WANG Cenxi,CAO Weiping.ZHANG Zhiyuan's Experience in Treating Perimenopause-Related Insomnia with the Method of Regulating the Heart and Governing the Spirit[J].Journal of Traditional Chinese Medicine,2025,66(22):2308-2311.
WANG Cenxi,CAO Weiping.ZHANG Zhiyuan's Experience in Treating Perimenopause-Related Insomnia with the Method of Regulating the Heart and Governing the Spirit[J].Journal of Traditional Chinese Medicine,2025,66(22):2308-2311.DOI: 10.13288/j.11-2166/r.2025.22.003.
This paper summarized professor ZHANG Zhiyuan's clinical experience in using the method of regulating the heart and governing the mind to treat perimenopause-related insomnia. It is believed that herat spirit disorder is a critical pathogenesis of insomnia during perimenopause, and the treatment method should be regulating the heart and governing the spirit. In clinicla practice, it can be divided into deficiency and excess syndrome. For excess syndrome, the pathogenesis is mainly characterized by fire-heat and blood stasis harassing the spirit, and self-formulated
Zhizi Jinhua Beverage
(栀子金花饮) can be used to clear heart and activate blood, calming spirit and helping with sleep. For deficiency syndrome, the pathogenesis is mainly liver and kidney
yin
deficiency, heart blood insufficiency, and loss of nourishment of heart spirit, and self-formulated
Wuzhen Cuimian Decoction
(五珍催眠汤) is suggested to nourish heart and
yin
, relieve constraint and calm spirit. At the same time, the method of calming the heart, subduing
yang
, and governing spirit is integrated throughout the entire treatment process.