Sleep occupies almost one-third of our lives. Good sleep is not only a physiological need, but also a guarantee of good health. However, according to the sleep survey results released by the Chinese Sleep Research Association, the number of people with insomnia in our country has reached 300 million, of which the incidence rate of insomnia among adults is 38.2%. In recent years, epidemiological surveys have found that due to the tense pace of modern life, the accelerated pace of life of people in various industries, increased work pressure, and many related inducements, there is an increasing number of patients with insomnia, resulting in prolonged sleep time, decreased sleep quality and other dysfunctions, among which Most of them are first- and second-tier cities.

Modern medicine believes that long-term excessive mental work, mood swings, irregular working hours, irregular sleep and other reasons can cause the excitation and inhibition of the cerebral cortex to be imbalanced, leading to brain dysfunction and insomnia. Therefore, modern medicine believes that insomnia is mainly caused by neurological reasons. Suppressing the excitement of brain nerves can make people fall asleep peacefully.

Different from modern medicine, traditional Chinese medicine believes that excessive mental exertion will consume the heart and blood, and will also affect the function of the spleen and stomach. "Lei Jing": "The heart is the master of the internal organs, and the soul of the president does not control the will, so If worry moves the heart, the lungs will respond; if thoughts move the heart, the spleen will respond." This is what we often say, "Thoughts hurt the spleen."

The spleen and stomach are the source of nutrition for the five internal organs. The water, grain and clear qi produced in the stomach play an important role in the human body's breathing and pulse beating, and are the basis for the heart to govern the blood vessels. The heart governs the blood vessels, and the heart qi drives the blood to circulate throughout the body, reaching the muscles and internal organs and entering the internal organs. The normal operation of qi and blood requires the coordinated action of the heart, spleen and stomach. At the same time, the function of the stomach in decomposing water and grains depends on the warming and promoting function of the heart's yang temperature. Excessive thinking causes the spleen and stomach to rise and fall abnormally, causing the spleen to lose its health. As a result, the body's digestion and absorption function becomes abnormal, resulting in symptoms such as abdominal distension, loss of appetite, fatigue, and weight loss.

Traditional Chinese medicine believes: "Normal sleep depends on the human body's 'yin and yang secret'. If the internal organs are harmonious and the qi and blood are sufficient, the mind will be stable, the heart and blood will be calm, and the yang can be defended and yin can enter." The spleen is the foundation of acquired nature and the source of Qi and blood biochemistry. The heart governs the blood vessels and stores the spirit. If the heart and blood are deficient, the spirit has nowhere to hide. Therefore, the pathogenesis of this disease is deficiency of the heart and spleen, disharmony of qi and blood, and loss of spirit. And can't sleep.

A large proportion of the elderly suffer from insomnia, which is related to the degradation of their physical functions. As age increases, the functions of the viscera of the elderly decrease, and the viscera are deficient, leading to dysfunction of the viscera, spleen deficiency, insufficient sources of qi and blood for micro-transformation, and lack of nourishment for the mind and body, which can lead to insomnia.

In addition, during pregnancy, blood is injected into the uterus to nourish the fetus. During delivery and uterine delivery, the blood overflows and is destroyed. If the blood does not nourish the mind, the patient will sleep uneasily at night. Sweating, exerting force, and long labor during labor can cause blood to be shed with sweating, blood to be lost with Qi, depletion of Qi and blood, resulting in Yin-blood deficiency and lack of Qi, Qi and blood cannot be supplied to the heart, and the heart loses its nourishment, causing uneasiness. , God does not keep his mind and cannot sleep. At the same time, postpartum breastfeeding, difficulty urinating, wound pain, etc. will have varying degrees of impact on maternal sleep. Tiredness and thought consume the energy and harm the yin, disturbing the gods, leaving the soul without a master, and the sleep is restless. "Wan's Women's Medicine" says: "The heart governs blood. If too much blood is lost, the mind will be in a trance, restless in sleep and lying, and speech will be lost."

Modern medicine usually chooses to use sedative and sleeping drugs to treat insomnia. Although the corresponding drugs can very well help insomnia patients fall asleep, they cannot be used for a long time. They will form dependence and drug resistance, and will also bring many side effects. For postpartum women, taking sleeping pills can have an even greater impact on the body. Traditional Chinese medicine believes that the treatment of insomnia due to deficiency of both the heart and spleen should focus on nourishing the spleen and nourishing the heart, harmonizing qi and blood, and supplementing by dispelling evil spirits, calming the heart and calming the mind. Clinical evidence shows that modified Guipi Decoction can achieve good results in treating this disease.

Guipi Decoction comes from "Jisheng Prescription": "Guipi Decoction can treat excessive thinking, straining the heart and spleen, forgetfulness and fatigue..." The prescription contains astragalus, ginseng, and Atractylodes to nourish the spleen and qi, and compensate for acquired diseases. Basically, longan meat combined with jujube kernel and poria cocos can benefit the heart and spleen, replenish qi and blood, soothe the mind, and the woody fragrance promotes qi and strengthens the spleen. It is used as an adjuvant medicine. Zhigancao nourishes qi and strengthens the spleen, and is used as a herbal medicine to harmonize various medicines. The combination of various medicines can nourish qi and blood, strengthen the spleen and nourish the heart, and nourish without stagnation. It is a good prescription for treating excessive thinking, deficiency of qi and blood, and heart and spleen strain. Xue Ji in the Ming Dynasty added polygala and angelica to the original prescription, which further enhanced the prescription's effect of nourishing blood and calming the nerves.

Some experts once observed the clinical efficacy of modified Guipi Decoction in the treatment of insomnia. 63 patients with insomnia were randomly divided into two groups: 32 patients in the treatment group and 31 patients in the control group. The treatment group was treated with modified Guipi Decoction orally, while the control group was treated with 1 mg of estazolam tablets orally before going to bed.

Comparison of the clinical efficacy of the two groups of patients: the total effective rate of the treatment group was 93.75%; the total effective rate of the control group was 80.65%, and the treatment group was better than the control group (P 0.05), and the improvement in the treatment group was statistically significant (P