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Firm soft syndrome differentiation insomnia test case for knee

 

 

PiaoXingChun China's traditional Chinese medicine academy of sciences hospital gate

 

 

China's traditional Chinese medicine to

 

 

 

        Insomnia is modern social common disease, frequently-occurring disease. Western medicine to the disease using sedative drugs therapy, although can quickly relieve symptoms, but the drug side effects and its dependence has been bothering clinical doctor, and traditional Chinese medicine of the knowledge earlier and for thousands of years has accumulated rich clinical experience, the imbalance between Yin and Yang from the point of view of the grasp and understanding the disease, syndrome differentiation and treatment, the specimen and cure after not easy rebound, therefore they are the patient's welcome. The author in clinical follow ZhaoZhiFu professor clinical, view the firm soft differentiation theory guide the treatment of insomnia, good convergence.

 

        Firm soft syndrome differentiation insomnia experience

 

        Firm soft differentiation theory is ZhaoZhiFu in inherit its OuYangQi tutor professor and professor tung chee-hwa's academic thought foundation, according to the "yellow emperor" correlation theory foundation, and combined with the author's own clinical experience and the change of disease in today's society, social characteristics of gradually formed a theory. The theory is that a lot of the onset and development of diseases of patients with psychological and social factors are inseparable, such as chronic cholecystitis, cardiac neurosis, tumor, insomnia and so on, therefore claim for such disease should be based on the concept of psychosomatic medicine to treat. The diagnosis and treatment of insomnia ZhaoZhiFu firm soft drugs do a summary.

 

        ZhaoZhiFu think insomnia is much by I think, dull calm temperament, improper diet, overwork section disorder or long sick body virtual etc factors viscera function disorder, qi and blood estrangement, the imbalance of Yin and Yang, Yang not into Yin and disease. The clinical see more patients whatever infinite or sentimental, time diarrhea pent up not easy, YuJiu change fire, or qi depression, and making ShengTan stasis, the liver pathology as the drain function is impaired, the liver can not phase jinan, mind not hidden, so its disease position in the liver, heart, spleen and take up.

 

        In the treatment ZhaoZhiFu think should follow the "classic" theory and the theory of traditional Chinese medicine syndrome differentiation can guide a decoction of medicinal ingredients give priority to. Such as "spirit pivot · evil guest article" for "the eyes are not Ming" mentioned: "make up for its insufficiencies, reducing its enough and to spare, and adjustable its false or true, in order to pass the way and to its evil, drinking in pinellia tuber soup a agent, Yin and Yang already pass, the lie made to", here the emphasis on treatment "insomnia" to regulate the nakedness of viscera, combined with syndrome differentiation and treatment method, firm soft soft to system just, just to system soft. In particular, liver drain too caused just certificate with soft liver method, restrain the drain, drugs such as radix paeoniae alba, radix salviae miltiorrhizae, take its radix paeoniae alba acid reducing the sex to purging liver prosperous, slow its drain too, salvia miltiorrhiza cool and activating blood to restore liver qi and blood of the smooth; And liver drain inferior to soft certificate, with just method with soothing the liver, enhance its etiological role, drug preferred radix bupleuri, rhizoma cyperi, take its cosin to evacuation of liver depression, namely neijing said, "the use of symplectic complement, with acid reducing". We summarize ZhaoZhiFu therapy clinical common insomnia (type: heart Yin deficiency, treat with soft liver yangxin, main medicinal radix paeoniae alba, radix salviae miltiorrhizae, Fried jujube benevolence, platycladi seed, etc.; Darling the fire card, cure to purging liver call, the main medicinal gardenia, cortex moutan, light black bean sauce, chrysanthemum, mulberry leaf, etc.; Diarrhea stagnation syndrome, treat liver to tranquilize the nerves, main medicinal radix bupleuri, radix paeoniae alba, fructus aurantii immaturus, Fried sweet attached, green tangerine peel, stone calamus, etc., the glove and two virtual person close tuckahoe, rhizoma atractylodis macrocephalae, sand benevolence, chicken's gizzard-membrane, The liver and spleen deficiency syndrome flourish, treat with soft liver spleen is given priority to, medicinal dangshen, rhizoma atractylodis macrocephalae, poria cocos, sand benevolence, inner gold, radix paeoniae alba, radix salviae miltiorrhizae, Fried jujube benevolence, platycladi seed, etc.; If and spleen Yang deficiency person, then add the cinnamon and nutmeg, gun ginger, galangal, evodia rutaecarpa, cumin isothermal spleen Yang or add with tuckahoe, rhizoma atractylodis macrocephalae, sand benevolence, etc the spleen turn wet. In addition, because of insomnia pathogenesis of total to feel ill at ease primarily, therefore party with constant use town's latent quality, such as the mother of pearl, magnet, born dragon negundo and traffic Yin and Yang of the medicine such as cortex albiziae, tuber fleeceflower, lily, radix polygoni multiflori rattan, etc.

