1.北京中医药大学东直门医院 北京 100700
2.中国医学科学院药用植物研究所
3.中国中医科学院中医基础理论研究所
4.三峡大学中医医院 宜昌市中医医院
周宇馨,女,在读硕士生
#刘林,女,硕士,住院医师,E-mail:892493012@qq.com
纸质出版日期:2022-11-30,
收稿日期:2022-01-14,
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周宇馨, 岳利峰, 马培, 等. 郁证与寤寐失常的相关性探究[J]. 现代中医临床, 2022,29(6):30-35.
ZHOU Yuxin, YUE Lifeng, MA Pei, et al. Relationship between stagnation syndrome and sleep disorders[J]. Modern Chinese Clinical Medicine, 2022,29(6):30-35.
周宇馨, 岳利峰, 马培, 等. 郁证与寤寐失常的相关性探究[J]. 现代中医临床, 2022,29(6):30-35. DOI: 10.3969/j.issn.2095-6606.2022.06.007.
ZHOU Yuxin, YUE Lifeng, MA Pei, et al. Relationship between stagnation syndrome and sleep disorders[J]. Modern Chinese Clinical Medicine, 2022,29(6):30-35. DOI: 10.3969/j.issn.2095-6606.2022.06.007.
郁证是郁积滞留之物难以发越的总称,与西医抑郁症表现相似。寤寐失常专指睡眠障碍,主要表现为不寐和多寐,可为郁证表现之一。临床多见郁证与不寐关联紧密,郁证也可致多寐。不寐和多寐的病机主要涉及肝、心两脏,并与痰、瘀关系密切。古今文献及方药已证实郁证致不寐和多寐联系紧密并普遍存在。西医学研究中,抑郁症可致失眠和嗜睡,以及精神心理因素及其机制和抗抑郁疗法的记载。
Stagnation syndrome (
yù zhèn
)
or constraint syndrome
is a general term for the stagnation of things that are difficult to be dissipated
which is manifested in a fashion similar to depression in western medicine. The concept of
mèi bìn
in TCM refers specifically to sleep disorders and is also one of the manifestations of stagnation syndrome. It is common in clinical practices that stagnation syndrome is closely related to insomnia
and may also lead to the other extreme: somnolence. The pathogenesis of insomnia and somnolence mainly involves the liver and heart
and is closely related to phlegm and blood stasis. Ancient and modern literature and prescriptions have confirmed that the connection between stagnation syndrome and the two sleep-related diseases is remarkably close and commonly seen. In modern medical research
depression has been proven to cause insomnia and somnolence. There are also records of mental and psychological factors that are in play as well as their mechanisms and antidepressant therapies.
郁证不寐多寐病因病机
stagnation syndromeinsomniasomnolenceetiology and pathogenesis
周仲瑛.中医内科学[M].2版.北京:中国中医药出版社,2011:373-374.
张米镎,寇兰俊,李淑艳,等. 气血理论在心系疾病中的应用[J]. 现代中医临床,2021,28(1):64-68.
许晓伍,吕薇,肖佩琪,等. 中医药治疗失眠的理论与临床研究概况[J]. 世界睡眠医学杂志,2019,6(7):1001-1008.
刘艳骄,高荣林. 中医睡眠医学[M].北京:人民卫生出版社,2003.
BARATEAU L, LOPEZ R, FRANCHI J.A.M. et al. Hypersomnolence, hypersomnia, and mood disorders[J]. Curr Psychiatry Rep,2017,19(2):13.
HEIN M, LANQUART JP, LOAS G, et al. Prevalence and risk factors of excessive daytime sleepiness in major depression: a study with 703 individuals referred for polysomnography[J]. J Affect Disord, 2019, 243: 23-32.
中华医学会精神医学分会抑郁障碍研究协作组. 伴非典型特征抑郁症的临床评估与诊治指导建议 [J]. 中华精神科杂志,2021, 54(2) : 87-95.
肖姝雲,徐建,易夏阳. 从心身医学解读失眠症的临床诊疗方案[J]. 中国临床医生杂志,2021,49(10):1141-1144.
蒋欣妤,谭钰璇,陆颖,等. 从心藏神论治多寐[J]. 中国中医药现代远程教育,2021,19(19):78-80.
张佳佳,张玉,储召学,等.重度抑郁症患者嗜睡症状与快感缺失的相关性[J].中华行为医学与脑科学杂志,2021,30(4):289-293.
李梦琪,王洪峰,王文慧,等. 针灸改善睡眠剥夺后认知障碍的神经生物学机制研究进展[J]. 上海针灸杂志,2021,40(9):1162-1166.
张晓钢,贾竑晓. 中西医结合治疗精神疾病伴发睡眠障碍述评[J]. 河南中医,2018,38(9):1445-1449.
中华医学会神经病学分会,中华医学会神经病学分会睡眠障碍学组,解放军医学科学技术委员会神经内科专业委员会睡眠障碍学组.中国发作性睡病诊断与治疗指南[J].中华神经科杂志,2015,48(6):445-452.
DIMITRI M,MARINA G. Normal sleep and circadian rhythms: neurobiologic mechanisms underlying sleep and wakefulness[J]. Psychiatric Clinics of North America,2006,29(4):841-853.
李春艳,王宇红,王华,等. 抑郁合并失眠对大鼠HPA轴及下丘脑中氨基酸类和单胺类神经递质的影响[J]. 中国药理学通报,2021,37(6):815-822.
徐碧云,李艳,肖芳,等.加味逍遥散对心理应激性失眠患者单胺类神经递质的影响[J].中华中医药杂志,2009,24(6):720-723.
欧碧阳,李艳,杨志敏,等.柴胡加龙骨牡蛎汤治疗失眠的机理[J].时珍国医国药,2010,21(8):1887-1888.
朱晓旭.酸枣仁汤抗焦虑作用的实验研究[D].北京:北京中医药大学,2002:1-64.
毕秀华.甘麦大枣汤对抑郁大鼠行为学及脑内单胺神经递质影响的实验研究[D].昆明:云南中医学院,2012:1-79.
张峰,李发曾.合欢花对慢性应激大鼠生长和脑单胺类神经递质含量的影响[J].动物学研究,2006,27(6):621-625.
张家俊,陈文为.中药酸枣仁、龙齿、石菖蒲对小鼠脑组织单胺类神经递质及其代谢物的影响[J].北京中医药大学学报,1995,18(6):64-66,70.
李振生,关风岭.运用黄连温胆汤治疗精神抑郁症45例[J].四川中医,2003,21(7):55.
姚乃礼.当代名老中医典型医案集.第2辑.内科分册.气血津液肢体经络疾病[M]. 北京:人民卫生出版社,2014:22-23.
姚乃礼.当代名老中医典型医案集.第2辑.内科分册.心脑疾病[M]. 北京:人民卫生出版社,2014:451-452.
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