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中医药防治高原睡眠障碍研究进展

Research progress on prevention and treatment of sleep disorders at high altitude with traditional Chinese medicine

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高原的睡眠障碍发生率显著高于平原人群,从而对进入高原的人们身心健康产生不良影响,高原睡眠障碍主要病位在心,与肺、肝、脾、肾紧密相关.短期性高原睡眠障碍的发生多由风寒袭肺,邪扰神明,导致心失所养、心胆气虚;中期性高原睡眠障碍多因高原饮食,导致脾胃失调,燥湿不济;长期性高原睡眠障碍则多为心肾不交,津亏血瘀.文章分析高原睡眠障碍的病因病机,根据进驻高原时间和病机将高原睡眠障碍分为短、中、长三期,并辨证施治,为中医药防治高原睡眠障碍提供依据.
The incidence of sleep disorders in the plateau is obviously higher than that in the plain population,which has an important adverse impact on the physical and mental health of people entering the plateau.Sleep disorders at high altitude is mainly in the heart,strongly related to lung,liver,spleen and kidney.The occurrence of short-term sleep disorders at high altitude is primarily caused by wind and cold attacking the lung syndrome,disturbing the mind and resulting in loss of support for the heart and deficiency of gallbladder and qi;middle-term sleep disorders at high altitude is mainly induced by plateau diet,leading to disorders of spleen and stomach,and poor dryness and dampness;long-term sleep disorders at high altitude is mostly imbalance between heart-yang and kidney-yin,saliva deficiency and blood stasis.This paper analyzed the etiology and pathogenesis of sleep disorder at high altitude,divided sleep disorder at high altitude into three stages:short,medium and long according to the time and pathogenesis,and gave dialectical treatment,which for providing basis for prevention and treatment of sleep disorders at high altitude with traditional Chinese medicine.

PlateauSleep disordersPathogenesisSyndrome differentiation of visceraTraditional Chinese medicineProgress

黄从书、叶岸平、王一豪、周维、马增春、高月

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天津中医药大学,天津 301617

军事科学院军事医学研究院辐射医学研究所,北京 100850

江西中医药大学,南昌 330004

高原 睡眠障碍 发病机制 脏腑辨证 中医药 进展

中医药服务能力培养与提升专项

2021ZY009

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(2)
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