小柴胡汤及其类方辨治不寐症的理论探讨

【摘要】失眠是频繁而持续的入睡困难或睡眠维持困难并导致睡眠满意度不足为特征的一类病症，其伴随的躯体和身心疾病严重影响着人们的生活质量。失眠属中医“不寐”范畴，笔者通过探讨小柴胡汤及其类方治疗失眠的理论，为柴胡剂治疗失眠提供新的思路。

【关键词】不寐；小柴胡汤；小柴胡汤类方

【中图分类号】R289

【文献标志码】 A【文章编号】1007-8517（2024）18-0013-03

DOI：10.3969/j.issn.1007-8517.2024.18.zgmzmjyyzz202418004

Abstract：Insomnia is a kind of disease characterized by frequent and continuous difficulty in falling asleep or maintaining sleep and resulting in insufficient sleep satisfaction.Its accompanying physical and mental diseases seriously affect peoples quality of life.Insomnia belongs to the category of “sleepless” in traditional Chinese medicine.The author provides a new idea for treating insomnia with bupleurum decoction by discussing the theory of treating insomnia with Xiaobupleurum decoction and its similar prescriptions.

Keywords：Insomnia;Xiaochaihu Decoction; The Related Prescriptions of Xiaochaihu Decoction

不寐即失眠，失眠是常见的睡眠问题，其主要特征是频繁而持续的入睡困难或睡眠维持困难并导致睡眠满意度不足，其临床症状除睡眠障碍外，常伴有疲倦、乏力、纳差、消瘦、头晕、头痛、心悸、注意力不集中、记忆力下降等，严重者会出现焦虑、抑郁、认知功能下降和老年痴呆等精神障碍。（剩余3880字）