小兒夢遊症之中醫病例報告與臨床治療新法

夢遊症在精神醫學上屬於睡眠障礙的一種，好發於五至十二歲的兒童，主要症狀為睡眠時起身、走動，或進行如穿脫衣物、講話、遊戲等其他活動。本病例患者為10歲男童，出現夢遊、夢話症狀已二年餘，於他處中、西醫長期治療未癒。自外出旅遊後病情加劇，連續二月餘每夜發作，因而前來本院中醫治療。初診服用科學中藥第一週即未出現夢遊症狀，但仍有夢話情形。次診服藥後即甚少夢話。其後追蹤半年，皆無夢遊發作，療效良好。本病例之治療原則，係運用柴胡桂枝湯酌加清熱養陰藥物，調整人體水木火線之氣機，使上下陰陽恢復平衡，並提出夢遊症之新的臨床治療觀點。

關鍵字

夢遊；夢話；中醫藥

並列摘要

Somnambulism, also known as sleepwalking, which is categorized as one type of sleep disturbances belonging to psychiatric disorder, commonly occurred in children aged 5-12 years old. The main symptoms of somnambulism include sitting up, walking, dressing, undressing, speaking, playing games, et cetera during sleeping. In this case report, a ten years old boy suffering from sleepwalking and sleep-talking for at least 2 years, had been treated before but failed to relieve. His symptoms of somnambulism aggravated after travel, became occurred every night and therefore he sought for therapy with Traditional Chinese Medicine in our hospital. After the first week treatment of herbs, all the symptoms of somnambulism disappeared, and sleep-talking clearly decreased. The sleepwalking never occurred again and sleep-talking became rare after subsequent treatments during 5 months. He didn't relapse again even after stopping the herbal treatment for 5 months of follow-up. The therapeutic method in this case is to administer ”Bupleuri and Ramuli Cinnamomi Decoction” with some heat-clearing and yinnourishing herbal medicines, in order to adjust the dynamic of qi through the water-wood-fire channel, resulting in the vertical balance of yin and yang in body. It also proposes a brand new medical perspective for somnambulism therapy.