加味酸棗仁湯治療肝陰虧虛型失眠的臨床研究

Clinical Research on SuanzaorenTang Treating insomnia with Ganyinkuixu

郭傳揚(Chuan-Yang Guo)

《台灣中醫臨床醫學雜誌》 16卷3期 (2010/09) Pp. 192-211

https://doi.org/10.6968/TJCCM.201009.0192

摘要

失眠是臨床常見病、多發病，中醫多稱爲“不寐”，還有稱“目不冥、不得眠、少睡、少寐、不睡、不眠”等。是指入睡困難，淺而易醒，自覺多夢早醒，醒後不易入睡，仍感疲倦乏力、頭昏思睡，嚴重者整夜不能入睡。其嚴重影響人們的正常生活、工作和身心健康。流行病學調查表明，全球約每10-12人中就有1人患有失眠，失眠不僅是一個醫學難題，也是一個社會問題。近年來醫學界給予了特別的關注，在對失眠治療方面中醫藥有獨特的優越性。失眠的病因雖多，但以情志、飲食或氣血虧虛等內傷病因居多，由這些病因引起心、肝、膽、脾、胃、腎的氣血失和，陰陽失調，其基本病機以心血虛、膽虛、脾虛、腎陰虧虛進而導致心失所養及由心火偏亢、肝鬱、痰熱、胃失和降進而導致心神不安兩方面爲主。其病位在心，但與肝、膽、脾、胃、腎關係密切。失眠虛證多由心脾兩虛，心虛膽怯，陰虛火旺，引起心神失養所致。失眠實證則多由心火熾盛，肝鬱化火，痰熱內擾，引起心神不安所致。但失眠久病可表現爲虛實兼夾，或爲瘀血所致。我們以加味酸棗仁湯和寧神補心片治療肝陰虧虛型失眠，臨床對比觀察，並客觀評價兩種藥物的療效差異，爲臨床治療肝陰虧虛型失眠，探索更好的中醫藥治療方法。

關鍵字

酸棗仁湯 ； 失眠 ； 肝陰虧虛 ； 中醫藥治療

並列摘要

Objective: to study the clinical curative effect of SuanzaorenTang on the insomnia (type of Ganyinkuixu).
Method: This research collected 60 of Ganyinkuixu's patiens and the patiens were divided into 2 groups randomly. the treating group were given SuanzaorenTang. The control group were given ”NingShenBuXin pill”, treating distances all for 2 weeks. Observe a treatment to fallen asleep in front and back time，sleep time's etc. and to observe sleep of the integral calculus of the main symptom and the grade point variety of Chinese medicine symptom and the variance of etongue and vein.
Results: After analysis of the result, the treating group and the control group have no difference. After treating, the points of group's PSQI have effective amelioration. In treating group the grades of evaluation are significant: the former grades are (21.10±3.20); the latter grades are (5.00±4.72); The totally effective rate is 96.67%. In control group the grades of evaluation are also significant; the former grades are (23.17±1.64); the latter grades are (23.17±1.64); The totally effective rate is 86.67%. The treatment group was prior to the control group significant (P＜0.05). here are significant differences between the two groups (P ＜0.05).
Conclusion: In most patients it can further improve the quality of insomnia in two weeks after withdrawal of SuanzaorenTang. It has a notable effection with regard to ”Ganyinkuixu” insomnia. The action points of the past are prolongation of sleep time, improvement of sleep quality, increase of sleep efficiency, improvement of the syndrome Traditional Chinese Medicine and reduction of sleep latency. As a preparation in a hospital, the SuanzaorenTang is worthy of being developed.

並列關鍵字

SuanzaorenTang ； Insomnia ； Ganyinkuixu ； Traditional Chinese Medicine