Insomnia在线视频

Hello everyone

We have gone through a lot of topics so far

Today we will continue to have a look at common diseases

we have studied three common diseases before

Let’s see the last section of this chapter—insomnia

Insomnia is one of the common diseases

a lot of people all over the world are suffering from insomnia

Insomnia namely sleeplessness

refers to the disease characterized by persistent failure

to acquire normal sleep

accompanied with dizziness

headache

palpitation and amnesia

In clinic

patients with mild symptoms experience difficulty to fall asleep

or wake up easily after sleeping and then feel unable to sleep again

or alternatively waking up and sleeping

Patients with serious conditions experience nightlong sleeplessness

Insomnia is mainly caused by heart spirit

restless due to yin-yang disharmony

and also qi and blood disharmony

The etiology and pathogenesis of insomnia include three aspects

Deficiency of both heart and spleen is the first one

Excessive thoughtfulness and overstrain impair both heart and spleen

thus heart blood is consumed

while the impaired spleen fails to do its function

in transportation and transformation

thus producing

deficiency of qi and blood

The deficiency of qi and blood cannot nourish heart

resulting in restless of heart spirit and insomnia in the end

Fire excess from yin deficiency is the second aspect

Various reasons leading to consumption of yin

especially kidney yin

which broke the balance between yin and yang

Deficient kidney yin causes relative excessive heart fire

Generally speaking

excessive heart fire goes up

while the water controlled by kidney stays in lower part

thus causes non-interaction between heart and kidney

As a result

heart spirit is uneasiness causing insomnia

Phlegm-heat disturbing heart is the third reason for insomnia

Various reasons cause phlegm and heat generated in the body

then disturb the heart spirit and lead to insomnia

In clinical differentiation and treatment of insomnia

deficiency and excess should be distinguished firstly

Deficiency syndromes

usually result from heart and spleen deficiency

leading to blood deficiency

The appropriate treatment is to tonify heart and spleen

as well as nourish blood

Excess syndrome is caused mostly by fire excess

from yin deficiency and phlegm-heat

According to the pathogenesis

the syndrome differentiation of insomnia includes syndrome

of deficiency of both heart and spleen

syndrome of fire excess from yin deficiency

syndrome of phlegm-heat disturbing heart

Now

let’s see the first type of insomnia

syndrome deficiency of both heart and spleen

Dysfunction of spleen in transportation and transformation

lead to lack of basis for producing qi and blood

Deficiency of heart and spleen leads to failure of blood

to nourish heart and then uneasiness of heart spirit

The clinical manifestations of syndrome of deficiency of

both heart and spleen are usually as follows

dreamfulness and fitful sleep

palpitation

amnesia

fatigue

pale complexion

pale tongue with thin coating

as well as thready and weak pulse

The therapeutic principle for the deficiency of both heart and spleen

should be tonifying and replenishing heart and spleen

as well as nourishing blood

In order to treat this kind of syndrome

Gui Pi Decoction can be selected

Gui Pi Decoction is mainly composed of Chinese herbs

which have the functions of tonifying both heart and spleen

increasing the ability of blood nourishing

then improving the sleeping

For severe cases

Bai Zi Ren

He Shou Wu

Long Gu and Mu Li can be added into the formula

Acupuncture is good at improving sleeping

For the syndrome of deficiency of both heart and spleen

two acupoints

ST 8 and GV 20 are suggested

ST 8 is a very important acupoint for spleen

and GV 20 is for heart

When the two acupoints are stimulated with needles

it is good for improving the functions of both heart and spleen

That’s why it can improve sleeping

Still we have a convenient way to improve the sleeping by pressing the point

as the picture showing

100 times press for each hand

before sleeping will be really helpful

Second type of insomnia--syndrome of fire excess from yin deficiency

Based on the yin-yang theory

deficiency of yin

especially kidney yin

will induce a relative excess of yang which is called heart fire

The imbalance between heart yang and kidney yin causes insomnia

The syndrome of fire excess from yin deficiency usually manifests

the following symptoms and signs

dysphoria and insomnia

dizziness

and tinnitus

soreness and weakness of waist and knee

red tongue

as well as thready and rapid pulse

The therapeutic principle for the fire excess from yin deficiency syndrome

should be nourishing yin and reducing fire

as well as

tranquilizing mind by nourishing the heart

Tian Wang Bu Xin Pill are commonly used in clinic

This formula aims to nourish heart and remove fire

For patients with heat and reddish face

dizziness and tinnitus

we often add Mu Li

Gui Jia and Ci Shi to the formula

When acupuncture is selected to treat the syndrome of fire excess

from yin deficiency

The acupoints of KI 3 and HT 7

are suggested for needles stimulating

KI 3 is used to nourish yin and remove fire

while HT 7 is used to tranquilize mind

then together to improve sleeping

Third type of insomnia—syndrome of phlegm-heat disturbing heart

Retained food or spleen qi stagnation leads to accumulation

of dampness and generates phlegm and heat

Phlegm-heat disturbing heart leads to insomnia

Phlegm-heat disturbing heart syndrome may have the clinical manifestations

such as dreamfulness

and fitful sleep

palpitation

amnesia

fatigue

pale complexion

pale tongue with thin coating

as well as thready and weak pulse

The therapeutic principle for syndrome of phlegm-heat

disturbing heart

should be clearing heat and resolving phlegm

Huang Lian Wen Dan Decoction is a common formula

used for improving sleeping in clinic

This formula has the main function to remove phlegm and clear heat

then tranquilize the mind

For patients with palpitations and fright

the Yuan Zhi Long Gu and Mu Li

can be added to the formula

So far we have gone through the four common diseases

cold

headache

stomachache and insomnia

We have talked about the pathogenesis

clinical manifestations

therapeutic principles

and the commonly used formulas

That’s all for today’s class

Thank you for your attendance