运用六味地黄丸合交泰丸治疗老年失眠
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摘要
泰国目前已进入完全老龄化，60 岁及以上人口约 1400 万。三分之一的老年人患有失眠症。失眠会增加罹患严重疾病的风险，例如心血管疾病、心脏病、高胆固醇、高血压、糖尿病、肥胖症和抑郁症。失眠亦称不寐，中医病机是阳盛阴衰，阴阳失交，阴虚不能纳阳，阳盛不能入阴。人体阴阳之本在于肾，肾为水和火之宅，因此肾对维持阴阳平衡至关重要。老年人由于脏腑功能衰退，导致肾气不足，气血阴阳失衡。老年人不寐主要是由于肾阴不足所致，肾水亏虚，不能上济于心，心阳过盛，不能下交于肾，导致心肾不交，心神不安引起不寐。因此，治疗以滋阴降火、交通心肾为原则，中药方用六味地黄丸合交泰丸。本文综述研究了 2011 年至 2025 年中国知网 (China National Knowledge Infrastructure, CNKI) 数据库中关于使用六味地黄丸和交泰丸治疗老年人失眠症的中药方剂的研究。作者期望本文可为老年不寐临床治疗方法的相关研究提供参考依据, 并为进一步开展利用传统中医药治疗老年人失眠症的研究提供指导。
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