Shenmen, also known as Hedging, Dugu, Zhongdu and Zhong Rui. At the wrist, the ulnar end of the carpometacarpal striation and the radial depression of the flexor tendon of the ulnar wrist are the acupoints of the heart meridian of hand shaoyin, which are injected by the qi of the heart meridian, and are not only the original acupoints of the meridian, but also the acupoints for transporting soil. "On the Secret Book of Su Wen Ling Lan" says: "The heart is the monarch and the god is outside." God is hidden inside, God. This point is not only the gateway of heart and qi, but also the main point for treating mental illness, so it is named Shenmen. This point has the functions of calming nerves, clearing heart, cooling camp, dredging collaterals and relieving pain. Can be used for treating heartache, vexation, palpitation, insomnia, amnesia, epilepsy, mania, epilepsy, women's impatience, infantile convulsion, yellow eyes, hypochondriac pain, and palm fever.

Sanyinjiao, also known as Cheng Ming, Taiyin and Xiasanli. Inside the calf, 3 inches above the medial tip of the ankle and behind the medial edge of the tibia, it is the spleen meridian point of the foot Taiyin. It is also the intersection of the three meridians of Foot Taiyin, Foot Shaoyin and Foot Jueyin, hence the name "Sanyinjiao" and one of the nine acupoints of Huiyang. Has the effects of invigorating spleen, regulating stomach, promoting circulation, promoting diuresis, eliminating dampness, relieving lower energizer, regulating liver and kidney, dredging qi stagnation, regulating blood chamber, regulating uterus, dredging meridians, expelling wind and removing dampness. Can be used for treating digestive system diseases (weakness of spleen and stomach, dyspepsia, abdominal distension and diarrhea), urinary system diseases (edema, dysuria, frequent micturition and enuresis), and reproductive system diseases (premature ejaculation, nocturnal emission, impotence, penile pain, irregular menstruation, metrorrhagia, dysmenorrhea, and leukorrhagia). In addition, it can also treat dizziness, dizziness, insomnia and amnesia.

Combined function

Shenmen calms the nerves, calms the heart, cools the camp and relieves pain;

Sanyinjiao tonifies spleen and soil, helps transport and transform, clears qi stagnation, dispels wind and removes dampness, regulates qi and blood, relieves lower energizer, regulates blood chamber and semen palace.

Shenmen is good at dividing qi, and Sanyin is good at dividing blood. Shenmen mainly regulates qi; Sanyinjiao focuses on nourishing yin. The combination of two points, one qi and one blood, one heart and one kidney, plays the role of regulating qi and blood, reconciling yin and yang, nourishing the heart and calming the nerves, and communicating with the heart and kidney.

therapy

1. Insomnia, forgetfulness and dreaminess, etc. The syndrome belongs to deficiency of both heart and spleen, and the heart and kidney do not cross.

2. Palpitation, palpitation, which is due to deficiency of both heart and spleen.

Methodology

Shenmen: The palm is upward, located at the radial side of the rear edge of pisiform bone, and the acupoints are taken on the 1 bar behind the palm. Straight stab 0.3 0.5 inch, or straight stab 0.3 0.5 inch from inside to outside (from ulnar side to radial side).

Sanyinjiao point: supine or sitting, take the point between the posterior edge of the medial side of tibia and the tip of medial ankle. Stab 0.5 1.5 inch from the inside out.

experience

Shenmen-Yin San combination is good at treating insomnia, and acupuncture is often used as tonic or both. Deficiency of both heart and spleen, plus heart Shu and spleen Shu; Kidney deficiency, plus Shenshu and Taixi; For those with disharmony between spleen and stomach, Zhongwan and Zusanli are added; Emotional depression, nausea, plus Yanglingquan and Zusanli.

Insomnia cases 1

Niu, male, 38 years old, worker. 1998 10 10 month 15 First visit.

Chief complaint: insomnia for more than 5 years.

