失眠对人们的身心健康伤害很大，还会影响工作、生活和学习，使人注意力下降、记忆力下降、心情烦躁。
Insomnia is harmful to people’s physical and mental health, and it can also affect work, life, and study。 It can cause people to lose concentration, memory, and have irritable mood.
近期发表在国际著名医学期刊《柳叶刀》The Lancet的文章指出，睡眠不足可能会影响接种疫苗的保护力。在流感疫苗后的10天，连续4个晚上睡眠限制为4小时的接种者IgG抗体滴度不到正常睡眠接种者IgG抗体滴度的一半。同样乙肝疫苗后，睡眠时间越短，对疫苗产生的抗体反应就越弱。临床研究还是动物模型研究显示，睡眠不好会影响身体机能的变化。“晚上11点到早上8点，特别是晚上一两点是人体精力恢复的最佳时机，如果睡眠得不到保证，身体机能的一些恢复也得不到保证，肯定会影响身体的免疫。所以，接种疫苗期间，如果睡眠不好，老是失眠，从理论上来讲确实有可能会影响疫苗的疗效。”
A recent article published in the internationally renowned medical journal “The Lancet” pointed out that lack of sleep may affect the protection of vaccination. Then days after the flu vaccine, the lgG antibody titer of the vaccinators whose sleep limit was 4 hours for 4 consecutive nights was less than half of the lgG antibody titer of the normal sleep vaccinators. Similarly, after hepatitis B vaccine, the shorter the sleep time, the weaker the antibody response to the vaccine. Clinical studies or animal model studies have shown that poor sleep can affect changes in body functions. “From 11 in the evening to 8 in the morning, especially one or two in the evening, is the best time for the body’s energy recovery. If sleep is not guaranteed, some recovery of body functions cannot be guaranteed, and it will affect the body’s immunity. So, during the vaccination period, if you do not sleep well and you always suffer from insomnia, theoretically speaking, it may indeed affect the efficacy of the vaccine.”
由于睡眠不足导致的抗体产生减少是否会影响疫苗的保护力尚无定论，但提醒我们，接种新冠疫苗后，充足的睡眠很重要。
Whether the reduction in antibody production caused by lack of sleep will affect the protection of the vaccine is still inconclusive, but it reminds us that adequate sleep is important after COVID vaccination.
失眠的原因不外乎以下几种：There are many reasons for insomnia:
1， 疾病原因：躯体疾病和服用药物可以影响睡眠
Cause of illness: physical illness and taking drugs can affect sleep
2， 心理问题：压力很大、过度忧虑、生气，激动，容易出现睡眠问题。
Psychological problems: stress, excessive worry, anger, excitement, those are some of the causes prone to sleep quality.
3， 生活方式：咖啡或茶叶、晚间饮酒、睡前进食或晚饭较晚造成满腹食物尚未消化、大量吸烟、睡前剧烈的体力活动容易导致睡眠问题
Lifestyle: coffee or tea, drinking alcohol in the evening, eating before going to bed or late dinner, resulting in a full stomach that has not been digested, heavy smoking, and strenuous physical activity before going to bed can easily lead to sleep problems.
众所周知，很多西医治疗失眠的药物容易引起上瘾，对药物过于依赖。下面我们从中医调理的角度，看专业中医师引导您如何来调理，引进真实案例辨证由内至外治疗失眠。
Many Western medicines used to treat insomnia are prone to addiction. We will further discuss below how Traditional Chinese Medicine practitioners would treat insomnia through a real case study.
病例 Case Study:
相关信息：男性，年龄51-60岁之间，体重61 -70kg之间，大便正常，失眠，偶尔喝酒，有吸烟。
Patient is a male, aged 51-60, weight 112lbs ~ 132lbs (51kgs ~ 60kgs), normal bowel movements, insomnia, occasional drinking, and smoking
近半年一直失眠，每晚2点左右醒后需较长时间再入眠。伴有腋窝下和左胸周肌肉抽紧。做过几次心电图，均显示正常，之前甲状腺结节，但已基本消退，指标也基本正常，血检血脂胆固醇超标，其他正常。
I have had insomnia for nearly half a year, it takes a long time to fall asleep after waking up around 2 o’clock every night. Accompanied by muscle tightening under the armpit and around the left chest. After several electrocardiograms, all results showed normal. The thyroid nodules before, but it has subsided, and the indicators are normal. The blood lipids and cholesterol exceed the standard, and everything else are shown normal.
杨医生Dr. Yang：
根据患者的描述，应该属于中医所讲的不寐，也就是俗称的失眠。而且从虚实来分辨的话，考虑虚证的失眠可能性大一些，尤其要考虑肝血虚的情况。
According to the patient’s description, it should be insomnia. To distinguish from deficiency and excess, insomnia with deficiency syndrome is more likely to be considered, especially considering liver blood deficiency in this case.
