Liver hides the soul, which is closely related to sleep. Once you think too much, your liver qi will stagnate, and your liver qi will turn into fire, and the heat will disturb your mind and cause insomnia.

Or chronic illness, excessive blood loss, spleen and stomach weakness, and insufficient biochemical sources, leading to liver blood deficiency, mental dystrophy and insomnia.

Or liver depression turns into fire, and liver and stomach are not harmonious, so "stomach disharmony is uneasy." Therefore, regulating the qi of liver and gallbladder has become one of the important methods to treat insomnia.

Treatment of insomnia caused by "liver fire disturbing the heart" by traditional Chinese medicine 1 case

Qian, a 49-year-old female, has the following symptoms: difficulty in falling asleep, shoulder pain after sleeping, dry mouth and bitter taste, impatience and irritability, black stool, sticky urine, red complexion, yellow and thick tongue coating and heavy and thin pulse.

Diagnosis of traditional Chinese medicine: insomnia, liver fire disturbing the heart

Treatment principle: clearing liver and purging fire.

Prescription: Radix Bupleuri, Radix Gentianae, Fructus Gardeniae preparata, medulla Tetrapanacis, Radix Angelicae Sinensis, Radix Rehmanniae, Rhizoma Alismatis, Ramulus Uncariae cum Uncis, Cortex Moutan, Poria, Coicis Semen, and Liuyi Powder (dosage varies from person to person), and decocted with water.

The second diagnosis: after taking the medicine for 2 weeks, I felt a little safer in sleep, slightly better in impatience and irritability, slightly better in shoulder and back pain, still dreaming more, bitter mouth and dry mouth, improved stool and urinating. The tongue is red, the coating is yellow and greasy, and the pulse is heavy and thin.

Three diagnosis: after taking the medicine for 4 weeks, night dreams decreased, shoulder and back pain, bitter mouth improved after sleeping, impatience and irritability eased, dry mouth eased, stool formed, red tongue with thin yellow fur and thready pulse.

In order to prevent the stomach from being injured by taking bitter cold medicine for a long time, the original prescription was removed, and Anemarrhena asphodeloides was added to clear away heat and promote fluid production, and the treatment continued to be consolidated. After 3 months of follow-up, the situation recovered well.

Note: The above prescriptions are not suitable for everyone, and need to be treated according to syndrome differentiation.

If you have any health problems and need syndrome differentiation, you can consult me and wish you health every day.

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