Sleep walking disorder, also known as somnambulism, is a phenomenon that people are very surprised by, and at the same time has a series of obvious prejudices against sleepwalking. Commonly, people think that sleepwalkers probably wander around like blind people, but in fact, sleepwalkers’ eyes are half or fully open and they walk in the same posture as usual.
Most sleepwalking occurs in childhood, with about 1% to 6% of children occasionally sleepwalking, and if you include children who only sleepwalk once, the rate of sleepwalking is about 25%. Generally speaking, sleepwalking in children is not a major problem. In contrast, sleepwalking in adults is much less common, but sleepwalking in adults is a pathological behavior.
Families with sleepwalkers may want to try the following dietary treatments.
(A) Qi and Yin deficiency
1, clinical manifestations: sleepwalking every after excessive labor or thought depression attack, usually mental despondency, not easy to concentrate, or often sad to cry, or do not want to eat, silence, palpitations easily scared, can not be autonomous, night sleep, restlessness, can be accompanied by night sweats, mouth bitter, urine yellow. The tongue is red with little coating and the pulse is thin and counted.
2. Etiology: Heart Qi is not enough to dominate the mind; deficiency of lung Yin and internal heat, restlessness of the soul and restlessness of the mind, hence dream procession.
3. Treatment: Benefit Qi and nourish Yin, calm the mind and tranquilize the spirit.
4.Formulation: Ganmai Da Zao Tang and Baihe Dihuang Tang (Jin Kui Yao) combined with reduction.
Drugs: Wheat 15-30g, jujube 5-10, roasted licorice 6-10g, Fu Shen 15g, lily 10-15g, Radix et Rhizoma 10-12g, raw keel 10-15g (first decoction), mother of pearl 10-15g (first decoction), jujube 10-15g.
Meaning: Wheat, jujube, Fu Shen, roasted licorice benefit Qi and nourish the heart, lily, raw earth nourish Yin and moisten the lung, keel and mother of pearl calm the mind, jujube nourishes the spleen and nourishes the heart to feed the source of chemistry.
Addition and subtraction: for yellow urine and bitter mouth, add dengxin, huanglian, bamboo leaf to clear heart and fire; for irritability, add Zhiwu to clear heat and remove irritation; for blood deficiency and palpitations and anxiety. Add Radix Angelicae Sinensis and Radix Paeoniae Alba to nourish the blood; add night sleep and dreaminess. For those who are easily frightened and restless, add Acorus calamus and Yuan Zhi to calm the mind and calm the will.
5. Alternative method: For those with deficiency of heart yin, deficiency of heart qi, palpitations and palpitations, night dreams and wandering, use Tianwang Tonic Heart Dan (Secret Anatomy of Regeneration) to nourish the heart and calm the mind, nourish yin and clear heat.
(II) Heart and kidney disorder
1. Clinical manifestations: sleepwalking continues from early childhood to adulthood, with frequent and increasingly serious attacks due to busy work and mental tension. The body is thin, the heart is hot, the cheekbones are flushed, palpitations and forgetfulness, night sweats, insomnia, dizziness and tinnitus, soreness and weakness of the waist and knees, or men’s dream loss, women’s menstrual disorders, dry mouth and night. Red tongue with little coating and fine pulse.
2. Etiology and pathogenesis: deficiency of kidney yin, kidney water can’t go up to the heart; heart fire is hyperactive, heart fire can’t go down to the kidney. If the heart and kidney do not intersect, the water and fire cannot both help each other, so the sleep is restless, the soul leaves the house and sleepwalking at night.
3. Treatment: Tonify kidney yin, clear heart fire, and cross the heart and kidney.
4, Formulas: Huang Lian A Gum and Chicken Zi Huang Tang (“Treatise on Typhoid”), Jiaotai Pill (“Han’s Medical General”), combined with Liu Wei Di Huang Tang (“Children’s Medicine and Evidence Direct”) plus or minus.
Drugs: Huang Lian 6-10g, Huang Qin 10g, raw and ripe earth 10-12g each, Shan Yu Flesh 1Dg, Ze Di 10-15g, Fu Shen 15-30g, Bai Shao l0-15g, Cinnamon 3-5g (later down), Dang Pi 6-10g.
Fang meaning; Huang Lian, Scutellaria to clear the fire in the heart and chest, raw earth, Shu Di, Root and branch meat to nourish the kidney and clear heat, Huang Lian, cinnamon traffic heart and kidney, Dampi to clear the liver and cool the blood, Fu Shen to calm the mind and nourish the heart. White peony astringent yin and liver, zedoary clear heat.
Addition and subtraction: severe symptoms, nocturnal restlessness, add magnet, stone cassia, mother of pearl to calm the mind. For dry mouth and night sweating, dizziness and tinnitus, heart alarm, and severe yin deficiency, add Mai Men Dong, Tian Men Dong and Xuan Shen to nourish yin and clear heat. For palpitations, insomnia and forgetfulness. Add jujube seed, angelica, farmer’s root and cypress seed to nourish blood and calm the mind.
