黄连阿胶汤合酸枣仁汤治疗阴虚火旺致不寐的临床研究

黄连阿胶汤合酸枣仁汤治疗阴虚火旺致不寐的临床研究摘要：

目的：探讨黄连阿胶汤合酸枣仁汤治疗阴虚火旺致不寐的临床疗效。

方法：将120例患者随机分为治疗组和对照组，治疗组给予黄连阿胶汤合酸枣仁汤，对照组给予西药，连续治疗4周。观察两组患者的睡眠质量、心理状况、身体指标等，比较两组治疗效果。

结果：治疗组患者的睡眠质量明显改善，入睡时间和睡眠时间均有所增加，疗效优于对照组（P<0.05）。治疗组患者的心理状况和身体指标也有所改善，但与对照组相比差异不显著（P>0.05）。

结论：黄连阿胶汤合酸枣仁汤治疗阴虚火旺致不寐效果显著，可作为临床常用的中药治疗方法。

关键词：黄连阿胶汤；酸枣仁汤；阴虚火旺；不寐；临床研究。

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