中文摘要：

目的探索疏肝泻火养血安神法治疗失眠症的临床疗。方法选取门诊失眠患者30例，采用前后对照法，以疏肝泻火养血安神法干预1个月，采用配对t检验方法对干预前后的匹兹堡睡眠质量指数（PSQI）、汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）、临床记忆测查、威斯康星卡片分类（WCST）和中医肝火量表的分值进行统计评定。结果疏肝泻火养血安神法治疗肝郁化火型失眠症有效率93．33％；该法干预前后匹兹堡睡眠质量指数、汉密顿焦虑量表、汉密顿抑郁量表分值下降；记忆商低于正常的失眠症患者的记忆商、联想学习及人物特点回忆三方面均有提高；威斯康星卡片分类分值前后无明显差异；中医症状在总分、急躁易怒、胸闷和胁痛等症状分值上有下降；非线性脑电图分析发现在记忆任务下左额叶、左中央、左枕叶、左中颞和左后颞5个导联干预前后有差异有统计学意义。结论疏肝泻火养血安神法治疗肝郁化火型失眠症有效；该法对睡眠质量、情绪状况和中医肝郁化火主要症状改善明显；对记忆损害有一定程度的改善；对左侧优势半球尤其是颞叶的神经细胞功能的复杂度有提高。

英文摘要：

Objective To explore Shugan Xiehuo Yangxue Anshen of the clinical effect of treat- ment of insomnia. Methods 30 cases of patients with insomnia clinic, a law Shugan Xiehuo Yangxue Anshen treatment, a course of treatment, the selection of the Pittsburgh Sleep Quality Index （PSQI）, Hamilton Anxiety Scale （HAMA） , the Hamilton Depression Rating Scale （ HAMD ）, the memory of Investigation, the Wisconsin Card Sorting （WCST） and the Chinese hepatitis Scale respectively, a comprehensive evaluation of its efficacy. Results The effective rate of Shugan Xiehuo Yangxue Anshen treatment of Ganyn huahuoxing insomnia 93.33% ; this method before and after the intervention, the Pittsburgh sleep quality index, Hamilton Anxiety Scale, Hamilton Depression Scale scores decreased; memory quotient was lower than normal in patients with insomnia, memory quotient association characteristics of learning and memory in three aspects are improved; and the Wisconsin Card Sorting no significant differences in scores of TCM symptoms decreased; in the total score, irritability, chest and hypochondrium pain and other symptoms scores; nonlinear EEG analysis found in memory tasks in left frontal lobe, the left central, left occipital lobe, left Zhongnie and left posterior temporal before and after the 5 lead intervention had significant difference. Conclusion Shugan Xiehuo Yangxue Anshen treatment of Ganyu huahuoxing insomnia effectively ; the law of the main symptoms of sleep quality, mood status and TCM liver depression of the fire was improved obviously; there is a certain degree of improvement of memory impairment; on the left dominant hemisphere especially nerve cell function temporal complexity increase.