In real life, when many people have insomnia symptoms, the first thing they think of is taking melatonin and other health care products, or taking sleeping pills or Chinese patent medicines to soothe the nerves themselves.
As we all know, the key to the treatment of insomnia is to identify the cause and regulate it from the root. Inadvertent medication will not only aggravate insomnia, but also make the etiology and pathogenesis of insomnia complicated and changeable. Among them, it is particularly common that the etiology and pathogenesis of insomnia is changed into insomnia with yin deficiency and less blood type due to careless medication.
As early as more than 2000 years ago, there were systematic records of sleep-related theories in ancient Chinese medicine books. Huangdi Neijing said: "Wei Qi can't enter Yin, but always stay in Yang. Stay in the sun, the sun will be full, the sun will be full, and the sun will flourish. If you can't enter the yin, the yin is weak, so your eyes are not dazzled. " It is considered that the change law of yin and harmony is the key to the generation of human sleep activities. If the qi of yin and yang is weak or excessive, it will lead to insomnia.
It's like a glass of boiled water and a glass of ice water. Yang is boiled water and Yin is ice water. For a thirsty person, these two glasses of water are not suitable for drinking at once. Only when boiling water and ice water are mixed together to get a moderate temperature is it appropriate.
Through clinical practice, doctors of past dynasties have also concluded that the causes of insomnia are nothing more than deficiency and reality. For the deficiency, the general responsibility is that yin deficiency and blood deficiency can not contain Yang Qi, so that yang can not enter the yin; Or qi deficiency and blood weakness can't nourish the heart, so that God has a return. As Jing Yue's book Insomnia says, "Blood deficiency can't nourish the heart, and guilty conscience can't nourish the heart". Because of excess, the overall responsibility lies in excess stagnation, blood is difficult to return to the heart, and yang does not enter the yin; Or there is evil heat inside, disturbing the mind.
If there is less blood due to yin deficiency, it will lead to inflammation of deficiency fire, disturb the mind and cause anxiety and insomnia.
On Su Wen Ling Lan's Secret Classics also points out: "The heart is the monarch, and God shows his way." He thinks that the heart hides God, and God decides our sleep. If God is uneasy, he will be uneasy.
The heart governs the blood of the whole body. If the heart is damaged due to overwork, the heart is insufficient. On the one hand, it is impossible to "serve the heart and turn red", resulting in insufficient energy; On the other hand, it can not promote the normal operation of blood, leading to blood vessel blockage and abnormal blood supply. Blood deficiency leads to heart fire, and blood stasis also leads to internal heat, which will hurt yin for a long time, and deficiency heat will disturb the mind and cause insomnia. In addition, the deficiency of qi for a long time will eventually lead to the loss of vitality, and the transformation from kidney essence will also affect the yin essence of the kidney.
Most of these patients are caused by vaginal fluid loss after long-term fever or miscellaneous diseases, or by excessive five senses, improper sexual intercourse, taking warm and dry products and so on. , causing the body to lose moist nutrients, as well as internal heat caused by yin not controlling yang and yang being too hot. This is insomnia caused by qi-blood imbalance and yin-yang imbalance, which is described by Chinese medicine as "qi-blood imbalance, which can make people insomnia".
Clinically, the main manifestations of patients are difficulty in falling asleep, palpitation and dreaminess, mental fatigue and forgetfulness, dizziness and tinnitus, upset and fever, sores on the mouth and tongue, and red tongue with little fur.
