Road shiki shouji experience of stubborn insomnia

MaoYuXiang Hebei institute of traditional Chinese medicine

China's traditional Chinese medicine to

        Insomnia traditional Chinese medicine called "insomnia", say again "shall not sleep", "eye not Ming", "must not lie" and so on, the disease of traditional Chinese medicine know earlier, "spirit pivot · big and confused theory" discusses "the eyes are not Ming" pathogenesis, considered to be "guard gas not enter in Yin, often stay in Yang, leave in Yang the sun be the spirit full, sun be the spirit is full, it will Yang see quickly, not enter in Yin, Yin qi deficiency, so the eyes are not Ming yi". The necessary offspring to play, first century eighty s herbs medium, the practical internal medicine of traditional Chinese medicine "was published, the insomnia is divided into two empty glove, Yin deficiency, kidney fire heart don't hand over such seven type, in order to benefit glove, keep blood to tranquilize the nerves, ziyin send a fire, traffic tranquilize the mind, heart and kidney eleven of the rule of law, it may be said is all!

        Insomnia is the clinical common, insomnia severe, stubborn insomnia also not see, traditional Chinese and western pharmaceutical frequency cast, repeatedly not more, is difficult to cure, misery, serious damage to people's physical and mental health. GuoYi master road shiki is professor clinical for more than 70 years, abundant experience, make a diagnosis and give treatment insomnia, especially stubborn sex insomnia, curative effect is quite good, the maid diagnosis on the side, benefit, YuLou rang, peculiarities that are as follows:

        Method from the heart, that ends it machine

        Nearly a year, along with road old special clinic dozens of times, make a diagnosis and give treatment of stubborn insomnia or original other disease but with insomnia for primary symptom of patients a total of 73 people, including male 47 cases of time, 26 were women time, age to 40 ~ 60 years old patient most, for 52 people, accounting for 71.1% of the total, with disease in hypertension, hyperlipidemia, gastrointestinal disease, hepatic disease, diabetes, cancer, coronary heart disease, etc which is seen. Diagnosis and treatment in the 73 person-time, way more than 30 old parents quasi treatment method, prescription main party 73 copies. The application of the proposed, commonly used in order as: tomifying qi and blood (Yin) method, soothing the liver and stomach method, regulate syndrone method, regulate liver and spleen method, the spleen and kidney method, reconciliation cardinal (shaoyang) method, traffic heart kidney (for purging south north) method, the shipping (up) the spleen and stomach method, WenDan Ann (education) god, and stomach drop turbidity (inverse) method, the mind rather divine law, "shugan decoction" XieYu method, benefit gas-solid guard method, raising blood soft liver method and method.

        From the dirty treatment, pay attention to the spleen, liver two dirty, mainly from the treatment are: regulate glove, the liver and spleen, transportation (up) the spleen and stomach, regulate spleen and kidney (nourishing spleen and enriching kidney), soft liver principle spleen etc so PCF (47 times. Mainly from liver treatment are: soothing the liver and stomach, regulate liver and spleen and "shugan decoction" nourishing blood soft liver, XieYu, soft bedding liver spleen, clear liver and benefiting kidney and so PCF (42 times. And in the heart (god) 23 times, renal 20 times, at least one is lung; From the treatment, pay attention to the stomach, bravery two intestines and stomach treatment involving are: soothing the liver and stomach, shipping (up) the spleen and stomach, and the stomach drop turbidity (inverse), WenDan and stomach etc so PCF (28 times. Treatment involves bravery are: reconciliation cardinal (shaoyang), WenDan Ann (education) god, WenDan and stomach etc so PCF (25 times. No clear involving large, small and the bladder.

