【摘要】 围绝经期是女性生理过程中的必经阶段,此期冲任渐虚、天癸将竭,失眠是其最常见的神经精神症状,其高发生率严重影响更年期女性的身心健康及生活质量。故通过文献资料整理及临床实践发现,围绝经期失眠的临床分型主要为心血不足型、肾阴亏虚型和心肾不交型3个主要证型,同时对病因病机及证治进行深入分析,并列举各型常用代表方剂和病案,进而从心肾论治围绝经期失眠的可行性进行阐释,希望对临床治疗围绝经期失眠起到一定的参考作用。更多还原

【Abstract】 Perimenopausal period is a necessary stage in the physiological processes,in which Chong and Ren channels are gradually empty,menstruation has dried up,and insomnia is the most common neuropsychiatric symptoms. The high incidence of insomnia in the peri menopausal period has serious impact on the health and quality of life of menopausal women. Through the literature and clinical practice,this paper found out that the clinical classification of perimenopausal insomnia mainly include three syndromes such as the type of heart blood deficiency,the type of yin deficiency of kidney and the type of incoordination between heart and kidney. The etiology and pathogenesis of three types and syndrome and therapeutic principles were deeply analyzed and various types of commonly used classical prescription were listed combined with medical records. The feasibility on the treatment of perimenopausal insomnia from heart and kidney was explained. We hope this paper can offer a certain reference to the clinical treatment of perimenopausal insomnia.更多还原