Based on the treatment of qi stagnation, Bupleurum plus Longgu Oyster Decoction is the main treatment; the treatment of blood stasis is treated with Xuefu Zhuyu Decoction.
Although the syndrome of insomnia involves the internal organs, its pathogenesis is always related to the abnormal operation of Yingwei Qi and blood.
Clinical syndrome differentiation can be divided into internal and external causes. External causes are mostly caused by external evils that penetrate deep into the body, such as persistent wheezing and coughing, persistent pains, persistent malaria and dysentery, or persistent swelling that leads to the formation of Yingwei Qi. The inflow and outflow of blood is out of control and the person cannot sleep at night; the internal cause is always caused by the failure of emotions and Qi and blood, which leads to the disorder of the five wills and makes the person sleepless at night. Doctors in the past dynasties have different opinions on treating insomnia, whether it treats the mind or the kidneys. Yu Cong treats the disorder of Qi and blood, and the curative effect is remarkable.
Insomnia patients often have emotional changes as the main cause, and insomnia aggravates the disorder of the five wills and the imbalance of Qi and blood. Therefore, the treatment should be to regulate the Qi and blood of the internal organs. If the emphasis is solely on calming the mind, it will Somewhat biased. The liver is responsible for planning, dispersing and storing the soul, and is most closely related to the regulation of qi and blood. When it comes to treating stubborn insomnia, the liver should be treated first. Therefore, two prescriptions are always prepared in clinical practice to regulate qi, blood and the cardinal system, and they should be used more often.
1. Based on the treatment of qi stagnation, the main medicine is Bupleurum plus Longgu and Oyster Decoction
In Bupleurum plus Longgu and Oyster Decoction, half of the small Bupleurum is used as the main medicine to regulate Qi. It can soothe the liver and relieve stagnation, promote clearness and reduce turbidity; supplement with Ling, Guiping and Chong to calm the nerves; dragon, mu and lead dandruff to calm and calm the soul; assist with rhubarb to relieve heat and remove excess; when combined with all the medicines, it can soothe liver qi and relieve depression. Fire calms the liver and soul and calms the mind and spirit. Therefore, Bupleurum plus Longgu Oyster Decoction can be used to treat liver stagnation and transform fire into symptoms such as irritability at night, difficulty falling asleep, frequent chattering in sleep, or dreaming, combined with irritability, dizziness, constipation, red tongue with yellow coating, and weak pulse. It is most suitable for people with stubborn insomnia such as Xian Shu. The lead pills in the prescription are mostly replaced by magnets or magnetic Zhu pills. Whenever rhubarb is used to make rhubarb, its effect of releasing heat and calming convulsions is taken. For those who cannot tolerate diarrhea, it is also better to replace it with coptis.
Liu, male, 32 years old. I have been suffering from neurosis for more than 10 years, but various sedatives have been ineffective. The patient has trouble sleeping at night, frequent nocturnal emissions, dizziness, tinnitus, chest pain, palpitations, yellow and red urine, red tongue with thin coating, stringy and rapid pulse, and the syndrome is Qi. Yu turns into fire, and the liver and soul are restless. Medicinal: Bupleurum 18g, skullcap 12g, pinellia 18g, Codonopsis pilosula 18g, calcined keel 30g, calcined oyster 48g, Poria 24g, rhubarb 12g, cassia twig 12g, 6 slices of ginger, 10 red dates. Grind the medicine into coarse powder, take 27g daily, decoct in water and take it. After taking 1 ingredient, all the symptoms were reduced, I could sleep for 6 hours at night, and my wet dreams stopped. After adding 1 ingredient with the original prescription, the medicine was stopped, and the curative effect was consolidated.
2. Based on the treatment of blood stasis, use Xuefu Zhuyu Decoction
Whenever a patient with qi stagnation and blood stasis suffers from excessive emotions and liver failure, the qi will initially become stagnant. Over time, it will lead to qi stagnation and blood stasis, brain qi stagnation, disturbed consciousness and insomnia, even if you fall asleep, you will have chaotic dreams, and you will also feel depressed and unhappy, sometimes sighing with joy, swelling and pain in the chest and flanks, purple tongue, stringy or astringent pulse wait. I believe that Xuefu Zhuyu Decoction can balance qi and blood, adjust yin and yang, and can often be effective in treating patients with blood stasis and insomnia.
In this recipe, Taohong Siwu Decoction is used to promote blood circulation and remove blood stasis; Chen uses Sini Powder to soothe the liver and regulate qi; as an adjunct, use Citrus aurantium and Platycodon root to rise and fall to regulate qi, and Achyranthes root to conduct blood. Descending; in order to activate Qi and activate blood circulation, the liver will be smooth and smooth, blood stasis will be removed and stagnation will be dispersed, the internal organs and brain Qi will be connected, and the soul will be at peace. For example, if you add Ci Zhu Wan, Sheng Tie Luo and other important products, the effect will be better.
Chen, male, 42 years old. I have been suffering from stubborn insomnia for more than 2 years. I can't sleep all night long, and if I don't sleep enough, I have random dreams. The patient has a melancholic temperament, dizziness and pain, a dark complexion, numerous sweat spots on the chest and back, uneven skin on the lower limbs, purple tongue with yellow and greasy coating, and a thin and stringy pulse. The syndrome is qi stagnation and blood stasis, and lack of nourishment. Medicinal use: Bupleurum 9g, 15g of raw rehmannia root, 15g of red peony root, 9g of angelica root, 15g of chuanxiong rhizome, 9g of safflower, 9g of peach kernel, 5g of aurantium aurantium, 5g of achyranthes root, 9g of magnetic vermilion pills (package), and 3g of raw licorice. After 2 doses, I felt refreshed and could sleep peacefully at night. After taking 7 more doses, my dizziness and pain improved significantly, and I could sleep every night. After taking Sha Yiping and Shangfang Demagzhu Pills for another 2 weeks, my insomnia was cured and my skin was smooth. Wrong, sweat spots also appear to subside.
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