小柴胡湯及其類方辨治不寐癥的理論探討

【摘要】失眠是頻繁而持續(xù)的入睡困難或睡眠維持困難并導(dǎo)致睡眠滿意度不足為特征的一類病癥，其伴隨的軀體和身心疾病嚴(yán)重影響著人們的生活質(zhì)量。失眠屬中醫(yī)“不寐”范疇，筆者通過探討小柴胡湯及其類方治療失眠的理論，為柴胡劑治療失眠提供新的思路。

【關(guān)鍵詞】不寐；小柴胡湯；小柴胡湯類方

【中圖分類號(hào)】R289

【文獻(xiàn)標(biāo)志碼】 A【文章編號(hào)】1007-8517（2024）18-0013-03

DOI：10.3969/j.issn.1007-8517.2024.18.zgmzmjyyzz202418004

Abstract：Insomnia is a kind of disease characterized by frequent and continuous difficulty in falling asleep or maintaining sleep and resulting in insufficient sleep satisfaction.Its accompanying physical and mental diseases seriously affect peoples quality of life.Insomnia belongs to the category of “sleepless” in traditional Chinese medicine.The author provides a new idea for treating insomnia with bupleurum decoction by discussing the theory of treating insomnia with Xiaobupleurum decoction and its similar prescriptions.

Keywords：Insomnia;Xiaochaihu Decoction; The Related Prescriptions of Xiaochaihu Decoction

不寐即失眠，失眠是常見的睡眠問題，其主要特征是頻繁而持續(xù)的入睡困難或睡眠維持困難并導(dǎo)致睡眠滿意度不足，其臨床癥狀除睡眠障礙外，常伴有疲倦、乏力、納差、消瘦、頭暈、頭痛、心悸、注意力不集中、記憶力下降等，嚴(yán)重者會(huì)出現(xiàn)焦慮、抑郁、認(rèn)知功能下降和老年癡呆等精神障礙。（剩余3880字）