Theoretical basis for treating perimenopausal women's insomnia with four methods of regulating liver
Perimenopausal syndrome,also known as climacteric syndrome,refers to a series of symptoms characterized by dysfunction of autonomic nervous system and neuropsychological symptoms caused by fluctuations or decreases of sex hormones before and after menopause.As one of the common symptoms of perimenopausal syndrome,insomnia seriously reduces the overall quality of life of perimenopausal women,and brings great harm to the physical and mental health of patients.At present,for the treatment of perimenopausal insomnia,modern medicine mainly uses oral sedatives as the main treatment method,but its long-term effect is not optimistic,and it has the disadvantages of large side effects and easy withdrawal reaction after drug withdrawal,while TCM medicine treatment has the advantages of clear efficacy and small adverse reactions,which has greater clinical research value.Doctors of all ages have different views on the etiology and pathogenesis of perimenopausal insomnia,but most believe that perimenopausal insomnia is based on deficiency of kidney essence.With the development of the times and the increase of life pressure,psychological and emotional factors have become one of the most important factors affecting insomnia.The soul resides in the liver.If the liver Qi(气)is not smooth,or the liver fire is disturbed,or the liver blood is insufficient,the soul cannot be quiet,which will lead to insomnia.Perimenopausal women often have pathological changes due to their special physiological changes.Therefore,treating perimenopausal insomnia from the perspective of liver can often achieve satisfactory results.Professor ZHANG Heng has been engaged in the clinical research of miscellaneous diseases in TCM medicine for more than 20 years.He has rich clinical experience,especially in the treatment of perimenopausal syndrome and various miscellaneous diseases in internal medicine with TCM medicine.In a large number of clinical practices,he found that there were few perimenopausal women who suffered from insomnia only due to kidney deficiency,and many women suffered from liver disease.Therefore,he summarized the four methods for regulating the liver to treat perimenopausal insomnia,namely,the method of soothing the liver and activating blood circulation,the method of clearing the liver and removing phlegm,the method of nourishing blood and tranquilizing soul,and the method of nourishing the liver and kidney,and achieved good effects,which is of great value for further discussion.
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