Classification and Treatment of Insomnia Based on Theory of Five Evolutive Phases and Six Climatic Factors
Based on the theory of the five evolutive phases and six climatic factors,the study of insomnia follows the spacetime law of the opening,closing and pivots of the three yins and three yangs,supported by the theory of the time for six-meridians diseases to resolve,and combined with the clinical symptoms of insomnia,the insomnia is classified into four types:falling asleep type insomnia,persistent type insomnia,early awakening type insomnia,and idiosyncratic type insomnia.Falling asleep type insomnia is closely related to the abnormal function of the opening,closing and pivots of Shaoyin,Taiyin and Yangming,and should be treated by pivoting Shaoyin,descending Yangming,and opening Taiyin,with prescriptions such as Maimendong Decoction(麦 门冬汤)and Guipi Decoction(归脾汤).Persistent type insomnia is closely related to the dysfunction of Taiyang,Shaoyin and Shaoyang,and the treatment is transformed into two extremes of coldness and heat:for coldness,warming up the primordial yang and releasing Tai-yang,and prescribing Mahuang Fuzi Xixin Decoction(麻黄附子细辛汤);for heat,nourishing the kidney water of Shaoyin,clearing away the fire of the upward inflaming fire,and giving Huanglian Ejiao Jizihuang Decoction(黄连阿胶鸡子黄汤).Early awakening type insomnia is closely related to the dysfunction of Shaoyin,Jueyin and Shaoyang,so the treatment should be regulating Shaoyin pivot and qi of Jueyin,and clearing the fire of Shaoyang,and the prescriptions are Chaihu-Tsai and Huanglian Wendan Decoction(黄连温胆汤).Idiosyncratic type of insomnia is a type of insomnia which is easy to be awake at a specific time,and most people are awake when Jueyin wants to be relieved.Treatment should be directed to tighten up Jueyin and elevate Shaoyang,with prescriptions such as Wumei Pill(乌梅丸)and Danggui Sini Decoction(当归四逆汤).
five evolutive phases and six climatic factorsthree yins and three yangsthe opening,closing and pivotsthe time for six-meridians diseases to resolvefalling sleep type insomniapersistent type insomniaearly awakening type insomniaidiosyncratic type in
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