        Harness the above treatment appear frequency analysis, the way old treatment of insomnia, first of all, pay attention to the function of conditioning. In the internal organs, pay more attention to dirty, followed by the spleen, liver, heart, kidneys, lungs at least, in the aspects, mainly for the stomach, bravery, basic does not involve large, small and bladder. From the viscera linked list consideration, first pay attention to taste, the second is courage, then the heart and kidneys, and this old road treatment difficulty miscellaneous disease, pay attention to the taste of the academic thought is consistent. Second, pay attention to air, Yin, blood subtle material to guard, long-term insomnia will hurt consumption of both qi and Yin is the blood, resulting in gas Yin blood deficiency failure, qi and Yin deficiency of blood loss can cause Yang not into Yin, Yin and Yang estrangement and cause insomnia or make insomnia is aggravating, so tomifying qi and blood (Yin) for single appear most therapy. Thirdly, the old road listed more than 30 method, because the rule cases, great majority is long-term, stubborn sex insomnia and are accompanied by one or several diseases, the patient's condition is complex, the pathogenesis, a kind of treatment is difficult to control the illness is often and two or three treatment and take effect, so the syndrome differentiation and treatment, the method from the heart out, circular machine is the key to play it.

        Drugs such as soldiers your flexible

        In the old road to open 73 zhang main party prescription, with Chinese traditional medicine 184 flavour, application frequency in more than 25 times the little is as follows: raw oysters 42 times, coix seed 38 times (Fried YiRen 36 times, born YiRen 2 times), Fried rhizoma atractylodis 37 times, radix paeoniae alba 36 times (guangxi radix paeoniae alba 19 times, Fried radix paeoniae alba 14 times, radix paeoniae alba 3 times), rhizoma atractylodis macrocephalae 35 (Fried rhizoma atractylodis macrocephalae and times, born of rhizoma atractylodis macrocephalae 4 times), born keel 34 times, pinellia tuber 33 times (bamboo pinellia tuber 24 times, ginger pinellia tuber 7 times, method pinellia tuber 2 times), Chinese goldthread 32 times, Indian buead 32 times, cortex magnoliae officinalis 31 times (cortex magnoliae officinalis spend 19 times, cortex magnoliae officinalis 12 times), Fried almond 30 times, jujube kernel 28 (Fried jujube kernel 27 times, born jujube kernel one), American ginseng 28 times, five claw dragon 27 times, radix pseudostellariae 25 times, a total of 15 taste. 184 flavour in medicine of traditional Chinese medicine used only once for 44 flavour, secondary medicine 20 flavour, this medicine three times and taste, already widely, and flexible, drug like resorts to arms.

        One of the features is to pay attention to regulate the spleen and stomach, spleen and stomach medicine to recuperate the highest frequency medicine, such as semen coicis, Fried rhizoma atractylodis, rhizoma atractylodis macrocephalae, pinellia tuber, tuckahoe, cortex magnoliae officinalis, followed by calm sedative, such as raw oysters, born keel. Clearing away the purging of gunpowder coptis and bedding gasification wet medicine of Fried almond also often choose; The second characteristic attention regulate qi and blood, tonifying qi medicine of ten five of the medicine after three, yiqi medicine frequency highest for American ginseng, followed by five claw dragon, radix pseudostellariae, western participate in radix pseudostellariae efficacy are nourishing Yin, characteristic is complement and not dry, keep but not greasy, and five claw dragon taste sweet, slightly bitter, sexual flat, is not only fill gas strong medicine, with scattered stasis detumescence qufeng moisture, and the work, and radix astragali tonifying qi of the work and no huangqi supplement hysteresis of disadvantages. Soft liver to raise the blood medicine of radix paeoniae alba and keep blood to tranquilize the nerves of the medicine jujube kernel also commonly used for the product; The third characteristics is to choose medicine fine, pay attention to processing, such as application of radix paeoniae alba, respectively according to the different condition choose guangxi radix paeoniae alba 19 times, Fried radix paeoniae alba 14 times, radix paeoniae alba three times, the application of pinellia tuber according to the different condition were selected bamboo pinellia tuber 24 times, ginger pinellia tuber 7 times, method pinellia tuber 2 times, and rhizoma atractylodis macrocephalae, cortex magnoliae officinalis, coix seed processing, such as the application of medicine; The four characteristics is to pay attention to compatibility, commonly used for medicine, such as Fried almond and Fried YiRen, raw oysters and raw keel, rhizoma atractylodis and rhizoma atractylodis macrocephalae, rhizoma coptidis and cinnamon, poria cocos and Oriental waterplantain rhizome, rhizoma anemarrhenae and cortex phellodendri, herb terrier and Sue terrier, etc.; The characteristics of five is internal and external drug combination, the application of tea drinks and bath foot medicine, enhance the curative effect.

