赵瑞华教授临证治疗围绝经期失眠症的经验

摘要 探析赵瑞华教授临证治疗围绝经期失眠症的经验。赵师认为肾虚致阴阳失调为围绝经期失眠症发病之本，肝虚、肝郁为其主要因素，常兼营卫失和，临证治疗力主整体观念，天人合一，谨守病机，辨证施治，以燮理阴阳为主，注重调神摄眠及健康宣教。

关键词 围绝经期失眠症；燮理阴阳；经验；赵瑞华

Professor Zhao Ruihua′s Experience in Clinical Treatment of Perimenopausal InsomniaLI Tiantian1，ZHAO Ruihua2

（1 Beijing Huimin hospital，Beijing 100054，China; 2 Guang′anmen Hospital，Chinese Academy of traditional Chinese medicine，Beijing 100053，China）

Abstract Exploring Professor Zhao Ruihua′s experience in clinical treatment of perimenopausal insomnia.Professor Zhao believes that kidney deficiency leading to yin and yang imbalance is the root cause of the disease，while liver deficiency and liver depression are the main factors.She often concurrently engages in the disharmony of health and hygiene.Her clinical treatment emphasizes a holistic concept，unity of heaven and man，adherence to the pathogenesis，dialectical treatment，and mainly focuses on Coordinating yin and yang，focusing on regulating the mind，regulating sleep，and health education.

Keywords Perimenopausal insomnia; Coordinating Yin Yang; Experience; ZHAO Ruihua

中图分类号：R338.63；R271.19；R271文献标识码：Adoi：10.3969/j.issn.2095-7130.2023.09.017

围绝经期失眠症（Perimenopausal Insomnia，PMI）是指女性在绝经期前后，伴随烦躁、盗汗等一系列围绝经期综合征出现的以睡眠失常为主的一类症状性疾病，以入睡困难、睡后易醒、醒后难以再次入睡、早醒为主要表现［1］，我国PMI的发病率近80%［2］。（剩余4564字）