台北市中医师公会台北中医医学杂志

诚徵：执业中医师－汉补世家中医诊所体系

公会简介

理事长的话

92.2 失眠一个月以柴胡加龙骨牡蛎汤及加味逍遥散治疗病例报告

失眠一个月以柴胡加龙骨牡蛎汤及加味逍遥散治疗病例报告

A Case Report: Insomnia for One Month with Chai hu jia longu muli Tang and Ji jiawei xiaoyao San

林新瑜　许佩毓*

长庚纪念医院中医部，桃园，台湾

【摘要】

现代人普遍工作压力大，日夜思虑甚多，在青壮年人上多见肝气郁结之体质。肝郁日久易化火化热，若加上熬夜晚睡、生活作息不正常等等因素，更加伤阴耗液，可进一步导致阴虚。因此，治失眠从肝郁及阴虚角度来切入辨证，以疏肝理气、清热解郁、滋补肝肾为原则，可作为临床上治疗青壮年族群失眠的主要方针。本病例报告为一名42 岁女性，经中医治疗一周後睡眠改善。

【关键词】

失眠、不寐、肝、肝气郁结、肝郁化火

Xinyu LinPeiyu Xu *

Department of Chinese Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan

【Summary】

Modern people generally got a lot of pressure and thoughts on day and night. In young and middle-aged generations, they are often liver stagnation with poor constitution by cremation heat which damaged the yin and led to yin deficiency.

Therefore, treatment of insomnia from the perspective of liver depression and yin deficiency dialectical, with the principle of soothing the liver and regulating qi,clearing away heat and relieving depression, nourishing liver and kidney, will be used as a clinical therapy for young adults.

【Keywords】

insomnia, insomnia, liver, liver qi stagnation, liver stagnation

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