中医治疗顽固性失眠的研究进展

Research Progress of TCM in the Treatment of Intractable Insomnia

摘要: 近年来，社会压力的增加导致失眠发病率逐年上升，其中顽固性失眠更为严重，其病程长、病情反复、治疗难度大，通常伴有疲劳、情绪低落、躯体不适等日间功能障碍。本文综述了中医治疗顽固性失眠(CFS)的最新研究进展，系统梳理了中医对失眠的病因病机、辨证论治、特色疗效及临床应用等方面，展示了中医药在CFS治疗中的优势、特点及创新之处。并分析了目前研究的优势与不足之处，以期为临床医师理解失眠、预防与治疗失眠提供参考与治疗思路。

Abstract: In recent years, the increase of social pressure has led to an increase in the incidence of insomnia year by year, among which intractable insomnia is more serious, its course of the disease is long, the condition is repeated, the treatment is difficult, usually accompanied by fatigue, depression, physical discomfort and other daytime dysfunction. This article reviewed the latest research progress of TCM treatment of intractable insomnia (CFS), systematically sorted out the etiology and pathogenesis of insomnia, syndrome differentiation and treatment, characteristic curative effect and clinical application of TCM, and demonstrated the advantages, characteristics and innovations of TCM in the treatment of CFS. It also analyzed the advantages and disadvantages of the current research, in order to provide references and treatment ideas for clinicians to understand insomnia, and prevent and treat insomnia.