通讯作者: 叶海敏, 56842028@qq.com

DOI：10.12201/bmr.202511.00082

Therapeutic Prescription for Insomnia from the Perspective of Phlegm-Qi Stagnation

• 摘要：失眠是指不能获得正常睡眠的一类疾病，严重影响了患者身心健康和生活质量，目前西医治疗常伴有明显不良反应且易产生依赖性。本文依据“气顺则痰消，痰化则神安”理念，提出在临床诊疗中以半夏厚朴汤为基础进行辨证，治疗痰气郁结型失眠。探讨痰气郁结型失眠的发病机制及诊疗思路。现代药理学研究证实，半夏厚朴汤可通过多靶点机制改善睡眠状态。典型案例治疗显示，患者服用以半夏厚朴汤加减的方药后，睡眠时长得到显著延长，伴随的临床症状明显改善。半夏厚朴汤通过行气解郁、降逆化痰、调和阴阳的作用机制，为痰气郁结型失眠提供了新的诊疗思路，兼具疗效确切与安全性优势，值得临床推广。

  关键词： 失眠; 痰气郁结; 行气解郁; 降逆化痰; 半夏厚朴汤。

   

  Abstract: Insomnia refers to a category of diseases characterized by the inability to obtain normal sleep, which significantly impacts patients physical and mental health as well as their quality of life. Currently, Western medical treatments often come with significant adverse reactions and are prone to dependency. Based on the concept of qi flowing smoothly eliminates phlegm, and phlegm resolving brings peace to the mind, this article proposes the use of Banxia Houpu Decoction as a foundation for syndrome differentiation in the clinical diagnosis and treatment of phlegm-qi stagnation type insomnia. It explores the pathogenesis and diagnostic and treatment approaches of this type of insomnia. Modern pharmacological research has confirmed that Banxia Houpu Decoction can improve sleep quality through a multi-target mechanism. Typical case treatments have shown that after patients take modified versions of Banxia Houpu Decoction, their sleep duration is significantly extended, and accompanying clinical symptoms are significantly improved. By promoting qi circulation to dispel depression, descending adverse qi to resolve phlegm, and harmonizing yin and yang, Banxia Houpu Decoction provides a new diagnostic and treatment approach for phlegm-qi stagnation type insomnia. It combines the advantages of both efficacy and safety, making it worthy of clinical promotion.

  Key words: Insomnia; Phlegm and Qi stagnation; Promoting Qi circulation and resolving depression; Descending counterflow and resolving phlegm; Banxia Houpo Decoction.

  提交时间：2025-11-25

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• 序号	提交日期	编号	操作
  1	2025-10-28	10.12201/bmr.202511.00082V1	下载

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