The syndrome differentiation and treatment thought of Yang deficiency type insomnia
Insomnia is a very common disease,which is called insomnia in Western medicine.TCM believes that the etiology and pathogenesis of this disease are mainly fire hyperactivity,Yin(阴)deficiency and Qi(气)and blood deficiency,while Yang(阳)deficiency caused by insomnia is rare.In recent years,due to the changes of living and eating habits of people,such as raw and cold diet,cold drugs and antibiotics abuse,staying up late and reducing exercise,Yang Qi in the body is constantly losing,there are more and more people with Yang deficiency physique,and Yang deficiency type insomnia patients are also gradually increasing.Therefore,the author consulted data and combined with clinical practice,comprehensively expounded Yang deficiency type insomnia from the perspectives of the theoretical origin,theoretical formation,etiology and pathogenesis,differential diagnosis,clinical treatment and case analysis,so as to solve clinical concerns.The author believes that Yang deficiency type insomnia can be divided into positive insomnia and negative insomnia.The pathogenesis of positive insomnia is Yang deficiency,resulting in unquiet state of mind due to hyperactive fire floating outside.The pathogenesis of negative insomnia is the deficiency of Yang Qi,resulting in restlessness after endogenous deficiency.In the analysis of pathogenesis,the two should be distinguished.The author differentiates Yang deficiency type insomnia and other insomnia types such as heart fire burning type,liver fire disturbing the heart type,liver stagnation and spleen deficiency type,phlegm-heat disturbing mind type,Qi and blood deficiency type,liver blood deficiency type,Yin deficiency and fire hyperactivity type.At the same time,according to the pathogenesis of many Yang deficiency type insomnia patients in today's society,the Qianyang Anshen decoction(潜阳安神汤)was prescribed clinically.This prescription has the effects of warming and tonifying spleen and kidney,restoring Yang Qi,and absorbing deficiency fire.It is supplemented with Fuzi Lizhong Wan(附子理中丸)or Jingui Shenqi Wan(金匮肾气丸)in clinic based on syndrome differentiation.This method has achieved good curative effects in clinical practice,and relieves the troubles of patients with Yang deficiency type insomnia.
万方数据
维普
