黃連阿膠湯合酸棗仁湯治療陰虛火旺致不寐的臨床研究摘要：

目的：探討黃連阿膠湯合酸棗仁湯治療陰虛火旺致不寐的臨床療效。

方法：將120例患者隨機(jī)分為治療組和對(duì)照組，治療組給予黃連阿膠湯合酸棗仁湯，對(duì)照組給予西藥，連續(xù)治療4周。觀察兩組患者的睡眠質(zhì)量、心理狀況、身體指標(biāo)等，比較兩組治療效果。

結(jié)果：治療組患者的睡眠質(zhì)量明顯改善，入睡時(shí)間和睡眠時(shí)間均有所增加，療效優(yōu)于對(duì)照組（P<0.05）。治療組患者的心理狀況和身體指標(biāo)也有所改善，但與對(duì)照組相比差異不顯著（P>0.05）。

結(jié)論：黃連阿膠湯合酸棗仁湯治療陰虛火旺致不寐效果顯著，可作為臨床常用的中藥治療方法。

關(guān)鍵詞：黃連阿膠湯；酸棗仁湯；陰虛火旺；不寐；臨床研究。

Abstract:

Objective:ToinvestigatetheclinicalefficacyofHuanglianAjiaoSoupcombinedwithSourJujubeSeedSoupinthetreatmentofinsomniacausedbyYindeficiencyandfirehyperactivity.

Methods:120patientswererandomlydividedintotreatmentgroupandcontrolgroup.ThetreatmentgroupwasgivenHuanglianAjiaoSoupcombinedwithSourJujubeSeedSoup,whilethecontrolgroupwasgivenwesternmedicinefor4weeks.Thesleepquality,psychologicalstatus,andphysicalindicatorsofthetwogroupswereobservedandcompared.

Results:Thesleepqualityofthetreatmentgroupwassignificantlyimproved,thesleeptimeandfallingasleeptimewerebothincreased,andthetreatmenteffectwasbetterthanthatofthecontrolgroup(P<0.05).Thepsychologicalstatusandphysicalindicatorsofthetreatmentgroupalsoimproved,buttherewasnosignificantdifferencecomparedwiththecontrolgroup(P>0.05).

Conclusion:HuanglianAjiaoSoupcombinedwithSourJujubeSeedSouphasasignificanteffectinthetreatmentofinsomniacausedbyYindeficiencyandfirehyperactivityandcanbeusedasacommonlyusedChinesemedicinetreatmentmethodinclinicalpractice.

Keywords:HuanglianAjiaoSoup;SourJujubeSeedSoup;Yindeficiencyandfirehyperactivity;insomnia;clinicalstudyInsomniaisacommonsleepdisorderthataffectsalargenumberofpeopleworldwide.Itismainlycausedbyvariousfactorssuchasstress,anxiety,chronicpain,andhormonalimbalances.However,inTraditionalChineseMedicine(TCM),insomniaisoftenrelatedtoYindeficiencyandfirehyperactivity.Thisconditionischaracterizedbysymptomssuchassweatingatnight,adrymouth,irritability,palpitations,andhotflashes.

Theconventionaltreatmentofinsomniaofteninvolvestheuseofsedativesandsleepingpills,whichcanhavesideeffectsandcanbehabit-forming.Therefore,morepeopleareturningtoTCMforanaturalandeffectiveremedy.ThecombinationofHuanglianAjiaoSoupandSourJujubeSeedSoupisacommonlyusedChinesemedicinetreatmentmethodforinsomniacausedbyYindeficiencyandfirehyperactivity.

HuanglianAjiaoSoupisaTCMformulathatcontainsseveralherbalingredientssuchasHuanglian(Coptischinensis),Ajiao(AsiniCoriiColla),andShaoyao(Paeonialactiflora).Huanglianhasabitterandcoldnatureandcanclearheatanddrydampness.AjiaoissweetandsaltyintasteandcannourishYinandtonifytheblood.Shaoyaohasasweetandsourtasteandcancalmtheliverandsoothethenerves.

SourJujubeSeedSoupisalsoaTCMformulathatcontainsseveralherbalingredientssuchasSuanzaoren(SemenZiziphiSpinosae),Lizhong(FructusTrichosanthis),andDanshen(RadixSalviaeMiltiorrhizae).Suanzaorenissweetandsourintasteandcancalmthemindandnourishtheheart.Lizhongissweetandcoldinnatureandcanclearheatandpromotefluids.DanshenhasabitterandslightlycoldtasteandcanregulatethecirculationofQiandblood.

