全国名中医梅建强教授认为，青少年失眠的发病是在形气未充、脏腑不足的基础上，因学习压力大、起居失常、劳 逸失度、饮食不节、对失眠存在歪曲认知和存在与睡眠相关的不良行为，导致心、肝、脾、肾功能失调，形成心虚（心气 虚，心血虚）、脾虚（脾气虚，脾阳虚）、肝郁（肝气郁，肝火盛）、肾虚（肾精虚，肾志弱）的病理状态，进而引发失眠。中药 治疗可通过养心（益心气，养心血）、健脾（健脾气，温脾阳）、调肝（疏肝气，清肝火）、强肾（益肾精，强肾志）之法，同时 配合认知行为疗法以纠正青少年对失眠的歪曲认知和不良的睡眠行为，建立对失眠的正确认知及养成良好的睡眠习惯，并 指导患者进行放松训练，可取得显效。

Professor Mei Jianqiang，a nationally celebrated expert in traditional Chinese medicine，posits that adolescent insomnia arises from insufficient development of body and qi，and visceral deficiency，exacerbated by academic stress，irregular lifestyle，imbalances between work and rest，dietary indiscipline，distorted cognition about insomnia，and sleep-related maladaptive behaviors. These factors lead to the dysfunction of the heart，liver， spleen， and kidneys， resulting in pathological states of heart deficiency （heart qi deficiency， heart blood deficiency）， spleen deficiency （spleen qi deficiency， spleen yang deficiency）， liver depression （liver qi stagnation， liver fire exuberance）， and kidney deficiency （kidney essence deficiency， kidney-associated will weakness），eventually manifesting as insomnia. Treatment of adolescent insomnia with Chinese herbal medicine can be conducted through the methods of nourishing the heart （tonifying heart qi， nourishing heart blood）， strengthening the spleen （fortifying spleen qi， warming spleen yang）， regulating the liver （soothing liver qi， clearing liver fire），and reinforcing the kidneys （supplementing kidney essence，strengthening kidney-associated will）. Significant therapeutic outcomes will be achieved by concurrently integrating cognitive behavioral therapy to correct adolescents’ distorted cognition and maladaptive sleep behaviors，establishing accurate understanding of insomnia，cultivating healthy sleep habits，and guiding patients in relaxation training.

R256.23

河北省中医药管理局科研计划项目（编号：2022021）；国家中医药管理局梅建强全国名中医工作室建设项目（国中医药办人教函 [2022]245号）；国家中医药管理局梅建强全国名老中医药专家传承工作室建设项目（国中医药办人教函[2022]75号）