失眠症精神萎靡状态用药规律探究.pdfVIP

提 要 目的：探讨失眠症精神萎靡状态的用药规律，包括组方规律、常用药物及用药指 征，以期为失眠症精神萎靡状态的治疗提供思路和方法。方法：系统回顾中医文献， 包括历代医家治疗失眠症的经验和古代文献中治疗精神萎靡状态相关的药物，结合导 师齐向华教授多年的临床经验，应用自制量表《失眠症精神萎靡状态评定量表》，评 定失眠症精神萎靡状态的130 例病人。结果：统计中药的应用频率、药物种类及性味 归经，对高频药物做了相关性分析。统计出了使用频率居前20 位的药物，各类药物 所占频率，四气、五味、归经的使用频率，经过相关性分析，得出常用药对。结论： 系统总结了失眠症精神萎靡状态的临床用药及其组方规律，指出以调畅气机、平衡阴 阳为主的用药方法，为失眠症精神萎靡状态的治疗提供了新的思路。 关键词 失眠症；精神萎靡状态；调畅气机；平衡阴阳 Study on the laws of medicine application about Insomnia with the State of sluggishness Specialty: Traditional Chinese Internal Medicine Author: Liu Wen yu Tutor: Professor Qi Xianghua Abstract Objective: To explore the laws of medicine application about Insomnia with the State of sluggishness, including prescription law, commonly used drugs, medication indications to provide ideas and methods for the treatment of insomnia with the state of sluggishness. Methods: Literature of TCM was reviewed systematically including ancient famous doctors’ experiences in treating insomnia and the medicines to treat with the state of sluggishness in books on Chinese medicine. 130 cases of insomnia with the state of sluggishness were assessed by our homemade scale “Scale for the State ofsluggishness” combined with my tutor’s experiences. Results: The application frequency of Chinese medicine, types, characteristics and channel tropisms were counted to analyze the high frequency medicines. The top 20 medicines were counted by statistics including the frequency of the types, characteristics as well as channel tropisms . Conclusion: Clinical medication and prescription law in treating insomnia with the state of sluggishness were summarized systematically. Furthermore, the methods based on yinyang balance and qi mov