刘红梅教授对快速眼动睡眠行为障碍的中医认识

摘要 总结刘红梅教授对于快速眼动睡眠行为障碍的独特见解，认为肝魂妄动、心神受扰是基本病机，肝肾不足是发病基础，风、火、痰是主要病理因素。临床上虽常将其归于“失眠”“不寐”诊治，但应抓住其病机特点，区别于一般睡眠障碍疾病处方用药，注重补养肝肾精气，兼顾风、火、痰邪用药，可达定魂安神之功，以得安眠。

关键词 快速眼动睡眠行为障碍；中医病机；名医经验

Professor Liu Hongmei′s TCM Understanding of Rapid Eye Movement Sleep Behavior DisorderCAI Liang1，LIU Hongmei2

（1 Department of Traditional Chinese Medicine，Beijing Shangdi Hospital，Beijing 100084，China； 2 Department of Encephalopathy，Xiyuan Hospital of CACMS，Beijing 100091，China）

Abstract Summarize Professor Liu Hongmei′s unique views on rapid eye movement sleep behavior disorder.Professor Liu Hongmei believes that the basic pathogenesis of this disease is liver soul hyperactivity and disturbance of the heart and mind.Insufficient liver and kidney are the basis of the disease，and wind，fire，and phlegm are the main pathological factors.Although it is often classified as “insomnia” or “insomnia” in clinical practice，the characteristics of its pathogenesis should be grasped，and it should be distinguished from the prescription of general sleep disorders.It is important to nourish the liver and kidney essence and use drugs that take into account the pathogenic factors of wind，fire，and phlegm to achieve the function of calming the soul and calming the mind，in order to achieve sleep.

Keywords Rapid eye movement sleep behavior disorder；Pathogenesis of Traditional Chinese Medicine；Clinical experience

中图分类号：R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2023.07.017

快速眼动（Rapid Eye Movement，REM）睡眠行为障碍（REM Sleep Behaviour Disorder，RBD）是一种睡眠异常症，以REM时期的肌张力丧失和梦境演绎行为为特征。（剩余6472字）