Insomnia has become more and more common in recent ten years. According to the data published by China Sleep Research Association, the incidence of insomnia in China is as high as 38.2%. Another random survey on sleep status showed that about 45% of the respondents said that they had experienced insomnia in different degrees in the past month.
Among them, there is a common insomnia patient. In addition to the symptoms of difficulty in falling asleep and easy to wake up after sleep, this kind of insomnia patients are often accompanied by symptoms such as upset, dry mouth and throat, fever of hands and feet, and some people even feel like they are on fire.
So, what is the reason?
In fact, this kind of insomnia mostly belongs to the type of yin deficiency and fire flourishing. Among insomnia patients, insomnia with yin deficiency and excessive fire is the most common, and women are more than men. Research shows that among the five common syndromes of insomnia, the type of yin deficiency and excessive fire accounts for about 26.08%. Clinically, we also found that insomnia due to yin deficiency and excessive fire or the mixed syndrome of yin deficiency and excessive fire with other syndromes accounts for a large proportion of insomnia patients.
Chinese medicine believes that insomnia is the standard and the appearance, which lies in the imbalance of yin and yang and the damage of viscera. "Spirit Pivot Evil Guest" says: "The guest of evil spirits is also a person who is dumbfounded and doesn't lie ... If he is carried away by the qi of the five internal organs, he will defend the qi alone, walking in the yang and not entering the yin ... Because of yin deficiency, his eyes will not be in a daze." It is pointed out that visceral injury and imbalance of qi, blood and yin and yang are the root causes of insomnia.
Yin deficiency and excessive fire are common causes of insomnia. Yin deficiency is the most frequently mentioned main cause of insomnia in the detailed discussion of doctors in past dynasties. For example, "Jing Yue Quan Shu" said that "the true yin and blood are insufficient, and the yin and yang are not connected, and the gods are uneasy", and "Gezhi Public Opinion" also recorded: "People are alive, and their hearts are on fire; Kidney is water, ranking second; Water can rise and fire can fall, one liter and one drop, and the business is endless. "
Those with yin deficiency and excessive fire will suffer from insomnia due to yin deficiency of viscera, malnutrition and endogenous deficiency heat. Insomnia caused by yin deficiency and excessive fire mainly involves the heart and kidney, with the heart controlling fire and the kidney controlling water. Under normal physiological conditions, the mind meets fire and water, yin and yang meet, and sleep is normal. However, in modern society, due to the great changes in lifestyle, many people frequently consume their grief, coupled with the impermanence of daily life and frequent staying up late, which makes vaginal fluid consumption and injury. Such as anxiety, nervousness, depression and other negative emotions, lead to the five senses turning into fire, and also consume the vaginal fluid, which makes the fire of yin deficiency flourish, disturbs the heart fire, and kidney water is difficult to help the heart, leading to heart failure and insomnia.
There is also a record in "Syndrome Differentiation and Treatment: The Door to Sleeplessness": "People can't sleep day and night, and their hearts are very upset. The heart and kidney are not connected, and what you can't sleep during the day is that the kidneys are not connected; Those who can't sleep at night, but don't pay attention to their kidneys, don't sleep tonight, but their hearts are too hot, their kidneys are too cold, and their hearts are fire. If it is too hot, the fire will rise to the top at once and cannot be given to the kidney. Kidney belongs to water. It's too cold, the water will sink to the end and you won't be able to pay attention. "
Therefore, patients with insomnia due to yin deficiency and excessive fire usually have other symptoms besides insomnia symptoms. According to the diagnostic data of insomnia in the Guide to Diagnosis and Treatment of Common Diseases in Internal Medicine of Traditional Chinese Medicine and the research progress of TCM syndrome differentiation and treatment of insomnia, the main symptoms of insomnia with yin deficiency and excessive fire are upset insomnia, palpitation and restlessness, and soreness of waist and knees; The complicated symptoms are five heart surges, dizziness, tinnitus, forgetfulness, dry mouth and insufficient body fluid; Tongue pulse is red, with little coating and thin pulse.
In the treatment of insomnia, nourishing yin, clearing the heart and calming the nerves is the main principle to treat insomnia with yin deficiency and excessive fire. According to the actual syndrome differentiation, Huanglian Ejiao Decoction, Tianwang Buxin Dan and other prescriptions can be selected for treatment. These two prescriptions are often used to nourish yin, clear away heat and calm the nerves.
(1) Huanglian Ejiao Decoction:
This recipe comes from Treatise on Febrile Diseases: "You can't lie down when you are upset, and Huanglian Ejiao Decoction is the main one." This prescription focuses on nourishing yin and clearing fire, and is suitable for anxiety and insomnia after yin deficiency and excessive fire or fever. In the prescription, Coptis chinensis and Scutellaria baicalensis purge the heart fire, which makes the heart qi descend to the kidney, while Paeonia lactiflora, Ejiao and Wuji nourish the kidney yin, which makes the kidney water benefit the heart. The combination of all kinds of drugs can make the heart and kidney communicate, the water rises and the fire falls, and the anxiety and insomnia are eliminated by themselves.
