基于络病理论探讨癫狂梦醒汤治疗痰瘀阻络型失眠症的作用机理

Based on the Theory of Collateral Disease to Explore the Mechanism of Diankuang Mengxing Decoction in the Treatment of Phlegm and Blood Stasis Type of Insomnia

摘要: 随着社会的进步和高速发展，人们作息节律的改变，失眠症的发病率越来越高，若不进行治疗，失眠症会导致不同程度的心理及生理健康问题。针对失眠症，西医常以镇静催眠类药物治疗为主，有着较多的副作用，而中医疗效确切，颇有优势。但针对病程日久痰瘀阻络的顽固性失眠，临床中常用的中医方剂有时收效不佳，而癫狂梦醒汤虽为癫狂病所设，但因其具有行气活血，通络化痰的功效，故对于痰瘀阻络型的慢性顽固失眠症有着较好的治疗效果，本文将基于络病理论探讨癫狂梦醒汤治疗痰瘀阻络型失眠的作用机理。

Abstract: With the progress and rapid development of society and the change of people’s rhythm of work and rest, the incidence of insomnia is getting higher and higher. Without treatment, insomnia will lead to different degrees of psychological and physical health problems. For insomnia, Western medicine often uses sedative hypnotic drugs to treat insomnia, which has more side effects, while traditional Chinese medicine has exact curative effect and advantages. But for the intractable insomnia of phlegm and blood stasis obstructing collaterals with a long course of disease, the commonly used traditional Chinese medicine prescriptions in clinic sometimes have poor effect, and although Diankuang Mengxing Decoction is designed for mania, it has good therapeutic effect on chronic intractable insomnia of phlegm and blood stasis obstructing collaterals because of its effects of promoting qi and blood circulation, dredging collaterals and resolving phlegm. Based on the theory of collateral disease, this paper discusses the mechanism of Diankuang Mengxing Decoction in the treatment of insomnia of phlegm and blood stasis blocking collaterals.