中医理论认为，五脏之中肝藏血，血舍魂。一个人如果肝血不足，魂不能好好地在肝血中休息，就会出现睡眠不好的情况。从患者每晚都是两三点钟醒来，而醒来后很难再次入睡的情况来看，这个时间段正好是十二经络中肝经的运行时间，患者应该是肝经血虚，从而出现此时醒来且难以再次入眠的情况。此外，中医理论也认为，肝藏血在体为筋，，肝血不足则经络失养，容易抽筋，这恰好也与患者的情况相符合。因此，这里认为，患者若要改善睡眠，可以多注意养肝血。
Traditional Chinese Medicines practitioners believe that the liver stores blood among the five internal organs, and the blood houses the soul. If a person’s liver blood is insufficient and the soul cannot rest well in the liver blood, they will suffer from poor sleep quality. Judging from the situation that the patient wakes up at two or three o’clock every night, and it is difficult to fall back to sleep, this period is exactly the running time of the liver meridian in the twelve meridians. In addition, in Traditional Chinese Medicine theory, the liver contains blood in the body as tendons. Insufficient blood in the liver will cause dystrophy of the meridians and easy craps. This is also in line with the patient’s condition. Therefore, it is believed that if patient wants to improve their sleep quality, they can pay more attention to nourishing the liver and blood.
由于中医认为肝肾同源。女性七七之后，男性八八之后肝肾都渐亏，因此患者平时的调养可以选择滋补肝肾、养血安神的药膳汤水。考虑患者血脂的问题，要注意不要肥腻。
Because Chinese Medicine states that the liver and kidney are homologous. The liver and kidneys are gradually depleted after 49 years old for women and 64 years old for men. Therefore, patients can choose a medicated soup that nourishes the liver and kidney, nourishes the blood, and calms the nerves. It is important to watch patient’s blood lipid problem and not to gain too much fat.
这里推荐患者可以用熟地20克黄精20炖瘦肉食用。熟地黄精功能滋阴养血、滋补肝肾，炖瘦肉食用既可以养肝血助睡眠，也适合三高人群服用，对血糖、血脂也有一定的调节作用。另外，患者也可以试试用中药党参15克、酸枣仁30克、白芍15克、炙甘草15克、茯神30克、熟地黄15克，煎煮饮用。此方中党参健脾养血、熟地养血滋阴、白芍甘草养肝柔筋、茯神健脾安神、酸枣仁养血安神，全方共同起到养血安神助睡眠的作用。
Patients can stew lean meat with 20 grams of Radix Rehmanniae Preparata and 20 grams of Polygonatum Sibiricum. Radix Rehmanniae Preparata and Polygonatum Sibiricum can nourish yin and blood, nourish liver and kidney. Stewed lean meat can nourish liver and blood and help with sleep. It is also suitable for people with three highs (high blood pressure, high cholesterol, high blood sugar). It also has a certain regulating effect on blood sugar and blood lipids. In addition, patients can also try to use Traditional Chinese Medicine, 15 grams of Pilose Asiabell (nourishes the spleen and blood), 30 grams of Semen Zizyphi Spinosae (soothes the blood and nerves), 15 grams of Paeoniae Alba Rx (nourishes liver and soft muscles), 15 grams of Licorice Slice, 30 grams of Poria Cocos, 15 grams of Radix Rehmanniae Preparata (nourish blood and yin), decoct and drink.
最后强调一下，安神助睡眠的中药汤剂或汤水，一般主张晚饭后或者是睡前饮用，不要一早喝，这样效果会好些，希望患者能注意。最后，这里的意见仅供参考，具体用药请遵医嘱。
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T S EMPORIUM ( www.tsEMPORIUM.com) – established in 1979, we are the largest purveyor of American Ginseng and Traditional Chinese Medicine in the Americas and the No. 1 Chinese nutritional goods brand in the Americas. Since 1979, we have insisted on providing every customer with “Excellent Value” for American Ginseng, Cordyceps, Golden Swiftlets’ Nests, and the most comprehensive line of Traditional Chinese Medicine, so that everyone can easily benefit from a healthier life!
方便广大客户寻医问诊，德成行推出线上“德健康”栏目，邀请专业中医师，定期为真实案例提供在线问诊或咨询专业意见，详情请关注德成行公众号。
For medical consultations, T S EMPORIUM has launched an online “TSE Health” column, inviting Traditional Chinese Medicine practitioners to regularly provide online consultations, or consulting professional opinions for real cases. For detailed, please follow T S EMPORIUM official account.