Ma Kun, Chen Yan-Xia, Dong Mei-Ling
Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China.
Zhongguo Zhong Yao Za Zhi. 2017 Dec;42(23):4455-4458. doi: 10.19540/j.cnki.cjcmm.2017.0200.
Perimenopausal syndrome refers to a series of physical and mental symptoms, caused by the fluctuation of the sex hormones in the menopause, which is one of the common diseases in gynecology. The incidence of sleep disorders in perimenopausal women is increasing significantly. Both Chinese medicine and Western medicine are trying to exploring its pathologic mechanism to find the safe and effective methods of treatment. Menopausal sleeping disorder is the same as the perimenopause syndrome and insomnia category in traditional Chinese medicine. Kidney deficiency is the basic characteristic of perimenopause, whether kidney essence, kidney Qi, kidney Yin or kidney Yang can lead to blood stasis. It is believed that this disease results from kidney deficiency in the root and blood stasis in the tip, and on this basis women affected by many factors will result in disharmony between heart and kidney. In clinical practice, The method of tonifying kidney and activating blood applied to treat perimenopause syndrome with insomnia was testified to be effective. Therefore the author thought that kidney deficiency and blood stasis and disharmony between heart and kidney were the key factors of patients with insomnia in perimenopause.
围绝经期综合征是指由于绝经前后性激素波动所致的一系列身心症状，是妇科常见病之一。围绝经期女性睡眠障碍的发生率显著增加。中西医都在努力探索其病理机制，以寻找安全有效的治疗方法。绝经睡眠障碍与中医的绝经前后诸证及不寐范畴相同。肾虚是围绝经期的基本特征，无论是肾精、肾气、肾阴还是肾阳亏虚均可导致血瘀。认为本病本虚标实，肾虚为本，血瘀为标，在此基础上受多种因素影响导致心肾不交。临床实践中，补肾活血法治疗围绝经期综合征伴失眠疗效得到验证。因此作者认为肾虚血瘀、心肾不交是围绝经期失眠患者的关键因素。
