从“少阴为枢”论治围绝经期失眠

[中图分类号]R271.19；R256.23 [文献标志码]A [文章编号]0256-7415（2025）10-0162-04

DOl：10.13457/j.cnki.jncm.2025.10.031

Treating Perimenopausal Insomnia from Perspective of "Shaoyin as the Pivot"

SHI Ruichen1，ZHENG Shunli1，XIAO Chunyan¹， LIULu1 ，ZHANG Shiying²，WU Haibin²

1.TheFourthClinicalMedicalScholofGuangzhou UniversityofChinese Medicine，Shenzhen Guangdong518033，China；2.Shenzher Traditional Chinese Medicine Hospital，Shenzhen Guangdong 518033，China

Abstract：Perimenopausal women experience a decline in physiological functions due to aging，and symptoms such as insomnia during this period exhibit complexityand diversity.Basedon theChinese medicinetheory of "Shaoyin as the pivot"，the authors propose that insomnia in perimenopausal women arises from the gradual exhaustion of reproduction-stimulating esence，kidney yin depletion，and dysfunction of the Shaoyin pivot-closing mechanism， which makes yang fail to enter yin；impaired Shaoyin pivot function further obstructs qi movement，leading to pathological products such as phlegm-damp that disturb the heart spirit and exacerbate insomnia.The core pathogenesis of thiscondition includes kidneyyindepletion，impaired Shaoyin pivot function，and internal disturbanceof phlegmheat.Key therapeutic strategies involve nourishingand supplementing kidneyyin，restoring pivot function，and clearingheatandresolving phlegm.Huanglian Ejiao Decoction serves as the foundationalprescription，andits modified application in clinical practice has achieved satisfactory outcomes in treating perimenopausal insomnia.

Keywords： Insomnia；Perimenopause；Shaoyin as the pivot；Kidney yin depletion；Huanglian Ejiao Decoction

围绝经期综合征是女性随着年龄增长，卵巢功能减退，雌激素水平处于较低水平，导致女性的内分泌功能及自主神经功能严重失调时所产生的一系列症状。（剩余6226字）