中医药研究论丛

232.10 中医药治疗睡眠障碍病例报告
TJ TCM.23(2) : 141-148, 2020
 
中医药治疗睡眠障碍病例报告
A Case Report of Sleep Disturbance Treated
with Traditional Chinese Medicine 
许惠菁1,2 蔡金川3,4*
1 部立屏东医院中医科,屏东,台湾
2 高雄医学大学公共卫生研究所,高雄,台湾
3 义大癌治疗医院中医部,高雄,台湾
4 义守大学学士後中医学系,高雄,台湾
【摘要】
现代社会步调繁忙,生活紧张,许多原本已於西医身心科规律就诊以及治疗的病友,因为生活突如其来,令人措手不及的偶发事件,所造成的压力,而又加重其夜间睡眠障碍,导致白天精神不济,怔忡怵惕心慌感,甚者临事易惊,影响其他基本生活功能,例如进食与消化等症状。因此,临床上不少病友除了规律就诊西医精神科以外,亦尝试求助於中医。身为训练有素的中医执业医师,针对此类睡眠障碍的案例,除了要搞懂睡眠在西医的生理学原理之外,清楚地分辨常用西医精神科药物(含西医安眠药)的西药药理作用,临床上仔细辨证病人睡眠障碍的证型,在配合原本的白天西医精神科药物治疗的前提之下,审慎选取中医中药介入的时机,并且仔细追踪中药疗效,再评估治疗睡眠障碍时,在西医白天的精神科药物依然持续治疗的情况之下,其西医夜间安眠药服用的减少情形,为中西医联合治疗睡眠障碍的病友开一扇窗。
【关键词】中医药、汉方医、睡眠障碍、失眠
 
Huei-Ching Hsu1,2Ching-Chuan Tsai3,4*
1Department of Traditional Chinese Medicine, Pingtung Hospital, Ministry of Health and
Welfare, Pingtung, Taiwan
2Master of science, Department of Public Health, Kaohsiung Medical University, Kaohsiung, Taiwan
3Traditional Chinese Medicine Department, E-da Cancer Hospital, Kaohsiung, Taiwan
4The School of Chinese Medicine for Post-Baccalaureate, I-Shou University, Kaohsiung, Taiwan
【Summary】
 In the hustle and bustle modernized society, many psychotic patients who has been under regular treatment in psychiatric clinic, would get their sleep disturbance worsening, if unexpected major event occurred. It may result in daytime low spirit, frequent nervousness, and even other basic physiological function disturbance, such as having a meal or digestion. Therefore, other than under regular medicine in psychiatric clinic, many patients would also refer to traditional Chinese medicine department, or seek kampo medicine. As a professionally-trained traditional Chinese medicine practitioner, in addition to figure out sleep physiology and the pharmacology of those psychiatric medicine, we also have to carefully distinguish the type of sleep disturbance under traditional Chinese medicine. It may be our priority to pick up the appropriate opportunity for the intervention of TCM medicine, and track its effect. It would be our progress to decrease the dosage of sleeping pills at night, even if the daytime regular psychiatric medicine still the same. It was the road less travelled in the past, but would be necessary in the future to integrate psychiatric medicine with traditional Chinese medicine in the treatment of sleep disturbance.
【Keywords】Traditional Chinese Medicine, Kampo (or Kanpo) Medicine, Sleep
Disturbance, Insomnia