Medical history: insomnia caused by panic 5 years ago. That night, I was very scared, my heart was uneasy, my heart palpitations were easy to panic, I dreamed more and slept less. Later, I had poor sleep, dreamy dreams and easy waking up. After a long time, my memory gradually declined, mental fatigue, dizziness, boring diet and gastrointestinal discomfort after meals.

Physical examination: pale face, thin and weak body, pale tongue with thin white fur and thready pulse.

Diagnosis: insomnia.

Treatment principle: tonify the heart and spleen.

Prescription: Shenmen, Sanyinjiao and Shi Feng (double).

Operation: Acupuncture at Shenmen and Sanyinjiao points is supplemented, that is, on the basis of keeping qi, press the thumb forward for 27 times and hold the needle for half an hour, every 10 minute/time. In windy weather, synchronous acupuncture method is adopted, that is, the operator holds 1 needle in his left hand and right hand respectively and twists it slowly at the same frequency.

Note: Shenmen is the original point of the heart meridian, which has the functions of nourishing the heart and calming the nerves. Sanyinjiao point is the intersection of spleen meridian and liver, spleen and kidney meridian, and the application of tonic method has the effect of tonifying heart and spleen. Together, the two points have the effect of Guipi decoction.

Fengcheng is the acupoint of the gallbladder meridian of foot shaoyang, which has the function of expelling wind and treating blood. But there is no literature about insomnia treatment. When Lao Lu attended an acupuncture seminar organized by the Ministry of Health in Beijing in the 1960s, he studied with Pu Yingru as a classmate and often exchanged experiences after dinner. Pu is old and experienced. He once taught special acupoints for insomnia, and only the windy city is the best. After asking in detail, he said, this is my father's experience. Press: Pu Xiangcheng is a famous doctor in Sichuan with rich academic experience and outstanding contributions. He has diagnosed and treated intractable diseases for national leaders, often with immediate results.

Insomnia case 2

Zhao, female, 40 years old, a teacher. First visit in May 2000 1 1.

Chief complaint: insomnia 1 year or more.

Medical history: The patient suffered from poor sleep, difficulty in falling asleep, blurred dreams, restless sleep, sometimes panic, palpitation, paranoia, conscious numbness, muscle spasm, shortness of breath and dizziness, loss of appetite, fear of eating cold, eating loose stools, and long-term treatment.

Examination: sallow complexion, listlessness, pale tongue with white fur and weak pulse.

Diagnosis: insomnia (deficiency of both heart and spleen).

Treatment principle: tonify the heart and spleen, nourish blood and soothe the nerves.

Prescription: Shenmen and Sanyinjiao (double).

Operation: acupuncture is supplemented by acupuncture every other day 1 time, and the needle is kept for half an hour, and acupuncture every 10 minute/time. After three times of law-abiding treatment, the condition improved, the panic was reduced, and I fell asleep faster. After acupuncture for three times, I can sleep soundly and have fewer dreams. I woke up exhausted. Comply with the purpose of not improving effectiveness and consolidate defense. After acupuncture for three times, the disease will be cured. No recurrence was found after half a year's follow-up.

Note: this situation is mental fatigue, spleen sadness, heart injury is yin and blood consumption injury, heart loss of support, upset; Spleen injury leads to insufficient source, blood deficiency, inability to take the heart, and restlessness leading to insomnia. Zhang Jingyue said: "Those who are innocent and sleepless will be deficient in qi and will govern blood. Blood deficiency can't nourish the heart, and guilt is absent-minded. " . "Syndrome Differentiation and Treatment" also said that "thinking hurts the spleen, spleen blood is lost, and it has been insomnia for several years". Make up the Shenmen point to make up the mind and calm the mind; Tonifying sanyinjiao, benefiting spleen and nourishing blood. The combination of the two points has the effects of nourishing the heart and spleen, nourishing blood and calming the nerves.