Today, we continue to talk about sleep. I won't tell you to dream or wake up early today. Let me tell you something. Difficulty falling asleep, insomnia.

Like waking up early in dreams, there are many reasons why it is difficult to fall asleep. What I want to tell you today is that liver yin is insufficient and liver yang is hyperactive, making it difficult to sleep.

What do you mean? I have to give you an example.

Mr. Dai is 43 years old. About two years ago, his mood fluctuated due to the pressure of work and life. Since then, this person's sleep has become worse and worse. The typical performance is that it is difficult to sleep. Lying in bed at night, counting sheep and stars, listening to light music and drinking milk … I tried everything, but I couldn't sleep.

The more he can't sleep, the more anxious he is. But the more anxious he is, the more he can't sleep. Even a few times, he simply sat up and slapped his mouth.

Later, he specifically sought medical treatment for sleep. Sedative western medicine, used some, but sometimes improved, sometimes ineffective.

In the last two months, this person's symptoms have worsened and he often stays up late. No way, he decided to invest in Chinese medicine treatment. Diagnosed, the patient's pulse is thin, the ulnar pulse is weak, the tongue is red, there is little fur, and his mental state is not good, but his physique is good.

After careful inquiry, I learned that the patient used to drink alcohol. Now he can't sleep well and dare not drink. In addition, I feel backache and tinnitus, weak and restless on weekdays. My head is always dizzy and warm.

Knowing this, the doctor prescribed a prescription. But you see-

Achyranthes bidentata, ochre, Os Draconis, Concha Ostreae, Carapax et Plastrum Testudinis, Radix Paeoniae Alba, Radix Scrophulariae, Radix Asparagi, Herba Artemisiae Scopariae, Fructus Hordei Germinatus, Fructus Toosendan, Radix Rehmanniae Preparata, Fructus Lycii, Fructus Corni, Fructus Gardeniae and Radix Glycyrrhizae.

This prescription, the patient took two courses before and after. What was the result? The patient had calm symptoms and normal sleep. Fall into bed at night and fall asleep quickly within half an hour. Other physical discomfort, such as upset and dizziness. It has also been greatly alleviated.

What's the point here?

We have to start with the mechanism of sleep.

Why can people fall asleep? According to Chinese medicine, Wei Qi originally walked in the yang, but turned into the stomach and walked in the yin. At the moment when Yang enters Yin, people fall asleep.

All the patients in the above medical records can't sleep, which shows that there are some obstacles that affect the yang-wei qi entering the yin.

What are the obstacles?

For example, a man works outside, but doesn't want luxury. When he arrives, he goes home. Why? It must be because the women at home are gentle and virtuous and keep the housework in order. In this way, men love to go home.

On the contrary, if his woman, who is overbearing, destroys Zhang Fei's horse and makes the family a mess, and there is no tenderness and consideration, then the man will not want to go home.

The same is true of Yang Wei's qi entering Yin. It is willing to enter the yin because the yin is not empty, the yin is sufficient, the internal environment is good and attractive enough. If yin deficiency, bad internal environment, ugly appearance and yang defense, of course, I don't like to go back.

So, the patient in the above medical record, the reason why he can't sleep is that Stephy, a yin-deficiency yang, is on his body surface, and he doesn't want to go in.

You see, when he saw a doctor, his pulse was thin, weak and his tongue was red with little fur. This is obviously caused by yin deficiency of liver and kidney and internal heat, right? Liver yin is insufficient, and yin does not converge yang, so liver yang is hyperactive and liver wind moves internally. The patient has dizziness, fever, swelling and irritability. Deficiency of kidney yin, lumbar dystrophy, ear hole loss, so patients with backache and tinnitus.

In other words, due to the yin deficiency of liver and kidney, the phenomenon of hyperactivity of liver yang and endogenous movement of liver wind appeared in the internal environment. It's like a family, it's shabby everywhere, and it leaks air. You said you made Yang Wei angry, so how did you come back?

It is normal for patients to have difficulty falling asleep.

Then what should I do? It's simple: if there is liver wind, stop it. When liver yang is hyperactive, liver yang is submerged. Liver yin deficiency, or nourishing liver yin.

Let's look at the compatibility of doctors at that time-

Let me give you a brief explanation of this recipe first.

As I said before, if you have liver wind, you must stop it. So ochre, keel and oyster are specially used to calm the liver wind.

If the liver yang is hyperactive, it will be submerged. All the above three herbs can subdue liver yang. In addition, Radix Paeoniae Alba and Carapax et Plastrum Testudinis also have the effects of calming the liver and suppressing yang. Reuse Achyranthes bidentata, draw blood downwards, and assist in lowering liver yang. Herba Artemisiae Scopariae, clearing away heat and promoting diuresis, and reducing heat potential. Gardenia, reduce triple energizer fire.

Liver yin deficiency, then we will nourish liver yin. So tortoise shell, Scrophularia, Asparagus, Rehmannia glutinosa, Lycium barbarum and Cornus officinalis are used to nourish the yin of liver and kidney.

Finally, combing liver qi with Fructus Toosendan and malt.

This is the basic idea of medication.

In fact, what is used here is the addition and subtraction of Gufang Zhengan Xifeng Decoction.

Zhengan Xifeng decoction comes from medical enthusiasm and records of western medicine, and it is the first prescription to treat Zhengan in ancient times. Its basic components are Achyranthes bidentata, raw ochre, raw keel, raw oyster, raw tortoise plastron, white peony root, Scrophularia root, asparagus root, toosendan fruit, raw malt, wormwood and licorice, and the prescriptions used in medical records are obviously based on this, with slight changes.

Zhengan Xifeng decoction is a representative prescription for treating yin deficiency of liver and kidney, hyperactivity of liver yang and qi-blood imbalance. It is necessary to tell the students in detail in the textbook of TCM Prescription. Its main symptoms are dizziness, eye swelling, tinnitus, hot hair, pain, swelling, upset, blushing, and sometimes even feeling bad limbs and improper squabbles. Although the patients in the above medical records have not reached the degree of numbness of hands and feet and crooked mouth, they have the characteristics of yin deficiency of liver and kidney, hyperactivity of liver yang and imbalance of qi and blood, so Zhengan Xifeng Decoction is used to deal with them. In this way, his internal environment has improved, and his difficulty in falling asleep has naturally resolved.

This is the basic idea of supervision.

In fact, in real life, there are quite a few people who have high blood pressure and difficulty falling asleep due to yin deficiency of liver and kidney and hyperactivity of liver yang. Age, often after 40. Several young people in their thirties. For these people, poor sleep is just one of many manifestations, but at the same time, it is also one of the most unbearable symptoms. So many people finally go to the hospital not because of anything else, but because they can't sleep.

In short, remember that yin deficiency leads to hyperactivity of yang. Yang is strong and the wind moves. In this way, it is difficult for people to fall asleep. This is one of the basic causes of sleep disorders, and we must pay attention to it.