Insomnia is a type of disease characterized by a lack of nourishment of the mind and spirit or disturbance of the mind and spirit due to internal injury caused by emotion, diet, illness and old age, deficiency of endowment, weakness of the heart and timidity, etc. It is characterized by the inability to get normal sleep. The main manifestation is the lack of sleep time and depth, as well as the inability to eliminate fatigue and restore physical strength and energy, the lighter the difficulty in falling asleep, or sleep but not sound, sometimes wake up, or wake up and can not sleep again, the heavier the sleeplessness all night.
Treatment by evidence
1.Hyperactivity of heart fire
Symptoms: disturbed heart, restlessness, agitation, dizziness, dry mouth and tongue, short and red urine, sores on the tongue, red tongue, thin yellow fur, thin pulse.
Treatment: Clearing the heart and dipping fire, tranquilizing the heart and calming the mind.
Remedy: Vermilion and Tranquilizer Pill.
In this formula, vermilion can be cold to overcome heat and calm the mind; Huang Lian clears the heart and fire to remove annoyance; Sheng Di and Angelica nourish Yin and nourish Blood, nourish Yin to match Yang. Scutellaria baicalensis, gardenia and forsythia can be added to strengthen the function of this formula to clear the heart and fire. This formula should be changed from pills to soup, with a small amount of vermilion flushed.
If the chest chagrin, chest tightness, panic, add tempeh, bamboo, it is appropriate to pass the chest fire; if constipation, urination red, plus yellow, light bamboo leaf, amber, lead the fire down to calm the mind.
2.Liver depression and fire
Symptoms: impatience and anger, sleeplessness and dreaminess, even sleepless nights, accompanied by dizziness and swelling, red eyes and tinnitus, dry mouth and bitterness, constipation and red urine, red tongue with yellow fur, string and number of pulse.
Treatment: Clearing the liver and diarrhea of fire, calming the heart and tranquilizing the mind.
Radix gentian and liver diarrhea soup.
The formula uses gentian herb, scutellaria baicalensis, gardenia to clear liver fire; mouton, carpenter to clear heat by facilitating urination; Chai Hu to clear liver depression; angelica, raw earth to nourish blood, nourish yin and soften liver; licorice and neutral. Can add Zhu Fu Shen, raw dragon bone, raw oyster to calm the heart and tranquilize the mind. If the chest is stuffy and swollen, good too breath, add aromatic herbs, Yujin to dredge the liver and relieve depression.
3.Phlegm-heat internal disturbance
Symptoms: Sleeplessness, chest tightness and distress, generalized evil, belching, accompanied by heavy head and dizziness, bitter mouth, red tongue with yellowish coating and slippery pulse.
Treatment: Clearing phlegm-heat, harmonizing the middle and calming the mind.
Radical: Huanglian Wenzhi Tang.
In this formula, Han Xia, Chen Pi and Zhu Ru dissolve phlegm and subdue rebellion; Fu Ling strengthens the spleen and dissolves phlegm; Citrus aurantium regulates Qi, harmonizes the stomach and subdues rebellion; Huang Lian clears the heart and diureses fire.
If the palpitation is very strong, alarming and restless, add mother-of-pearl and vermilion to calm and tranquilize the mind.
If the real heat and stubborn phlegm internal disturbance, sleeplessness, or sleeplessness all night, constipation, available Pores and Pulverized Pill to lower the fire and diarrhea, phlegm and tranquilize the mind.
4.Stomach Qi disorder
Symptoms: sleeplessness, distension and fullness of the abdomen, chest tightness, belching, belching and swallowing acid, or see nausea and vomiting, bowel irregularities, greasy tongue coating, slippery pulse.
Treatment: Harmonizing the stomach and resolving stagnation, tranquilizing the mind and calming the spirit.
Prescription: Baohe Pill.
In the formula, Hawthorn and Shen Qu help digestion and eliminate food stagnation; Half-xia, Chen Pi and Poria lower the rebellion and stomach; Lycopodium eliminates food stagnation and leads to stagnation; forsythia disperses the heat caused by food stagnation. Can be added Yuan Zhi, cypress seeds, nightshade to tranquilize the heart and calm the mind.