5, alternative method: night sleep, sleepwalking, heart and liver blood deficiency, soul restlessness, with mother-of-pearl pills (“This formula”) combined with Zhu Sha An Shen Wan (“internal and external injuries to identify confusion”) plus reduction, drugs such as Huang Lian, Sheng Di, Angelica, Zhu Sha, Shu Di, Radix Codonopsis, jujube, cypress seed, dragon tooth, mother-of-pearl, stone cassia, etc., to nourish the heart and calm the mind, clear heat and subdue the liver.
(C) Liver Qi stagnation
1, clinical manifestations: sleepwalking episodes are associated with emotional factors, chest tightness and distension, sighing and depression, impatience and irritability, suspiciousness and sobbing, dullness and abdominal distension, breast distension in women, menstrual irregularities, impotence in men, indifference to sexual desire. Thin tongue coating, sunken and stringy pus.
2, etiology and pathogenesis: depression of the seven emotions, loss of drainage of the liver, restlessness of the soul without nourishment, resulting in sleepwalking and nighttime travel.
3.Treatment: Dredging the liver and relieving depression.
4.Functions: Chai Hu and Liver Dispersion (Jing Yue Quan Shu) with Yue Ju Wan (Dan Xi Xin Fa) plus or minus.
Drugs: Chai Hu 10-12g, Citrus Aurantium 6-10g, Radix Paeoniae Alba 10-15g, Radix Angelicae Sinensis 10-15g, Radix Aromaticus 10g, Shen Qu 10g, Chuanxiong 6g, Chen Pi 6g, Licorice 6g.
Meaning: Radix Bupleurum, Citrus aurantium, Radix Aromaticae, de-stuff the liver and resolve depression; Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Ligustici, nourish the liver and nourish deficiency; Shen Qu, Pericarpium Citri Reticulatae, Radix Glycyrrhiza Uralensis, harmonize the stomach and calm the middle.
Add or subtract: if the tongue is white and greasy, abdominal distension and dullness, add Atractylodes macrocephala and Atractylodes macrocephala to dry dampness and strengthen the spleen; if the mouth is bitter and the heart is irritable and irritable, add Dampi and Gardenia to clear the fire from the liver.
5.Variable method: available Prosperity San (“Bureau”) plus or minus, dredge the liver and blood to relieve depression.
(D) Liver fire disturbing the heart
1. Clinical manifestations: sleepwalking and restlessness, easy to be frightened during night sleep, worrying and fearing, bitterness and irritability in the mouth, distension and pain in the chest and hypochondrium, red face and headache, whimpering in the ears, dry stool and yellow urine. The tongue is red with yellow coating, and the pulse is stringy.
2. Etiology and pathogenesis: panic, fear and worry, liver stagnation and heat. Liver fire disturbs the heart and mind, and the soul loses its guard, resulting in sleepwalking.
3.Treatment: Clearing the liver and removing fire.
4.Prescription: Diqing Pill (Straight Tips on Pediatric Medicine) with alkali.
Effects: Qiangwu 10g, Fangfeng 10g, Angelica sinensis 10g, Chuanxiong 6g. cooked Rhubarb 5g, Gardenia jasminoides 6g, gentian herb 6-10g, raw gentian l0g. amber powder 0,5-1g (divided into punch).
The formula is based on the following principles: Gentiana, Gardenia and Shuan Da Huang clear the fire from the liver, Angelica and Chuanxiong harmonize the liver and regulate the camp. Qiangwu and Fangfeng search wind and fire, Longdiao and Amber calm the mind.
Add and subtract: for yellow urine, bitter mouth and heartburn, add bamboo leaf, lotus heart, and Jutong to clear heart fire; for dry stools, change cooked rhubarb to raw rhubarb to pass down and drain heat. Much worry and panic, plus calamus, sizzling Yuan Zhi, tortoise shell, stone cassia, magnet, strengthen the soul, tranquilizing effect.
5, alternative method: the above can also be used gentian diarrhea liver soup (“medical zongjinjian”) plus or minus, to clear the liver and diarrhea fire. If sleepwalking, disturbed, insomnia, restlessness, thirst, redness of the face, to heart fire is mainly, available Zhu Sha An Shen Wan (“internal injuries outside the confusion”) plus or minus, medicine with Sheng Di, Huang Lian, Angelica, Zhu Sha, magnetic stone, dragon tooth, etc., subdue the soul, tranquilize the mind and calm the will, clear the heart and fire.
(E) Phlegm blockage
1, clinical manifestations; sleepwalking at night, chest tightness and vomiting, dizziness and heaviness, loss of appetite, palpitations and palpitations, coughing up phlegm and saliva, body tiredness and sleepiness. Obese body. The tongue is light and fat, feel slippery, and the pulse is smooth.
