The differentiation and treatment thoughts of insomnia based on the theory of"Junhuo Yi Ming,Xianghuo Yi Wei"
Insomnia is a common clinical disease in modern medicine.It is mainly characterized by difficulties in falling asleep,waking up from time to time,being unable to sleep after waking up,and even having trouble falling asleep all night.Insomnia can cause daytime dysfunction,and is also one of the important risk factors for the occurrence and development of a variety of chronic diseases.With the increasing pressure of social competition,the incidence rate of insomnia is on the rise,seriously affecting the physical and mental health of patients.At present,Western medicine mainly treats insomnia with sedatives and sleepers,but their long-term use carries a certain risk of drug dependence and adverse reactions.Compared with Western medicine,traditional Chinese medicine has the advantages of better curative effects,individualization,high safety,no obvious adverse reactions,and low price.Traditional Chinese medicine believes that the key pathogenesis of insomnia lies in the inability of Yang(阳)to enter Yin(阴),the lack of coordination between Yin and Yang,and disturbance of the mental activity.The heart has the responsibility of a sovereign and is responsible for managing the mental activity,which is where the Junhuo(君火)is.The liver and kidney are responsible for assisting the sovereign,which is where the Xianghuo(相火)is.When the sovereign and the minister are in their own positions,Yin and Yang will be harmonious,and sleep will be normal.When the Junhuo is hyperactive and the Xianghuo is out of position,it can cause the mental activity to be disturbed and then cause insomnia.In terms of treatment,the methods of clearing the heart and reducing fire to calm the heart,nourishing the liver and kidney to nourish the heart and calm the mind,and communicating the heart and kidney to regulate Yin and Yang should be selected according to the pathogenesis,so as to restore the state of"Junhuo Yi Ming,Xianghuo Yi Wei"(君火以明,相火以位).This article introduces and explores the treatment of insomnia from the perspective of"Junhuo Yi Ming,Xianghuo Yi Wei",in order to broaden the clinical diagnosis and treatment ideas.
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