First visit: 2016-2-22 Female, 72 years old, insomnia for 5 years, aggravated and severe night sweats for 2 months. The patient has had insomnia for many years, which has worsened in the last 2 months, with only 2-3 hours of sleep, and severe night sweats, which can result in completely wet pajamas, dry mouth, and early morning headaches. He has complained of upper heat and lower cold for more than 10 years, and he is incontinent if he takes cool medicines. Fourth diagnosis: thin, emaciated body, herpes on the mouth and lips, thin white tongue, sunken and thin pulse. Evidence: Kidney deficiency, liver depression, deficiency of both yin and yang, disease belongs to syncope. Analysis: deficiency of kidney and yang in old age, unfavorable elevation of liver qi, depression and heat vaporizing yin, steaming and sweating, yin fire in the upper part of the body, unable to go down to help, heart and kidney do not intermingle, unable to sleep at night. Shaoyang does not reach, headache in the early morning. Treatment: Warming the kidney yang, penetrating heat in the liver, nourishing yin and clearing heat. Prescription: Wu Mei Wan combined with Sour Jujube Soup and Xiao Chai Hu Tang. Umei 20g Prepared Radix Aconiti 30g Gui Zhi 6g Dried Ginger 10g Radix Codonopsis 12g Radix Angelicae Sinensis 15 Huang Lian 6g Phellodendron 6g Radix Sinensis 6g Fried Jujube 25g Zhi Mu 10g Poria 20g Chuanxiong 25g Roasted Licorice 20 Sha Ren 12g Radix Bupleurum 12g Fructus 10 Scutellaria 6g Radix Paeoniae 20g Tortoise 15g Second Diagnosis: After the above seven payments, the follow-up, sleep improved (although waking up in the middle, can sleep again), night sweats and dry mouth has Significantly reduced. Still early morning headache. Add antelope horn powder 0.3g to the above prescription and take it. Fourth consultation: Today (2016-3-14) is the fourth consultation. He is sleeping well, up to 5-6 hours, night sweats have disappeared, headache and dry mouth have been significantly reduced, and he is able to relieve his insomnia for many years. Analysis: Among elderly people with insomnia, the proportion of those with upper heat and lower cold is high. The pathogenic mechanism combines kidney yang deficiency, liver qi depression, and heat injury to yin in one, so the treatment should take into account both the symptoms and the root cause, harmonize yin and yang, and make the ascending and descending orderly. In addition, in the Year of the Monkey, the water of the Great Luck is too much, which is not conducive to the heart and liver to ascend and penetrate, and the six qi of Shao Yang, the tian of the Sixth Qi, is in the spring, which incites the wind and fire and consumes yin by heat, so the insomnia of the old man in this case worsened before and after the Spring Festival into the Year of the Monkey, and severe night sweats appeared. In addition to warming the kidney yang, penetrating the liver and clearing heat, nourishing yin and clearing heat, the formula also conforms to the Five Sports and Six Qi: Gui Zhi, Fu Ling, Radix Phellodendron, and Hsiang Xin warm yang and transform water to treat excessive water transportation; Chai Hu and Wu Mei reach the Shaoyang sympathetic yin; Scutellariae, Lian and Phellodendron clear the fires of the upper, middle and lower jiao; Zao Ren, Bai Shao and Angelicae nourish yin and astringent sweat; Gui Pan is salty and calm, nourishing yin and submerging yang. The whole formula is in line with Nei Jing “suppressing its luck, praising what does not win. Must be folded its depressed Qi, first take the source of transformation, violent over not born, caustic diseases do not work, so the age should be salty, pungent and acidic, penetrate the drainage of the, impregnate the hair of the, view the gas cold temperature to regulate its over.” The pathogenesis is clear and the treatment is clear, so it has obvious effect on the main symptoms of insomnia, night sweats, headache and dry mouth of patients.