        Typical cases

        LiuMouMou, female, 56 years old, on December 6, 2009 first visit.

        More than 10 years ago cause because of cold appeared after afraid of the cold evil wind insomnia, aggravating 6 years sees a doctor, sleep difficult, easy to wake up, every night, to sleep only 3 ~ 4 hours, sometimes difficult to sleep all night, the suit a variety of Chinese and western sleeping drug, did not see the better, easy to catch a cold, a bit cold when is feeling swallow dumb, cough, hair suppress, and cold evil wind, head giddy, god fatigue strength, dry eyes, NaCha, epigastric expansion full dull pain, belching Babel, loose stools thin, daily 1 ~ 2 times, pee frequency, night night 4 ~ 5 times.

        Always suffer from chronic hepatitis b, fatty liver and hyperlipidemia, diabetes, recently check ALT55u/l, AST86u/l, TG3.1 mmol/l, GLU7mmol/l. Form partial fat, and dull complexion, oral dull, tongue body fat, mass dark red, overspread crack, moss yellow flower of strip, vein sink string fine.

        The doctor of traditional Chinese medicine diagnosis: insomnia, epigastric pain, diabetes (certificate of qi and Yin and holding, wet turbidity of resistance, stagnancy of qi and blood stasis). Western medicine diagnosis: insomnia, chronic hepatitis b, fatty liver and hyperlipidemia and diabetes.

        Treatment: yiqi solid table, and stomach drop turbidity.

        Prescription: five claw dragon 30 grams, raw huangqi 12 grams, Fried almond 9 grams, Fried YiRen 30 grams, cortex magnoliae officinalis spend 12 grams, caulis dendrobii 12 grams, Fried yam 15 grams, Fried wind 12 grams, gold within 12 grams, rhizoma coptidis 10 grams, Fried rhizoma atractylodis 15 grams, guangxi radix paeoniae alba 15 grams, cortex albiziae 15 grams, vinegar sweet with 12 grams, Fried jujube kernel 20 grams, born dragon negundo each 30 grams (first Fried), buckeye 10 grams, bamboo juice juice 30 ml for lead, 24 agent, daily 1 agent.

        Tea drinking party: wheat 30 grams, lily 15 grams, Fried yam 15 grams, born Fried YiRen each 30 grams, Japanese ginseng 15 grams, cortex albiziae 15 grams, polygonum officinale 12 grams, purple quartz 30 grams (first Fried), 7 agent. 2, 1 agent, water frying generation tea, frequency water. Bi dissipation bath foot a time every night.

        Two diagnosis: on January 9, 2010, sleep a little better, easy to wake up, head giddy and god fatigue strength reduce, afraid of the cold, wan abdominal slightly expansion full, defecate soft, daily 1 ~ 2 times, dark red tongue more crack, the side toothed mark, moss yellow flower of strip, vein string fine slide. Prescription: both effective machine, above to Chinese yam, sweet attached, bamboo juice juice, add bamboo pinellia tuber 10 grams, Fried immature bitter orange 15 grams, 2 slices ginger, 14 agent, bi dissipation bath foot 1 time every night.

        Three diagnosis: on January 23, 2010, sleep better, and in the evening can sleep 5 ~ 6 hours, night urine 2 ~ 3 times, urine not feeling, spirit amelioration, complexion turn embellish, god fatigue strength are reduced, oral dull reduce, Mr, move bowels a little dilute, sometimes abdominal distension bowel, cold winter cough not to attack, there are still back cold chills, tongue light dark, the side toothed mark, have crack, moss white flowers a little tired of strip, vein string small slip, double inch slightly big.