 

        Medical record for knee

 

        Medical record a

 

        ZhaoMou, female, 30 years old. April 16, 2012 first visit, patients with insomnia 2 years for the chief complaint to diagnosis. Two years ago because of patients after angry appear insomnia, difficulty sleeping, and sleep easily after wake up, with slight dizziness, palpitation upset, usually impetuosity, Mr ErBian adjusted, red tongue moss yellow greasy, vein string.

 

        Diagnosis: insomnia (heart fire clamp sputum).

 

        Therapeutic principle: "shugan decoction" purging fire, town heart to tranquilize the nerves, dry wet phlegm.

 

        Prescription: gardenia 10 grams, cortex moutan 12 grams, 10 g radix scutellariae, fructus forsythiae 10 grams, semen cassiae 10 grams, dried tangerine or orange peel 12 grams, the ginger pinellia tuber 6 grams, poria cocos 30 grams, salvia miltiorrhiza 30 grams, semen zizyphi spinosae 50 grams, cedar seed kernel 50 grams, sand kernel 6 grams, chicken's gizzard-membrane 9 grams, liquorice 6 grams, 7 agent, water frying clothing, day 1 agent.

 

        Return visit: patients take medicine 1 weeks after sleep better, can more easily to sleep, red tongue, moss yellow greasy, vein string. Add 30 grams of magnet ahead, and clothing and agent. Three diagnosis: insomnia patients improved obviously, every night, can sleep six hours, the patient's condition is stable, strategy and things to rehabilitation.

 

        According to this case patients disease from the angry after, heart fire depression, together with red tongue moss yellow greasy, alien land heart fire clamp phlegm, party to gardenia, cortex moutan, radix scutellariae, fructus forsythiae designed Lord of the heat, heat cold blood, purging fire in addition to bother; Salvia miltiorrhiza, wild jujube benevolence, platycladi seed invigorate the circulation of blood cold blood, yangxin to calm the nerves; Pinellia tuber, dried tangerine or orange peel, sand benevolence spleen qi, dry wet phlegm; Poria cocos light permeability lishi, calming nerves; Magnet flat liver latent Yang, calm the nerves of; Chicken's gizzard-membrane xiaoshi stomach, help spleen luck change; Main licorice harmonic the medicine, the whole party common strike clear liver purging fire, dry wet phlegm of work.

 

        Medical record two

 

        LiuMou, female, 59 years old, on March 12, 2012 first visit. More than 4 years with insomnia for chief complaint to diagnosis. 4 years insomnia without sleep, rest not beautiful is feeling fidgety, head giddy, and accept less, ErBian less, night sweats, usually petulance. Red tongue, moss thin white, vein string.

 

        Diagnosis: insomnia (Yin heart hand).

 

        Therapeutic principle: Yin soft liver latent Yang.

 

        Prescription: radix paeoniae alba 20 grams, salvia miltiorrhiza 30 grams, Fried jujube kernel 50 grams, cedar seed kernel 50 grams, lily 30 grams, radix polygoni multiflori rattan 30 grams, 20 g of rhizoma atractylodis macrocephalae, poria cocos 30 grams, gardenia 10 grams, cortex moutan 12 grams, mother of pearl 30 grams, haliotis 30 grams, cinnamon 3 grams, semen raphani 30 grams, liquorice 6 grams. 7 agent, water frying clothing, day 1 agent.

 

        Return visit: patients medication after a week better be agitated, still feeling difficulty sleeping, defecate normal, diet increase, the red tongue, moss thin white, vein string. To add a magnet ahead 30 grams, red ochre 30 grams, radix cyathulae 30 grams, and agent.

 

        Three diagnosis: medicine after further improve insomnia, feel have drowsiness, and every night can sleep 5 hours or so, ErBian normal, red tongue, moss thin white, vein string. Above the clothing and agent.

 

        According to this case patients usually quick-tempered, for the prime mission flourish liver the body, liver exuberant depression and injury cloudy, time burn the Yin of the heart, but into heart Yin deficiency. Liver hidden soul, heart god, hand heart Yin deficiency, god out of one's mind, so at night when mei insomnia. Party with radix paeoniae alba soft liver gathered Yin nourishing blood, stabilize liver Yang; Wild jujube benevolence, platycladi seed yangxin to calm the nerves; Lily, radix polygoni multiflori rattan call keep blood to tranquilize the nerves, Gardenia, cortex moutan heat cool blood in addition to bother; Magnet, red ochre, mother of pearl, haliotis town drop back, flat liver latent Yang; "Classic" cloud "the stomach is upset with down", "zhang ziping medical pass · must not lie" also said "pulse slip several powerful must not lie, who have lodge stagnant phlegm fire, the stomach is upset for not lie", so add tuckahoe, rhizoma atractylodis macrocephalae, semen raphani chienchung xiaoshi, qi phlegm, calming nerves and poria cocos and and the work; Assist with cinnamon, in case the medicine cold injury is, the medicine played a total of soft liver and nourishes Yin, calm the nerves, calming the work.