台北市中医师公会中医药研究论丛

公会简介

理事长的话

公会沿革

公会章程

212.17 中药治疗失眠之病例报告－匹兹堡睡眠品质量表应用於临床用药及疗效评估之探讨

TJ TCM.21(2) : 191-206, 2018

DOI : 10.6516/TJTCM.201809_21(2).0017

中药治疗失眠之病例报告－匹兹堡睡眠品质量表应用於临床用药及疗效评估之探讨

A Case Report of Insomnia Treatment with Traditional Chinese Medicine: Pittsburgh Sleep Quality Index for Clinical Use and Efficacy Assessment

郑秝丞1　杨纾怡1　叶家舟1*

1 佛教慈济医疗财团法人大林慈济医院中医部，嘉义，台湾

【摘要】

本病例报告之患者因个性本易紧张焦虑，又投资失利导致情志不遂，进而产生失眠的症状，因此前来中医门诊就诊，经中医四诊及分析後，归纳为情志因素所致，经诊察後给予中医药物治疗，其睡眠状况遂得改善。失眠，又称为「不寐」，或称为不得眠、不得卧，「失眠」一词，首见於唐·王焘《外台秘要》，而相关症状之典籍记载则首见於《内经》，如《素问·诊要经终论》：「冬刺春分，病不已，令人欲卧不能眠，眠而有见。」《伤寒六书》：「阳胜阴虚，则昼夜不得眠。若阴为阳所胜，故终夜烦扰不得眠也。」。失眠之证型有虚实之分，虚证包括心脾两虚、心胆气虚、心肾不交等等，多为气血不足，神失所养所致；实证有肝郁化火、痰热内扰、宿食停滞等等，然而实证日久也可能转为虚证，进而形成虚实夹杂之候。匹兹堡睡眠品质量表（Pittsburgh sleep quality index, PSQI）是目前国际上公认信度较高也最被广泛使用之睡眠品质评量表，其内容可用来评估患者的睡眠状态与睡眠品质，本病例中使用匹兹堡睡眠品质量表来评估患者的睡眠状况，作为治疗用药之叁考，并於治疗後用以评估中药治疗之疗效。

【关键词】失眠、中药、匹兹堡睡眠品质量表(PSQI)

Li-Cheng Zheng1Shu-Yi Yang1Chia-Chou Yeh1*

1Department of Chinese Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation,Chia-Yi, Taiwan

【Summary】

This is a report of a 65-year-old woman suffering from insomnia. The patient has nervous and anxious personality and was confronted with the pressure of investment dislocation. She seek medical advice to improve her sleep. Evaluating by the four methods of diagnosis, pressure and emotional maladjustment were attributed to the symptom. After a series of medication, she could finally sleep safe and sound. Insomnia, also known as sleeplessness, is a common clinical sleep disorder. Patient with insomnia may have difficulty falling asleep, or staying asleep for long enough to feel refreshed the next morning. According to the syndrome-classification of Traditional Chinese Medicine, insomnia can be divided into deficiency-syndrome and excess-syndrome, and should be treated separately with medication. The Pittsburgh Sleep Quality Index (PSQI) is one of the most commonly used retrospective self-report questionnaire that assesses sleep quality. The measure consists of 19 individual items and creating 7 components that produce one global score. In this article, the involvement of PSQI during clinical practice and its role to refine the prescription would be described in the discussion.

【Keywords】gastric lymphatic carcinoma, diffuse large B cell lymphoma,integrated thinking of traditional medicine and western medicine,Scutellaria baicalensis

	台北市中医师公会　官网：http://www.tpcma.org.tw　地址：台北市中正区青岛西路11号3楼 E-mail：tp.cma@msa.hinet.net　电话：(02)2314-3456(代表号)　传真：(02)2314-8181	线上浏览人数
		总浏览人数:7752880 2013.12.9 网页更新