        Treatment: the gas-solid guard, raise blood soft liver, spleen and kidney Daniel AIDS.

        Prescription: raw huangqi 20 grams, Fried wind 12 grams, Fried almond 9 grams, Fried YiRen 30 grams, cortex magnoliae officinalis spend 12 grams, 15 g kudzuvine root, fructus viticis 10 grams, Fried cedar seed kernel 30 grams, poria cocos 30 grams, Fried rhizoma atractylodis 15 grams, Fried radix paeoniae alba 15 grams, tuber fleeceflower stem 15 grams, salvia miltiorrhiza 15 grams, rhizoma ligustici wallichii 10 grams, rhizoma anemarrhenae 12 grams, Chinese wolfberry 12 grams, mountain cornus 15 grams, Fried fructus aurantii immaturus 12 grams, born dragon negundo each 30 grams (first Fried), 1 slice ginger, 21 agent, the boiling with the former.

        Four diagnostic methods: March 20, 2010, the treatment to spring winter cold cough not to attack, slightly chills weakness, with occasional palpitation bosom is frowsty, sleep better, and in the evening to sleep 6 hours, night urine 1 ~ 2 times, spirit amelioration, complexion turn embellish, oral dull better, binocular slightly dry, nano food can be, tongue dim, the side shallow tooth mark, have crack, coating on the tongue thin white slightly greasy, take off, vein string little slip.

        Treatment: tonifying qi and Yin, and stomach new extinction, WenDan calming.

        Prescription: radix adenophorae 15 grams, radix pseudostellariae 12 grams, Fried almond 9 grams, Fried YiRen 30 grams, herb Sue terrier every 12 grams (later), jade bamboo 12 grams, rhizoma coptidis 10 grams, Fried radix scutellariae 12 grams, gun ginger 8 grams, bamboo pinellia tuber 10 grams, herba artemisiae 12 grams, loquat leaf 12 grams, Diane clam scattered 12 grams, buckeye 12 grams, spikenard 6 grams, Fried fructus aurantii immaturus 12 grams, born dragon negundo each 30 grams (first Fried), roasted liquorice 8 grams, bamboo waterlogging caused by excessive rainfall 30 ml, 14 agent, the boiling with the former. After may return visit sleep as usual.

        According to this case patients with a variety of diseases, cured, leading to qi and Yin deficiency, wet turbidity of resistance, stagnancy of qi and blood stasis, spleen and kidney deficiency and insomnia and the disease, and renal long illness, card feeling complex, cured. Just a little examination way to the old first gas-solid table, and stomach drop turbidity method for the reduced, party with yupinfeng and three kernel tonga Fried jujube benevolence, rhizoma coptidis, born dragon negundo and medicine to righting solid table, change wet drop turbidity, and stomach to tranquilize the nerves, torsional patient's condition, achieve the gas-solid list, and stomach turn wet to calm the nerves. "Element asked · reverse adjustment theory article" yue: "the Yang Ming stomach vein and the organs of the body. The stomach of the sea, the air is also down, Yang Ming inverse not from its way, so must not lie.... the stomach is upset with lie. This is called the also."

        The three diagnosis in the gas-solid health, raising blood soft liver, spleen and kidney Daniel AIDS hara takeshi fertilizer, party with yupinfeng and three kernel soup and qi chrysanthemum hope to change the cutting of the end and invigorating qi and nourishing Yin and stomach disappear, new WenDan calming assimilate 3 laws, party choose nourishing the stomach soup, rhizoma coptidis WenDan soup and three kernel tonga minus good thereafter, treatment 4 months, 10 years to the position. Throughout this case treatment, a clear and organized, distinct, and echo. So cure for this, give attention to two or morethings specimen, syndrome differentiation and treatment, round machine to play it, use fine, internal and external union, is a road old treatment insomnia valuable experience.