2, etiology and pathogenesis: fat people have more phlegm, the spleen loses health, phlegm and dampness are generated internally, blocking the veins and channels, clear yang does not rise, the soul is restless, resulting in sleepwalking.
3.Treatment: resolving phlegm and draining turbidity.
4.Formula: warm gall bladder soup (Qianjin Jiao Fang) plus or minus.
Effects: Pepto Bismol 10-15g, Pepto Bismol 10g, Hovenia 6-10g, Fu Shen 15g, Acorus calamus 10g, Bamboo Roo 10g, Roasted Yuan Zhi 6g, Raw Dragon’s tooth 15g (first decoction).
Meaning: Semen, Chen Pi, Bamboo Ru and stomach phlegm, calamus, Yuan Zhi, Fu Shen Tong tranquilize the mind and calm the spirit, Citrus aurantium to regulate the qi, dragon tooth to calm the mind.
Add or subtract: bitter mouth and heart trouble, add Huang Lian to clear the heart fire, palpitations and restlessness, add jujube, maitong, wheat to calm the heart and mind, phlegm can be added to the South Star, Tianzhu Huang to guide phlegm and drain turbidity.
5, alternative method: heart and spleen deficiencies phlegm blockage with the use of phlegm-cleaning soup (Ji Sheng Fang) plus reduction, that is, warm bile soup plus ginseng, calamus, bile South Star, etc., to nourish the heart and clear the orifices, resolve phlegm and stomach.
(F) Blood stasis obstruction
1. Clinical manifestations: sleepwalking at night, restlessness and turmoil, chest heaviness and stabbing pain, confused sleep, easy to wake up, dry mouth but desire to cough but not to swallow. The tongue is dull and purple with petechiae (spots), and the pulse is sunken and astringent.
2.Cause and mechanism: Can be caused by trauma, stasis of blood does not go away, new blood does not come into being, the heart and mind lose nourishment, resulting in sleepwalking.
3.Treatment: Activate blood circulation and purify blood stasis.
4. Formulation: Blood Mansions and Stasis Removal Soup (《医林改错》) plus and minus.
Drugs: Chai Hu 10g, Citrus Aurantium 10g, Radix Paeoniae l0-15g, Peach kernel 10g, Safflower 6g, Radix Angelicae Sinensis 10-15g, Rhizoma Ligustici l0-15g, Rhizoma Ligustici Chuanxiong 6-10g, Radix Platycodon grandiflorus 8-10g, Radix Achyranthes l0g, Radix Glycyrrhiza Uralensis 6-10g.
Radix Bupleurum and Citrus Aurantium to regulate Qi and de-liverize the liver; Peach kernel, Safflower, Radix Angelicae Sinensis, Radix Paeoniae Alba, Radix et Rhizoma Ligustici and Rhizoma Chuanxiong to activate blood circulation and remove blood stasis; Radix Platycodon grandis and Radix Achyranthes bidentata to promote Qi circulation; Radix Glycyrrhiza Uralensis to regulate the middle.
Add and subtract: If the heart is agitated, add mother-of-pearl, yellow lily of the valley, raw iron fall, to calm the mind and clear the heart. If the chest is heavy, add calamus and Pu Huang to activate blood circulation.
5, alternative method: If you see sleepwalking, bitter fullness in the chest, heavy all over, palpitations and irritability, insomnia and dreaminess, cold and heat, bitterness in the mouth and tinnitus, and stringiness in the pulse, which is caused by the retention of evil qi in Shaoyang and disharmony of yin and yang, use Chai Hu plus Long Bone and Oyster Soup (“Treatise on Typhoid Fever”) plus reduction, using Chai Hu, Radix Panax, Scutellaria, Gui Zhi, Radix Codonopsis, Rhubarb, Licorice, Ginger and Jujube to reconcile Shaoyang and harmonize yin and yang.
Simple prescriptions.
1. Chai Hu, Radix Angelicae Sinensis, Radix Paeoniae Alba, Radix Platycodon grandis, Radix Ziziphii, and Radix Ziziphiopogonis l0g each, 6g each of Dragon’s tooth and Acorus calamus, 12g each of Acanthopanax bark and Acanthopanax nigra, l daily. Take with water decoction. Add 6g each of Fa Xianxia and Zhu Ru for qi stagnation and phlegm, 4g each of Zhi Mu and Dan Pi for yin deficiency and fire, 15g of mother-of-pearl and 2g of vermilion for panic.
2. 15-30g of wheat, 3 jujubes, 10g of licorice, 12g each of calamus, raw keel, poria, 10g of fenugreek, and 6g of roasted farmer’s mantle, taken daily in a decoction with water.
3. 100g of raw iron fall (first decoction), 30g of wheat, 9g of roasted licorice, 15g of jujube, 15g of white peony, 1 dose daily with water decoction.