(2) Tianwang Buxin Dan:
Tianwang Buxin Pill is a commonly used prescription to treat insomnia of heart-kidney yin deficiency and blood deficiency. This prescription focuses on nourishing yin and clearing heat, nourishing blood and calming the nerves. Rehmannia glutinosa is good at nourishing yin and promoting fluid production, and the method of strengthening water is mainly to control deficiency fire. Asparagus nourishes yin and moistens dryness, clearing away heat and promoting fluid production, while Ophiopogon japonicus nourishes yin and promoting fluid production, clearing heart and removing annoyance. Ziziphus jujuba seeds are good at nourishing the heart, benefiting the liver and calming the nerves, while Platycladus orientalis seeds can nourish the heart and calm the nerves. Angelica supplements blood and moistens dryness; Scrophularia can clear away heat and nourish yin; Poria cocos can invigorate the spleen and soothe the nerves, while polygala tenuifolia can soothe the nerves and improve intelligence. The combination of the two can nourish the heart and soothe the nerves. Ginseng can invigorate qi, promote fluid production, soothe the nerves and improve intelligence; Schisandra chinensis can tonify kidney, promote fluid production, calm the heart and soothe the nerves; Salvia miltiorrhiza can promote blood circulation, clear heart and soothe the nerves; Cinnabar is good at calming the heart, calming the nerves and clearing away heat. All kinds of drugs are used to nourish yin and reduce fire, nourish blood and soothe the nerves, and communicate with the heart and kidney.
Of course, although the above two prescriptions are commonly used in the treatment of insomnia due to yin deficiency and excessive fire, the practical application can not be limited to the ancient prescriptions, and it needs to be added and subtracted with the syndrome on the basis of syndrome differentiation, or treated with other prescriptions. Insomnia due to yin deficiency and excessive fire is more common in middle-aged and elderly people, which is mainly related to aging of the body, deficiency of kidney essence and hyperactivity of heart fire. Insomnia in middle-aged and elderly people usually has complex etiology and many clinical syndromes, and is often a mixed syndrome. Therefore, it is necessary to use drugs on the basis of syndrome differentiation combined with personal conditions in order to effectively get rid of insomnia and reduce the recurrence of insomnia.
The former male patient, 50 years old, began to suffer from insomnia and dreaminess, dizziness, weakness of waist and legs, listlessness and memory loss. Recently, his symptoms have worsened and he can't sleep. After waking up, he can sleep 1-2 hours a night, even staying up all night. Judging from its symptoms, the tongue is red and less coated, and the syndrome differentiation is yin deficiency and excessive fire, and the heart and kidney are not harmonious. Therefore, the treatment should be nourishing yin and purging fire, and communicating with the soul. The prescription consists of Tianwang Buxin Dan, Jiaotai Pill, medicinal Semen Platycladi, Semen Ziziphi Spinosae, Radix Asparagi, Radix Ophiopogonis, Radix Rehmanniae, Radix Angelicae Sinensis, Radix Scrophulariae, Radix Salviae Miltiorrhizae, Radix Codonopsis, Radix Platycodi, Radix Polygalae, Poria, Magnetite and Rhizoma Coptidis. After 7 days of conditioning, the self-reported symptoms improved obviously, sleeping for about 5-6 hours every night, adjusting the prescription according to the change of illness, and taking 7 doses again to inform the symptoms to be relieved.
In this prescription, Semen Platycladi and Semen Ziziphi Spinosae nourish the heart and soothe the nerves, Radix Asparagi, Radix Ophiopogonis, Radix Rehmanniae, Radix Angelicae Sinensis, Radix Scrophulariae, Radix Salviae Miltiorrhizae nourish the yin, nourish the blood and soothe the nerves, Radix Codonopsis invigorate the qi, Radix Platycodi disperse the lung and promote the medicine, Radix Polygalae, Poria and Magnets nourish the heart and soothe the nerves, Rhizoma Coptidis purges the heart and fire, and Cortex Cinnamomi induces the fire to return to Yuan. These two drugs are matched to communicate between the heart and the kidney, making the heart.
The above related content is expressed, hoping to benefit more friends who are deeply troubled by insomnia. Friends who need to communicate can also click on my avatar to send private messages.
Previous articles
Often insomnia, difficult to sleep? It may be that the liver qi is insufficient, so Chinese medicine 1 prescription can supplement the liver qi to help sleep.
1. This article may not be reproduced without permission.
In any case, the information in the article is for readers' reference only, and readers should not only rely on this article to replace their independent judgment. We are not responsible for any losses, risks and disputes caused by using, quoting or referring to the contents of this article.