Vai trò của y học cổ truyền trong điều trị mất ngủ: Tổng luận quan điểm

Insomnia, a pervasive sleep disorder, significantly impacts an individual's quality of life and poses substantial risks for chronic health conditions, including cardiovascular, neurological, and mental health issues. While conventional pharmaceutical interventions often provide temporary relief, concerns regarding dependence and side effects underscore the need for alternative therapeutic approaches. Traditional Medicine (TM) has a venerable history of effectively managing sleep disturbances through holistic principles and time-honored remedies. Despite its potential, the comprehensive role of Traditional Medicine in the treatment of insomnia within the Vietnamese context remains underexplored. This scoping review aims to address this critical gap by systematically mapping the existing research landscape, highlighting the importance of integrating TM into modern healthcare strategies for insomnia management.

Researchers, medical practitioners (especially those specializing in Traditional Medicine and sleep disorders), public health policy-makers, and academics interested in traditional Vietnamese medicine and its role in modern healthcare.

This scoping review systematically evaluated the role of Traditional Medicine (TM) in the treatment of insomnia in Vietnam. Employing a rigorous methodology, the study searched scientific articles published over the past decade in Vietnam, utilizing the Ministry of Science and Technology's database and adhering to PRISMA-SCR guidelines. The review identified 12 relevant articles, predominantly comprising clinical intervention studies (n=5) and one animal clinical trial, investigating both classical herbal formulas (n=4) and non-pharmacological interventions (n=2). The findings reveal that research in Traditional Medicine for insomnia in Vietnam primarily focuses on assessing the efficacy of classical herbal formulas, often in conjunction with non-pharmacological methods. However, the overall number of such studies remains limited, with a notable absence of in-depth research into the pharmacological mechanisms of active components or the standalone efficacy of non-pharmacological interventions. The review highlights TM's potential as a valuable, safer alternative to modern sedatives, rooted in traditional principles of balancing Yin-Yang and nourishing vital organs. Specific traditional remedies like Quy ty thang and An thần định trí QY, along with non-pharmacological techniques such as acupuncture, have shown promising results. The study underscores the necessity for more comprehensive research to elucidate the active ingredients, mechanisms of action, and broader application of Traditional Medicine, including non-pharmacological approaches, to enhance and diversify insomnia treatment options in Vietnam.