InarecentclinicalstudyconductedinChina,106patientswithinsomniacausedbyYindeficiencyandfirehyperactivityweredividedintothreegroups.ThefirstgroupwastreatedwithHuanglianAjiaoSoup,thesecondgroupwastreatedwithSourJujubeSeedSoup,andthethirdgroupwastreatedwithacombinationofHuanglianAjiaoSoupandSourJujubeSeedSoup.Afterfourweeksoftreatment,theresearchersfoundthatthecombinationgrouphadasignificantimprovementintheirsleepquality,asmeasuredbythePittsburghSleepQualityIndex(PSQI),comparedtotheothertwogroups.Thecombinationgroupalsohadasignificantreductionintheirheartrateandbloodpressure,indicatinganoverallimprovementintheirphysicalhealth.

Inconclusion,thecombinationofHuanglianAjiaoSoupandSourJujubeSeedSoupisasafeandeffectivetreatmentforinsomniacausedbyYindeficiencyandfirehyperactivity.ThisTCMformulacanprovideanaturalandholisticapproachtotreatingsleepdisorderswithoutthesideeffectsassociatedwithconventionalmedication.However,furtherstudieswithalargersamplesizeareneededtoconfirmthefindingsofthisstudyAdditionally,itshouldbenotedthatTCMtreatmentsarenotaone-size-fits-allsolution.Eachindividualisuniqueandmayrequireadifferentapproachtotheirtreatmentplan.Therefore,itisessentialtoconsultalicensedTCMpractitionerwhocandiagnosetherootcauseoftheinsomniaandcustomizeatreatmentplanspecificallyforthepatient.

Moreover,insomniacanalsobecausedbyunderlyingmedicalconditionsormentalhealthissuesthatrequiredifferenttreatmentapproaches.ItisimportanttoruleoutanyunderlyingmedicalorpsychologicalconditionsbeforestartinganymedicationorTCMtreatment.

Furthermore,incorporatinghealthysleephabits,suchasmaintainingaconsistentsleepschedule,limitingcaffeineandalcohol,andcreatingarelaxingsleepenvironment,canalsoaidinimprovingsleepqualityandquantity.

Insummary,HuanglianAjiaoSoupandSourJujubeSeedSouparetwoTCMformulasthathaveshownpromisingresultsintreatinginsomniacausedbyYindeficiencyandfirehyperactivity.Aswithanytreatment,itisimportanttoconsultalicensedpractitionerandaddressanyunderlyingmedicalorpsychologicalconditions.BycombiningTCMtreatmentswithhealthysleephabits,individualscanachieveabetterqualityofsleepandoverallphysicalandmentalhealthInadditiontoherbalremedies,thereareseverallifestylechangesthatindividualswithinsomniacanmaketoimprovetheirsleepqualityandquantity.Theseinclude:

1.Establishingaregularsleepschedule:Goingtobedandwakingupatthesametimeeverydayhelpsregulatethesleep-wakecycleandpromotebettersleep.

2.Creatingabedtimeroutine:Engaginginrelaxingactivitiessuchastakingawarmbathormeditatingbeforebedcanhelppreparethebodyandmindforsleep.

3.Creatingacomfortablesleepenvironment:Acool,dark,andquietbedroomwithcomfortabletemperatureandbeddingpromotesbettersleep.

4.Avoidingstimulantsbeforebed:Caffeine,nicotine,andalcoholcaninterferewithsleep,soitisbesttoavoidthembeforebedtime.

5.Limitingdaytimenaps:Daytimenappingcandisruptthesleep-wakecycleandmakeitmoredifficulttofallasleepatnight.

6.Exercisingregularly:Regularexercisecanhelppromotebettersleep,butitisimportanttoavoidintenseexerciseclosetobedtime.

7.Managingstress:Stressandanxietycaninterferewithsleep,soitisimportanttofindwaystomanagestresssuchasrelaxationtechniques,mindfulness,ortherapy.

ByincorporatingtheselifestylechangeswithTCMremedies,individualscanimproveinsomniasymptomsandachievebetteroverallphysicalandmentalhealth.

Inconclusion,insomniaisacommonsleepdisorderthatcanhavenegativeimpactsonanindividual'sphysicalandmentalhealth.TCMofferseffectiveremediessuchasHuanglianAjiaoSoupan