从营卫理论论治加味柴胡桂枝汤治疗失眠症的机理探讨和临证研究.pdfVIP

提 要 目的：本论文旨在从营卫理论探讨失眠症的发生机理并观察加味柴胡桂枝 汤治疗失眠症的临床疗效。方法：本研究从临床选取营卫不和、气机失调型失眠 症患者 60 例，随机分为两组，治疗组 30 例，对照组 30 例。治疗组给予加味柴 胡桂枝汤，对照组给予舒眠胶囊，疗程均为 4 周。观察治疗前后 PSQI 量表、中 医临床证候评分的变化。结果：经统计学分析，两组在治疗前一般资料包括性 别、年龄、PSQI 积分、中医临床证候评分无明显统计学差异，具有可比性。治 疗后两组在 PSQI 量表、中医临床证候评分较治疗前均有改善，但治疗组在改善 睡眠质量、日间功能、睡眠时间、睡眠效率、睡眠障碍方面优于对照组，且治疗组 能显著改善失眠症患者伴发的晨起困倦、心烦或躁、昼日精神萎靡、四肢倦怠、汗 出等兼症。结论：加味柴胡桂枝汤治疗营卫不和、气机失调型失眠症，与舒眠 胶囊组进行对照观察，两组在 PSQI 量表及中医临床证候积分方面比较，加味柴 胡桂枝汤组显著优于对照组，证明加味柴胡桂枝汤治疗营卫不和、气机失调型 失眠症具有较好的临床实用性。 关键词 失眠症；营卫不和、气机失调；加味柴胡桂枝汤；临床观察 The mechanism and clinical study of modified Chaihu Guizhi decoction in the treatment of insomnia based on the theory of Ying and Wei Speciality：Neurology department of TCM Author ：Sui Xiao Lin Tutor：Professor Wang Zhong-lin Abstract Objective ：This thesis from the theory of Ying and Wei governance mechanism of modified Chaihu Guizhi Decoction in the treatment of insomnia and its clinical effect observation on the treatment of insomnia. Methods ：In this study, selected from the clinical Ying and Wei testy, Disorder of movement of Qi type 60 patients with insomnia were randomly divided into two groups, treatment group 30 cases, 30 cases of the control group. The treatment group received modified Chaihu Guizhi Decoction, Control group given Shu Mian capsules, a course of 4 weeks. PSQI scale before and after treatment, TCM syndrome score changes. Results ：Statistical analysis, the two groups before treatment, general information including gender, age, PSQI points , TCM syndrome and so have no significant difference, comparable. After treatment in the PSQI scale, TCM terms of symptom scores were improved compared with before t