從“少陰為樞”論治圍絕經期失眠

[中圖分類號]R271.19；R256.23 [文獻標志碼]A [文章編號]0256-7415（2025）10-0162-04

DOl：10.13457/j.cnki.jncm.2025.10.031

Treating Perimenopausal Insomnia from Perspective of "Shaoyin as the Pivot"

SHI Ruichen1，ZHENG Shunli1，XIAO Chunyan1， LIULu1 ，ZHANG Shiying2，WU Haibin2

1.TheFourthClinicalMedicalScholofGuangzhou UniversityofChinese Medicine，Shenzhen Guangdong518033，China；2.Shenzher Traditional Chinese Medicine Hospital，Shenzhen Guangdong 518033，China

Abstract：Perimenopausal women experience a decline in physiological functions due to aging，and symptoms such as insomnia during this period exhibit complexityand diversity.Basedon theChinese medicinetheory of "Shaoyin as the pivot"，the authors propose that insomnia in perimenopausal women arises from the gradual exhaustion of reproduction-stimulating esence，kidney yin depletion，and dysfunction of the Shaoyin pivot-closing mechanism， which makes yang fail to enter yin；impaired Shaoyin pivot function further obstructs qi movement，leading to pathological products such as phlegm-damp that disturb the heart spirit and exacerbate insomnia.The core pathogenesis of thiscondition includes kidneyyindepletion，impaired Shaoyin pivot function，and internal disturbanceof phlegmheat.Key therapeutic strategies involve nourishingand supplementing kidneyyin，restoring pivot function，and clearingheatandresolving phlegm.Huanglian Ejiao Decoction serves as the foundationalprescription，andits modified application in clinical practice has achieved satisfactory outcomes in treating perimenopausal insomnia.

Keywords： Insomnia；Perimenopause；Shaoyin as the pivot；Kidney yin depletion；Huanglian Ejiao Decoction

圍絕經期綜合征是女性隨著年齡增長，卵巢功能減退，雌激素水平處于較低水平，導致女性的內分泌功能及自主神經功能嚴重失調時所產生的一系列癥狀。（剩余6226字）