5.Yin deficiency and fire
Symptoms: sleeplessness, palpitation, lumbar soreness and foot weakness, dizziness, tinnitus, forgetfulness, seminal emission, dry mouth with little fluids, heat in the five hearts, red tongue with little coating, thin and counted pulse.
Treatment: Nourishing Yin and lowering fire, clearing the heart and calming the mind.
Remedy: Liu Wei Di Huang Wan combined with Huang Lian Agaricus Tang. ;
Liu Wei Di Huang Wan nourishes kidney yin; Huang Lian and Scutellaria directly fold the heart fire; Paeonia lactiflora, Agaricus blazei and Chicken Seed Yellow nourish yin and blood. The two formulas work together to nourish Yin and lower fire. If the heart is troubled and palpitating, dreaming and losing sperm, cinnamon can be added to induce fire to return to the yuan, and shared with Huang Lian, which is the Jiaotai Pill to transport the heart and kidneys, then the heart and mind can be safe.
6. Heart and spleen deficiency
Symptoms: dreaminess and wakefulness, palpitation and forgetfulness, fatigue, dizziness, dizziness, with tiredness of the limbs, less color, light tongue with thin coating, thin and weak pulse.
Treatment: Tonify the heart and spleen, nourish the heart and calm the mind.
Recipe: Gui Shen Tang.
The formula uses ginseng, atractylodes, astragalus, licorice to benefit the spleen; angelica to nourish the blood; farmer’s wisdom, sour date, Fu Shen, longan meat to nourish the heart and benefit the spleen, calm the mind; moxa to move the qi and strengthen the spleen, so that the whole formula is complementary but not stagnant. If the heart blood deficiency, add rehmannia, peony, aconite to nourish; heart blood; insomnia is heavy, add Wu Wei Zi, cypress seeds help nourish the heart and tranquilize the mind, or add nightshade, helianthus bark, keel, oyster to sedate and calm the mind. If the epigastric stuffiness, dullness and greasy coating are present, add Radix Panax notoginseng, Chen Pi, Fu Ling and Hou Pu to strengthen the spleen and resolve phlegm.
If the postpartum hypochondriac is sleepless, with a thin body, white face, easily fatigued, light tongue, weak pulse, or the elderly waking up early at night without evidence of hypochondriac, mostly due to deficiency of qi and blood, the treatment should be to nourish blood and calm the mind, and can also be used to return to the spleen soup with sour date soup.
7.Qi deficiency in the heart and gallbladder
Symptoms: disturbed sleeplessness, sleepiness, palpitations, panic attacks, shortness of breath with spontaneous sweating, tiredness and fatigue, pale tongue, thin pulse. ;
Treatment: Benefit the Qi, calm the panic, and tranquilize the mind.
Prescription: Tranquilize the mind and calm the mind with Sour Date Palm Pill. The former formula emphasizes calming and tranquilizing the mind;
The former formula emphasizes calming the mind and tranquilizing the spirit, while the latter formula favors nourishing the blood and clearing heat to remove annoyance, and together they benefit the qi of the heart and gallbladder; clear the deficiency heat of the heart and gallbladder and calm the mind. In the formula ginseng benefits the heart and gallbladder Qi; Fu Ling, Fu Shen, Yuan Zhi phlegm and calm the heart; Long Tooth, Calamus calamus to calm the panic and open the orifice and calm the mind; sour date nut nourishes the liver, calm the mind and calm the heart; Zhi Mu diarrhea heat and remove annoyance; Chuan Xiong regulate blood and calm the mind. If the palpitations are very, frightened and restless, add raw keel, raw oyster, vermilion. ;
Prognosis]
Insomnia is a disease with a short duration and a simple condition, but most of them have a long duration and a complicated condition, so it is difficult to treat them quickly, and if the cause is not removed or treated improperly, it is easy to make the condition more complicated. For those with heart and spleen deficiency, improper diet or excessive use of nourishing and greasy crystals can easily lead to increased spleen deficiency, insufficient source of chemistry, more deficiency of Qi and blood, and internal stagnation of food, which often leads to a mixture of deficiency and reality.