通讯作者: 沈建武, 0907shenjianwu@163.com

DOI：10.12201/bmr.202407.00059

Integrated traditional Chinese and western medicine treatment of insomnia in hospitalized elderly patients

• 摘要：老年住院患者失眠发生率高且偏向于非催眠药物治疗，中医药治疗失眠易被接受且具有一定优势。结合老年体质及临床症状，拟“丹元饮”补益气血、益气养阴、温补肾阳加以治疗。在治疗过程中，四诊合参，注意饮食起居；结合梦境及患者饮食偏嗜，择时而服；汤剂、丸剂、口服液相结合，内治外治相辅佐；在辨证论治的基础上结合中药药理，必要时予以西药改善夜尿及睡眠等情况。本文总结老年住院患者“失眠”的中医病因病机以及辨证论治经验、用药方论，以期为临床治疗提供参考。

  关键词： 住院老年患者; 失眠; 丹元饮; 中医药; 临床经验

   

  Abstract: Objective To analyze the traditional Chinese medicine prescription of Danyuan Decoction in the treatment of elderly hospitalized patients with insomnia. Methods Based on the theory of traditional Chinese medicine, combined with the elderly constitution and clinical symptoms, the etiology and pathogenesis of hospitalized elderly patients with insomnia and the meaning of Danyuan Decoction were analyzed. Danyuan Decoction was selected to treat a case of hospitalized patients with insomnia. The diagnosis and treatment process was described in detail and the medical cases were evaluated. Results Qi and blood attenuation, old age and body deficiency are the core etiology and pathogenesis of hospitalized elderly patients with insomnia. In clinical practice, due to insomnia symptoms such as insufficient sleep time and depth, the chief complaint is “increased frequency of nocturia, dry and thirsty at night”. Based on “Synopsis of Golden Chamber”, Suanzaoren Decoction combined with Shengmai Powder formulated Danyuan Decoction can replenish Qi and blood, replenish Qi and nourish Yin, and warm kidney Yang. Combined with “Lingshu”, the relationship between dream and pathophysiology was elucidated. Through the patient s dietary preference, assist and guide the addition and subtraction of clinical drug flavor. Combined with the law of Yin and Yang principals of the human body, choose the time to serve. Combined with decoction, pills, oral liquid; internal and external treatment complement each other. On the basis of syndrome differentiation and treatment, combined with pharmacology use Western medicine improve nocturia and sleep if necessary. Conclusion Danyuan Decoction on the treatment of elderly hospitalized patients with insomnia curative effect, worthy of popularization and application.

  Key words: Hospitalized elderly patient, Insomnia, Danyuan Decoction, Traditional Chinese Medicine, Clinical experience; ; ; ; 

  提交时间：2024-07-23

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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  1	2024-06-16	bmr.202407.00059V1	下载

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