中醫治療停經後失眠之病例報告

本例為一位已停經二十年的71歲女性，約二十年前進入更年期時開始出現眠差的問題，睡前思慮多，入睡困難，淺眠易醒，醒來難再入睡，多夢，常覺得整晚沒睡，睡前服用安眠藥助眠但睡眠品質仍不佳，白天常有潮熱感，中醫診斷證型屬肝鬱陰虛，服用疏肝滋陰藥調理一週後睡眠品質即有改善，安眠藥劑量可減半。更年期婦女常有憂鬱的症狀，適當使用疏肝滋陰藥物可幫助改善更年期及停經後婦女的睡眠品質。

關鍵字

更年期障礙；停經後失眠；中醫藥

並列摘要

This article is about a 71-year-old woman has experienced menopause for 20 years. About twenty years ago, she started to suffer from insomnia when she entered menopause. She had lots of thoughts before sleep and had difficulty falling asleep. She easily woke up from a light sleep, and had difficulty falling asleep again. She dreamed a lot and often felt that she was not asleep all night. She took sedative drug before sleep, but the quality of sleep was still poor. Sometimes she had hot flush during daytime. The syndrome diagnosed by Chinese medicine was liver depression and yin deficiency. Sleeping quality improved after taking the medicine for soothing liver and nourishing yin for one week. The dosage of sedative drug can be reduced to half. Menopausal women often have symptoms of depression. Appropriate use of soothing the liver and nourishing yin can help improve the sleeping quality of menopausal and postmenopausal women.