【摘要】 随着现代社会的进步，女性家庭、工作、社会等多方面的压力增加，导致其围绝经期失眠的发病率逐渐增加，影响其生活质量。所以如何有效地治疗围绝经期失眠已成为当前社会的研究热点。西医临床以激素和镇静催眠类药物治疗为主，虽可取得一定的效果，但易出现较多不良反应。另外，长期使用激素和镇静催眠类药物可使人的记忆力减退，反应能力下降。中医治疗围绝经期失眠注重整体调理，辨证论治，效果显著，安全性高。中医认为，肾虚是围绝经期女性的主要生理特点，是导致女性失眠的重要病理依据，肾阴亏虚、心火亢盛、阴虚阳扰、心肾不交为其病因。黄连阿胶汤为治疗心肾不交型围绝经期失眠的常用方剂，不仅可以缓解症状，还能够改善睡眠质量以及调节内分泌系统。为此，文章综合众多的文献，研究黄连阿胶汤治疗围绝经期失眠的临床效果，分析其治疗价值，以期为临床应用提供参考依据。更多还原

【Abstract】 With the progress of modern society, women’s family, work, social and other aspects of the pressure increased, resulting in the incidence of perimenopausal insomnia gradually increased, affecting their quality of life. So how to effectively treat perimenopausal insomnia has become a hot spot in the current social research. Western medicine clinical hormone and sedative hypnotic drugs mainly treatment, although can achieve a certain effect, but prone to more adverse reactions. In addition, long-term use of hormones and sedative hypnotic drugs can make people’s memory loss, reaction ability decline. Traditional Chinese medicine in the treatment of perimenopausal insomnia focuses on overall conditioning, syndrome differentiation and treatment, with significant curative effect and high safety. According to traditional Chinese medicine, kidney deficiency is the main physiological feature of menopausal women, which is an important pathological basis for female insomnia. Kidney yin deficiency, heart fire hyperactivity, yin deficiency and yang disturbance, and heart-kidney imbalance cause insomnia. Huanglian Ejiao decoction is a common prescription for perimenopausal insomnia with heart-kidney incompatibility, which can not only relieve the symptoms of perimenopausal insomnia, but also improve sleep quality and regulate the endocrine system. Therefore, this study integrated numerous literatures to study the clinical efficacy of Huanglian Ejiao decoction in the treatment of menopausal insomnia, and analyzed the therapeutic value of Huanglian Ejiao decoction, in order to provide reference for clinical application.更多还原