Insomnia is a common disease in the elderly, often because of poor sleep and emotional instability, anxiety, tantrums, sleepiness and fatigue, and even lead to increased blood pressure, recurrence of coronary heart disease, etc. Western medicine treatment of insomnia is mainly given to sedative, anti-anxiety, anti-depressants and other drugs, often only to treat the symptoms but not the root cause of the effect, the more drugs such as Valium, insomnia is getting heavier; Chinese medicine treatment focuses on the relationship with the five organs, of which the heart and spleen two organs The treatment of insomnia by regulating the heart and spleen can have an unexpected effect. Insomnia in Chinese medicine and treatment: a. Liver depression and fire: mostly caused by annoyance and boredom, manifested as little sleep, impatience and irritability, red eyes and bitter mouth, dry stools, red tongue with yellow coating, string and number of pulse. Treatment: Drain fire from the liver and clear the brain to calm the mind. The formula is Gentian and Liver Diarrhea Soup (The Secret Collection of the Orchid Room). At the same time, add Fu Shen, Dragon Bone, Oyster to calm the mind and sleep; if the chest is stuffy and distended, good at breathing, add Yu Jin and Xiang Shen to clear the liver and relieve depression. Second, phlegm-heat internal disturbance: often by the diet, overeating, overeating fat, sweet, raw and cold, or addicted to alcohol, resulting in heat in the stomach and intestines, phlegm-heat disturbance. The manifestation is sleeplessness, head heaviness, chest tightness, and heart trouble. Quite tantalizing Treatment to clear phlegm and clear heat and calm the mind. Clearing fire and cleansing phlegm in Tang (Medical Alcoholic Encyclopedia): Salvia miltiorrhiza, orange red, bile star, ginger silkworm, chrysanthemum, almond, maitake, porcupine, cypress seed, mother of pearl, bamboo leek, ginger juice. If phlegm and food stagnation, stomach disharmony, add half asia, Shen Qu, hawthorn, lycopodium to eliminate and neutralize; if palpitations and anxiety, add mother of pearl, vermilion to calm the will; if phlegm-heat and stool obstruction, add Pores stone rolling phlegm pill to lower the fire and diarrhea heat, phlegm and tranquilize the mind. Third, Yin deficiency fire: mostly due to physical deficiency, excessive indulgence, spermatorrhea, so that the kidney yin depletion, heart fire alone hyper, manifested as sleeplessness, five heartburn, tinnitus and forgetfulness, red tongue, pulse count. Treatment: Strengthen water to control fire, nourish Yin and clear heat. The formula is based on Huang Lian Agaricus Tang, Zhu Sha An Shen Wan, Tian Wang Tonic Heart Dan, etc., which can be used according to the symptoms. It is suitable for the heart trouble and insomnia after yin deficiency and fire; Vermilion and Shen Pill is also based on Huang Lian, the formula is similar, and it is easy to be taken as a pill; Tian Wang Tonic Heart Dan focuses on nourishing yin and nourishing blood, and is most suitable for those who have yin deficiency and fire is not too strong. Fourth, the heart and spleen two deficiencies: due to old age, physical weakness, strain on the heart and mind or after a long illness, resulting in deficiency of blood, manifested as dreamy and easy to wake up, dizziness, fatigue, yellow face less florid, light tongue with pale coating, weak pulse. Treatment is to nourish the heart and spleen to generate blood and qi. The main formula is Gui-Spleen Tang, which nourishes Blood to calm the heart and mind and strengthens the spleen to smooth the source of chemistry. It can also be used with Nourishing Heart Tang, in which Wu Wei Zi and Bai Zi Ren help to calm the mind and nourish the heart (Gui Spleen Tang: Huang Qi, Prince Ginseng, Atractylodes Macrocephala, Angelica Sinensis, Fu Shen, Yuan Zhi, Fried Jujube, Mu Xiang, Round Pork, Ginger and Jujube). If you also see the epigastric boredom and dullness, slippery tongue coating, is the spleen Yang out of circulation, wet phlegm, can be used half summer, Chen Pi, Poria, cinnamon, etc. (cinnamon is particularly suitable for astringent pulse), warm the spleen Yang and internal moisture, and then use the former method of tonic. The former formula is based on ginseng to benefit the qi and dragon teeth to calm the panic. The latter is heavy with jujube seeds, acid can nourish the liver, liver and gall bladder, nourish the liver is also to make up for the lack of gall bladder; Zhi Mu can clear the gall bladder and calm the mind. If the evidence is serious, the two prescriptions can be used together.