Insomnia is also known as sleeplessness, sleeplessness, sleeplessness and sleeplessness. It is a disease characterized by frequent failure to get normal sleep. The symptoms of insomnia vary in severity, with the milder ones having difficulty in falling asleep, waking up easily, not being able to sleep again after waking up, and sometimes waking up when sleeping, etc. The more serious ones cannot sleep all night. Literature reference In Suwen. In the book of “The Book of Inverse Regulation”, there is “If the stomach is not in harmony, sleep is restless”; in the book of “Jin Gui Yao Yao”, there is “Blood paralysis and deficiency labor disease”. Blood Paralysis and Vain Labor Disease” has the discussion of “Vain Labor and Vain Labor cannot sleep”, and “Shao-Yin disease, if you get it for more than two or three days, your heart is troubled and you cannot sleep, Huanglian Agaricus Tang is the main one. The book “Jing Yue Quan Shu. Sleeplessness” further made an incisive analysis of the reasons for the formation of sleeplessness: “Although the disease of sleeplessness has a different, but only know the two words of evil is complete. The sleep is based on Yin, and God is the master of it. God is safe to sleep, God is restless to sleep; its so restless, one by the disturbance of evil, one by the lack of Ying Qi ear. The cause of the disease is too much thought, labor and weariness, and injury to the heart and spleen, the heart is injured, the mind does not guard the house; spleen injury is less food and dull, the source of biochemical deficiency, the blood deficiency, can not be served on the heart, so the heart and mind restless. As pointed out in Jing Yue Quan Shu, Sleeplessness, “Those who are tired and think too much will cause blood depletion, and the soul has no master, so they do not sleep.” It is also said in “The Treatment of Classical Evidence, Sleeplessness” that “thinking and thinking hurt the spleen, spleen blood loss, and sleeplessness through the years.” It can be seen that blood deficiency caused by deficiency of the heart and spleen can lead to insomnia. 2, Yang does not cross Yin, the heart and kidney do not cross, the vegetative body is weak, or a long time sick person, the kidney Yin depletion, can not be served on the heart, water does not help the fire, then the heart Yang alone hyper; or the five will be too extreme, the heart fire within the incandescent, can not be crossed to the kidney, the heart and kidney do not cross, the heart fire is hyperactive, heat disturbs the gods, the gods are restless, and thus sleeplessness, as “Jing Yue Quan Shu, sleeplessness” said: “the true Yin essence and blood deficiency, Yin and Yang do not cross, and the gods There is restlessness in its room.” 3.Yin deficiency and fire, liver and yang disturbance, emotionally and spiritually injured, liver loss of the articulation, qi depression, depression and fire, fire inflammation, or yin deficiency and yang hyperactivity disturb the heart and mind, the god is not tranquil, resulting in insomnia. 4, the heart is weak and timid, the mind is restless, the heart is weak and timid, no power of decision, easy to be frightened, the mind is restless, which can also lead to insomnia. As pointed out in Shen’s Zun Sheng Shu, sleeplessness: “The heart and gall bladder are timid, easy to be frightened when touching things, dreaming a lot of unknown, false annoyance and sleeplessness.” This is a weak heart and gallbladder is weak, easy to be frightened, sleepless at night, but also violently frightened, emotional tension, tense all day, gradually to the heart deficiency and timidity and sleeplessness. As stated in the “Classes of evidence and treatment, sleeplessness”: “fright and fear hurt the mind, the heart is weak and restless”, regardless of the deficiency, because of the fright of the two and often as a result of each other. 5, the stomach gas is not harmonious, sleeplessness at night, diet is not in order, the intestines and stomach are injured, stagnant food, brewed into phlegm heat, yong curb in the middle, phlegm heat up disturbance, stomach gas is not harmonious, so can not sleep peacefully. In summary, there are many causes of sleeplessness, but they are always related to the deficiency of heart, spleen, liver, kidney and yin and blood, and their pathological changes are always the result of the failure of yang and yin, and the loss of intercourse between yin and yang. Because the source of blood is made by the essence of water and grain. If the blood is fed in the heart, it is nourished by the heart; if it is