首页|期刊导航|中医临床研究|基于"温潜法"运用二甲潜阳汤治疗失眠的临床观察

基于"温潜法"运用二甲潜阳汤治疗失眠的临床观察OA

Clinical observation on treating insomnia with Erjia Qianyang Tang based on the"Warming and subduing method"

中文摘要英文摘要

目的:探讨基于"温潜法"运用二甲潜阳汤治疗上热下寒、阳虚火浮型失眠的临床疗效.方法:选取广东省中医院珠海医院 2024 年 1-12 月收治的 60 例上热下寒、阳虚火浮型失眠患者作为研究对象,采用简单随机法分为两组,每组 30例.对照组予艾司唑仑片治疗,观察组予二甲潜阳汤治疗,两组均未给予其他助眠药物,治疗时间均为 2周.比较治疗前后两组患者中医证候积分、匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)评分、阿森斯失眠量表(athens insomnia scale,AIS)评分.结果:与治疗前比较,两组的 PSQI 评分、中医证候积分、AIS 评分均下降,但观察组与对照组比较有统计学差异(P<0.05).结论:对上热下寒、阳虚火浮型失眠患者采用二甲潜阳汤治疗可改善其中医证候和睡眠质量,提高生活质量.

Objective:To evaluate the clinical efficacy of Erjia Qianyang Tang(二甲潜阳汤),based on the"Warming and subduing method",for treating patients with insomnia characterized by upper heat and lower cold syndrome and Yang(阳)deficiency with floating fire syndrome.Methods:A total of 60 patients diagnosed with insomnia due to upper heat and lower cold and Yang deficiency with floating fire were enrolled from Zhuhai Hospital,Guangdong Provincial Hospital of Traditional Chinese Medicine between January 2024 and December 2024.The patients were randomly divided into two groups using a simple randomization method,with 30 cases in each group.The control group received oral estazolam tablets,while the observation group was treated with oral Erjia Qianyang Tang.Neither group was given any other sleep aids.Both groups underwent a 2-week period treatment.The Traditional Chinese Medicine Syndrome Score(TCMSS),Pittsburgh Sleep Quality Index(PSQI),and Athens Insomnia Scale(AIS)were assessed before and after treatment.Results:Compared to baseline,both groups showed significant reductions in PSQI,TCMSS,and AIS scores.However,the observation group demonstrated statistically significant ameliorations in all scores over the control group(P<0.05).Conclusion:Erjia Qianyang Tang,based on the"Warming and subduing method",can effectively alleviate TCM symptoms,improve sleep quality,and enhance overall quality of life in patients with insomnia due to upper heat and lower cold and Yang deficiency with floating fire.

陈朝;林东升;孙一凡;胡路明;李创鹏;黄美春;吴梦丽;章圣云

广东省中医院珠海医院,广东 珠海,519000广东省中医院珠海医院,广东 珠海,519000广东省中医院珠海医院,广东 珠海,519000广东省中医院珠海医院,广东 珠海,519000广东省中医院珠海医院,广东 珠海,519000广东省中医院珠海医院,广东 珠海,519000广东省中医院珠海医院,广东 珠海,519000广东省中医院珠海医院,广东 珠海,519000

医药卫生

阳虚火浮失眠症温潜法二甲潜阳汤临床观察

Yang deficiency with fire floatingInsomniaWarming and subduing methodErjia Qianyang TangClinical observation

《中医临床研究》 2026 (3)

70-74,5

第二届广东省中医院优秀中医临床人才项目[中医二院(2024)88号]广东省中医药局中医药科研项目(20241291).

10.3969/j.issn.1674-7860.2026.03.013

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