚餐飯後欲嘔、耳鳴、腰痠、心煩躁感等症狀，因而前來本院中醫治療。在中藥介入兩週後自覺改善明顯，但仍有疲倦之情形，自服用中藥酸棗仁湯加黃連溫膽湯合方起，雖仍須服用Stilnox，但其餘精神科藥物已暫停，仍保持情緒穩定，自覺體力恢復情形佳，次診服中藥後睡眠障礙，心情煩躁感等上述症狀明顯改善，療效達到令病者十分滿意。從本病患的治療追蹤發現，長期服用西藥安眠鎮定劑療效不佳的患者，同時中藥介入治療對於失眠所帶來的不適症狀確實可以獲得改善，因此我們認為睡眠障礙的患者經由中醫辨證、治療，可以提供病者另一種有效的選擇，至於其相關的作用機理仍有待進一步探討。

關鍵字

失眠；抑鬱症；中醫藥

並列摘要

In psychiatry, insomnia is categorized as a sleep disorder and is also one of the most common problems. The core symptoms of insomnia patients include shortened sleep time or an inability to fall into a deep sleep state, an incapacity to eliminate fatigue and restore energy, a feeling of lassitude after wakening-up. Modem medicine treats insomnia mostly with synthetic sedative drugs. Long-term use of these drugs often results in patients becoming dependent on the drug as well as exhibiting side effects. This case report is a 54-year-old man who has suffered from insomnia and long-lasting depression for more than 10 years. Western psychiatric treatment failed to cure him. The patient's state has actually become deteriorated. In the past month, the patient's insomnia has worsened. He felt totally exhausted. His eyes are dry and itchy. He feels nausea after dinner, tinnitus, back aches, and feelings of unease as well as irritability. Thus he came to the hospital seeking Traditional Chinese Medicine therapy. Since he started taking the concentrated herbal extracts of ”Suan Tzao Ren Tang” with ”Huanglian Wendan Tang”, he has been able to remain emotionally calm even though he has stopped all psychotropic medications except for Stilnox. Thanks to a good recovery of physical strength and a significant improvement in his insomnia and irritability, the patient very satisfied with the effect of the treatment. From the therapy of the patient, Intervention of TCM in the patient who got the worsen curative effect of long-term administration of western hypnotics could improve the dis-comfortable syndromes of insomnia. Therefore, the insomnia patients could choose the Traditional Medicines after diagnosis of Traditional Physicians. The action of mechanism of this case will be further studied in the future.

並列關鍵字

insomnia ； neurotic depression ； Chinese medicine ； herb

國際替代計量

失眠個案之中藥介入療效報告

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