collected in the liver, it is soft; if it is regulated in the spleen, it is biochemical; if it is regulated in the kidney, it is transformed into essence, and if it is collected in the kidney, the kidney essence is carried up to the heart, and the heart qi is handed down to the kidney, then the mind is peaceful. If anger, thought, depression, fatigue and other injuries to the organs, internal depletion of essence and blood, each affecting each other, each more to form a stubborn insomnia. Therefore, the evidence of insomnia is especially strong in deficiency. In addition, there are also Yang deficiency and insomnia, Yang deficiency and Yin, Yang does not cross Yin, floating Yang disturbs the heart, the mind is restless then insomnia. For example, Article 61 of the “Treatise on Typhoid Fever”: “After the lowering of the sweat, and the resumption of sweating, daytime irritability can not sleep, but the night and quiet, not vomiting, not thirsty, no superficial evidence, the pulse is sunken and weak, the body does not have great heat, dry ginger and aconite soup is the main.” Clinical identification and typing Firstly, we should clarify that the main characteristic of this disease is difficulty in sleeping, or sleeping without soundness, or waking up at times, or waking up and not being able to sleep again, or not being able to sleep all night. Secondly, we should distinguish between deficiency and reality. Deficiency is mostly due to deficiency of yin and blood, which is blamed on the heart, spleen, liver and kidney. The real evidence is mostly due to liver depression and fire, food stagnation and phlegm, and disharmony of the stomach and internal organs. The treatment is based on the principle of supplementing the deficiency and dipping the actual, and adjusting the yin and yang. The deficiency is to supplement its deficiency, benefit the qi and nourish the blood, nourish the liver and kidney; the actual should be diarrhea its surplus, eliminate the guide and the middle, clear the fire and resolve the phlegm. If the actual evidence is prolonged and the Qi and blood are depleted, it can also turn into deficiency evidence. If the deficiency is mixed with the real, it should be treated with both remedy and diarrhea. Solid Evidence 1. Liver stagnation and fire – draining heat from the liver, accompanied by calming the mind. The formula is Gentian and liver diarrhea soup with added flavor. Acupuncture treatment: (1) Acupuncture: Yin Tang, Neiguan, Si Guan, Xing Ma (2) Liver Yu, Diaphragmatic Yu, stabbing and releasing blood, 2, internal disturbance of phlegm and heat – resolve phlegm and clear heat, and calm the mind. The formula uses Huanglian Wenchu Tang plus or minus. Acupuncture treatment: (1) Acupuncture: Yin Tang, Neiguan, Neiting, Fenglong, Shaofu. Deficiency Evidence 1. Yin deficiency and fire – nourishing Yin and lowering fire, nourishing the heart and tranquilizing the mind. The formula uses Huang Lian A Gou Tang or Zhu Sha An Shen Wan plus or minus. Acupuncture and moxibustion treatment: 1.) abdominal acupuncture: inducing Qi to return to the Yuan, Qi side, Qi points, abdominal four gates, Da Heng; 2.) body acupuncture: Yin Tang, Nei Guan, Shaofu, Tai Xi, Shining Sea, Li Gu; 3.) moxibustion: Yong Quan, Laogong. 2. deficiency of the heart and spleen – nourish the heart and spleen to make the blood flow. The formula is GUI Spleen Tang with addition and reduction. Acupuncture and moxibustion treatment: 1.) abdominal acupuncture: inducing qi to return to the yuan qi side qi point abdominal four guan dajiao; 2.) body acupuncture: yintang nei guan gongsun shinmen san yin jiao foot san li; 3.) moxibustion: heart yu spleen yu; 3. heart and gallbladder qi deficiency – benefit qi, calm the mind and resolve the will. The formula is supplemented with An Shen Ding Zhi Wan. Acupuncture treatment: 1.) abdominal acupuncture: induce qi to return to the yuan qi side qi points abdominal four Guan Dajiao; 2.) body acupuncture: Yin Tang Nei Guan Wai Guan Foot Lin Weeping; 3.) moxibustion: Heart Yu Bile Yu; if blood deficiency Yang floating, false sleeplessness, available sour date soup plus reduction . 4, Yin and cold, deficient Yang disturbing the heart – warming Yang and dispersing cold, inducing fire to return to the original. The formula is Fu Ling Si Wei Tang plus or minus. Acupuncture treatment: 1.) abdominal acupuncture: inducing Qi to return to the Yuan Qi side Qi points abdominal four Guan Da Heng; 2.) body acupuncture: Yin Tang Nei Guan Hou Xi Shen Yi Fei Men Waist Yang Guan; 3.) moxibustion: Qi Hai Guan Yuan Shen Que.