Appreciation of the treatment of insomnia case

  Insomnia is very common in clinical practice and has a tendency to increase gradually. In mild cases, it is difficult to fall asleep, or wake up easily, or wake up but cannot sleep again, and in severe cases, it is sleepless all night. In the long run, it may deplete Yin and Blood and injure the heart and kidney. Pang Dexiang, Department of Integrative Oncology, The Second Hospital of Zhejiang University of Traditional Chinese Medicine Professor Lian Jianwei is a national famous old Chinese medicine experience succession instructor, chief Chinese medicine physician, doctoral supervisor, and vice president of Zhejiang University of Traditional Chinese Medicine. He often cures difficult and miscellaneous diseases with small and commonly used prescriptions, and sees magic in the ordinary. The clinical treatment of insomnia is unique and surprising, a few examples are selected for the benefit of fellow practitioners.  The case of Sun, female, 43 years old, was first diagnosed on September 5, 2004. She was suffering from restless sleep at night, poor diet, heavy menstrual flow, sunken pulse, large right guan deficiency, and thin white tongue coating.  Prescription: Radix Codonopsis pilosulae 30 g, Radix Astragali 30 g, Rhizoma Atractylodis Macrocephalae 10 g, Poria 15 g, Radix Glycyrrhiza Uralensis 5 g, Radix Chen Pi 6 g, Radix Angelicae Sinensis 10 g, Radix Ziziphiopogonis 15 g, Radix Polygala 6 g, Radix Magnolia 6 g, Ziziphiopogonis 20 g, Ginger charcoal 3 g, Radix Cyperus rotundus 20 g, Radix Coix Coix Seed 30 g, Radix Cinnamomum Cassiae 8. 28 doses, 1 dose daily with water.  The second diagnosis was made on November 12, 2004. Sleeping peacefully at night, eating and drinking increased, but still tired and weak, menstrual flow, eyes blurred, right guan pulse slightly deficient and large, left guan pulse string, thin white tongue coating, again keep the formula in and out, add white peony, raw earth, aconite beads.  Note: The patient is suffering from deficiency of both heart and spleen. The spleen and stomach are weak, with no source of biochemical deficiency, the heart is not nourished and the diet is not good, and the night sleep is restless. The spleen is deficient in regulating the blood and is delusional, therefore the menstrual flow is excessive. The treatment is to benefit Qi, tonify Blood, strengthen the Spleen and nourish the Heart. The ginger warms the middle and disperses cold to stop bleeding; Xianhecao has the effect of collecting astringent and stopping bleeding, and is used in combination with jujube to nourish and strengthen. Add white peony, raw earth and aconite beads to nourish yin and blood, and raw earth with charcoal to stop bleeding and collect work.  If the insomnia is caused by accumulated labor and deficiency, qi and blood weakening, and the heart loses its nourishment, Master Lian often treats insomnia with ginseng nourishing ying tang, which treats both qi and blood deficiency and is inclined to cold, while guei spleen tang treats qi and blood is not enough for qi deficiency. The former is more important than the latter, and the former is more important than the latter. The method of treating the symptoms is to start from the smallest detail, which is the magic weapon of Master Lian to cure every difficult and complicated disease.  Wen Bile Tang for treating phlegm-dampness internal disturbance and restlessness of the mind Yan, female, 24 years old, was first diagnosed on June 20, 2004. She was suffering from restless sleep at night, palpitations and timidity, late menstruation, low menstrual flow and dull color, stringent left guan pulse and sunken right pulse, with a white, greasy tongue and dull color.  Prescription: Radix Codonopsis pilosulae 30 g, Radix Panax notoginseng 10 g, Fried Chen Pi 10 g, Poria 20 g, Roasted Licorice 3 g, Fried Citrus aurantium 10 g, Bamboo Roo 10 g, Radix Salviae Miltiorrhizae 30 g, Fried Angelicae Sinensis 12 g, Yuan Zhi 6 g, Calamus nucifera 6 g, Extensive Yu Jin 10 g, Fried Semen Coix 30 g, Ginger 3 slices. 21 doses, 1 dose daily with water decoction.  The second diagnosis was made on July 29, 2004. After taking the first prescription, he could sleep peacefully at night, and his palpitations and trepidation were also reduced, and his menstrual color turned bright, but after stopping the medicine, he had difficulty sleeping and palpitations again, and the left side of the Guan was stringent, and the tongue was greasy and dull. The above formula was changed to 12 g. 14 doses, 1 dose daily, with water decoction.  Note: If phlegm-dampness disturbs the heart and mind, palpitations and restless sleep at night are seen. In addition, there is deficiency of qi and blood, as well as late menstruation, low volume and dull color, sunken pulse and dull tongue. We use warm gall bladder soup to dispel phlegm and open the orifice, calm the mind and stabilize palpitations.  Blood Mansions and Blood Stasis Soup for the treatment of stasis in the chest and disturbance of the heart and mind due to abnormal Qi flow Zhou, male, 45 years old, was first diagnosed on January 19, 2002. He was suffering from restless sleep at night, depression, stringent left guan pulse, purple tongue border and thin and greasy tongue coating.  Prescription: Chai Hu 6g, Red Peony 10g, Fried Citrus Aurantium 6g, Licorice 5g, Fried Angelica 10g, Chuanxiong 6g, Radix Rehmanniae 12g, Peach kernel 6g, Safflower 6g, Radix Platycodon 5g, Chuan Niu Kne 10g, Salvia 15g. 14 doses, 1 dose daily with water decoction.  The second diagnosis was made on February 15, 2002. The night sleep has been rested, the complexion has been improved, the left guan pulse has been slowed down, the tongue is slightly petechial, the moss is thin and greasy, three ginsengsan method is given.  Prescription: Ginseng 30g, Panax ginseng 30g, Salvia miltiorrhiza 60g. Grind into powder and take 3 grams daily in divided doses.  Note: The evidence shows that the left guan pulse is stringent and the tongue is purple, which is the evidence of liver stagnation and blood stasis. Blood stasis is blocked in the chest, and Qi and blood are not rising and falling properly, which leads to restlessness of the mind and restless sleep at night. Professor Lien treats the problem by promoting the flow of qi, activating blood stasis and removing blood stasis by adding Salvia miltiorrhiza to increase the effect of activating blood and tranquilizing the heart and mind, so that the qi and blood can be regulated and the blood vessels can flow smoothly.