活血化瘀法治療女性失眠病例報告

Activating Blood and Removing Blood Stasis Treatment for Insomnia in Women: Case Report

林庭瑜(Ting-Yu Lin) ； 林舜穀(Shun-Ku Lin) ； 吳佩芸(Pei-Yun Wu)

《中醫藥研究論叢》 25卷4期 (2022/12) Pp. 97-103

https://doi.org/10.6516/TJTCM.202212_25(4).0009

摘要

失眠是中醫門診極為常見的求診原因，不僅大幅影響病患生活品質，也可能會增加慢性疾病的罹患風險，並減損病患的體力與白天活動能力。本病例報告一失眠超過兩個月之女性病患的中醫診治過程。主要的症狀有多夢易醒，且躺下後超過1-2小時才可入睡，甚至半夜醒來仍思緒繁多、難以入眠，醒後仍感疲倦。醫師經臨床評估與病因病機四要素分析後，決定採取行氣活血化瘀為主，寧心安神為輔的治療方法，以血府逐瘀湯為核心處方，佐以酸棗仁與茯神寧心安神，丹參活血化瘀，再稍佐茯苓白朮固護脾胃。患者經兩個月治療後睡眠持續改善，不僅睡醒後較有精神，且入睡時間亦顯著縮短。本病例呈現與主流之疏肝解鬱或寧心安神不同的失眠治療策略，以行氣活血化瘀方法對失眠患者產生不錯的療效，供臨床同道參酌討論。

關鍵字

失眠 ； 中藥 ； 入睡困難 ； 活血化瘀

並列摘要

Insomnia is a major complaint in traditional Chinese medicine clinics. Insomnia significantly impairs patients' quality of life and increases the risk of chronic disease. In addition, insomnia also reduces the patient's vitality and daytime activity. This paper is a case report on activating blood and removing blood stasis in women with insomnia. The patient's primary symptoms are dreaminess, difficulty falling asleep, and feeling tired after waking up. The traditional Chinese medicine physician decided to activate Qi, activate blood and remove blood stasis as the primary treatment method, supplemented by calming the heart and nerves. After two months of treatment, patients experienced a significantly shorter time to sleep and increased daytime activity. In this study, we adopted a different strategy than the standard treatment and succeeded in alleviating insomnia symptoms.

並列關鍵字

Insomnia ； Traditional Chinese Medicine ； Difficulty Falling Asleep ； Activating Blood and Removing Blood Stasis

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