"The Theory of Treating Diseases without Sleeping Pulse" records: "Yin deficiency will lead to Yang Wang, so insufficient blood is a fire disease. It is advisable to strengthen the control of water and control the sunshine. It is advisable to nourish yin and reduce fire, and use Guishao Tiandi Decoction and Huanglian Anshen Pill. If you are empty, the heavenly king will fill your heart. "
For insomnia with yin deficiency and blood deficiency, Tianwang Buxin Dan is commonly used in clinic, which is a representative prescription for nourishing yin, nourishing blood and calming the nerves. The medicine consists of Radix Rehmanniae, Fructus Schisandrae Chinensis, Semen Ziziphi Spinosae, Semen Platycladi, Radix Asparagi, Radix Ophiopogonis, Radix Codonopsis, Radix Salviae Miltiorrhizae, Radix Scrophulariae, Radix Angelicae Sinensis, Poria, Radix Polygalae, Radix Platycodonis and Radix Rehmanniae, which can nourish kidney and yin, and can make a fire with sufficient water; Radix Scrophulariae, Radix Asparagi and Radix Ophiopogonis can nourish yin and clear heat; Salvia miltiorrhiza and angelica nourish blood and heart; Bai Ziren and Polygalae nourish the heart and soothe the nerves; Codonopsis pilosula and Poria cocos can replenish qi and soothe the nerves; Semen Ziziphi Spinosae and Schisandrin can calm the mind, promote fluid production to quench thirst, and soothe the nerves. The whole prescription has the effects of nourishing yin and blood, clearing away deficiency and heat, promoting blood circulation and dredging collaterals, benefiting qi and calming the nerves, and treating both the symptoms and root causes. Clinically, it is often used to treat palpitation, restless sleep, mental fatigue, forgetfulness, fever of hands and feet, sores on the mouth and tongue, etc.
If insomnia is serious, add keel and magnet to soothe the nerves; For those with obvious palpitation, longan pulp and Polygonum Multiflori Radix can be added as appropriate to enhance the function of nourishing the heart and calming the nerves; Wet dream's forgetfulness can be supplemented with Alpinia oxyphylla to warm kidney, consolidate essence and warm spleen. Modern pharmacological research also found that Tianwang Buxin Dan, as a basic prescription, has the functions of shortening sleep latency, prolonging sleep time, improving memory and resisting dementia.
It should be noted that the etiology and pathogenesis of long-term insomnia are generally complicated, just like "it can be seen that people are sick and complicated, and more or less can cause diseases. Pure deficiency and pure reality are inherent, and there are also many false and real inclusions." Therefore, in the actual conditioning, drugs should be flexibly added and subtracted according to personal physique, course of disease, symptoms and severity of illness.
For example, Ms. Yang, a 33-year-old patient, suffered from postpartum insomnia two years ago. During this period, she took sleeping pills intermittently and suffered from repeated insomnia. When you see a doctor, you can see difficulty in falling asleep, easy to wake up, night sweats, dry mouth and throat, upset and irritable, red tongue and thin white fur. This is a syndrome of yin deficiency and excessive fire, so the treatment is to nourish kidney yin, nourish the heart and soothe the nerves. This prescription is made of Liuwei Dihuang Pill and Tianwang Buxin Pill: fried peach kernel, prepared rehmannia root, dried rehmannia root, spina date seed, arborvitae seed, yam, polygala tenuifolia, poria cocos, corydalis tuber, albizzia albizzia bark, tree peony bark, dragon tooth (fried first), turmeric root, ganoderma lucidum and anemarrhena rhizome. 10 dose, daily 1 dose, taken twice. And half an hour before going to bed every night, I will soak my feet for 25 minutes with Chinese medicine foot massage prescription.
At the second diagnosis, the difficulty in falling asleep was obviously improved. It is still easy to wake up at night, night sweats, upset and irritable, and there are no symptoms of dry mouth and throat. It was the menstrual period, and the amount was small. Therefore, arborvitae seed and yam were removed from the upper part to nourish yin and blood, Euryale ferox was used to tonify kidney and arrest sweating, floating wheat was used to arrest sweating, and motherwort and Bupleurum were used to soothe liver and regulate qi, promote blood circulation and regulate menstruation. After taking 10 dose. Symptoms such as insomnia were obviously improved at the third diagnosis, so taking 10 dose consolidated the curative effect.
In this case, Ms. Yang belongs to yin-blood deficiency and mental dystrophy, so she shows symptoms such as difficulty in falling asleep, easy awakening, night sweats and so on. Dry mouth, sore throat, irritability and so on. They are all symptoms of yin deficiency and blood deficiency, and water does not contain wood. Therefore, Radix Rehmanniae, Radix Rehmanniae Preparata, Semen Persicae, Semen Ziziphi Spinosae, Semen Platycladi, Colla Corii Asini and Rhizoma Anemarrhenae are used to nourish yin and heart, and Leonurus japonicus, Cortex Moutan, Radix Curcumae, Rhizoma Cyperi, Radix Polygalae and Rhizoma Corydalis are used to "damage it".
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