Sleep is an indispensable and important part of human life activities. It affects people's normal work, life and study, and can even induce symptoms such as dizziness, headache, lethargy, memory loss, etc., affecting people's health and well-being. our health.
Among the symptoms of insomnia, one type is more common, that is, the state of "lying without sleep, half asleep and half awake".
This is the case for a patient friend who recently came to see a doctor. He said that at night, he felt weak and wanted to lie down early, but after lying on the bed, he couldn't sleep deeply. Even if you said he was asleep, it didn't count. He would wake up as long as there was the slightest movement next to him, and he would even wake up even if he didn't sleep. When dreaming, you are also clearly aware that you are dreaming. You said you didn't fall asleep, but that doesn't seem right, because your whole body feels heavy, and after waking up in the middle of the night, you start to dream again. In short, I spent the entire night in this state of half-asleep, half-awake, half-awake.
In fact, what this state affects the most is the quality of sleep, which leads to extremely poor sleep quality. As a result, because of poor sleep, I am always out of state at work during the day, and my attention is lost when chatting with friends without saying a few words. Gone.
In fact, there are many reasons for this kind of phenomenon, among which insufficient heart yin and empty fire in the heart are the most common.
Our heart governs the gods. If the gods are peaceful, sleep will be peaceful. Otherwise, we will not be able to sleep well. Just as the "Huangdi Neijing" says, "If the mind is restless, there will be insomnia." , then you have insomnia. The clinical practice summaries of doctors of past dynasties also believe that normal human sleep is controlled by the spirit hidden in the heart. If the heart does not hide the spirit, the mind will lose its peace and normal sleep of the human body will be impossible. Therefore, regulating the mind is one of the important means of treating insomnia.
The heart is divided into heart yin and heart yang. Le Qisheng’s traditional Chinese medicine team vividly said that heart yin is actually a manifestation of heart qi, which is the quiet, moist, and nourishing heart function. , restrained side. On the other hand, Xin Yang is on the more active side. Under normal circumstances, yin and yang maintain a dynamic balance so that the heart will not be too dry or too quiet. This is a prerequisite for ensuring normal sleep.
However, if the heart yin is insufficient, the heart will be too "dry", and in comparison, the yang energy will appear to be overwhelming, resulting in the generation of empty fire in the heart. For example, in extremely dry weather, fires can easily break out in deep forests, and firewood can burn easily. When the virtual fire disturbs the mind, the above-mentioned state of lying awake, half asleep and half awake will naturally occur.
Moreover, in addition to insomnia, people with insufficient heart yin often have other symptoms. For example, upset, palpitations, thirst, night sweats or tongue pain, mouth ulcers, etc.
Insufficient heart yin, empty fire disturbs the mind, and there seems to be a "fire" in the body. It is easy to get upset in daily life, and it seems that no matter where you look, you don't like it. When you encounter something that makes you unhappy, your temper will change. It explodes at one point. If the heart yin is insufficient and the heart qi is abnormal, the heart will "beat randomly", leading to palpitations. In addition, the deficiency of heat in the heart and the loss of fluids will lead to thirst, especially in the middle of the night when you can't sleep, you will be very thirsty and have to get up to drink water. Or you may feel your body getting hot, which may be most obvious in the afternoon.
So, how does Chinese medicine treat this situation?
For insomnia caused by simple deficiency of heart yin and endogenous deficiency heat, Baihe Dihuang Decoction can be used to treat it. Baihe Dihuang Decoction is derived from "The Synopsis of the Golden Chamber" and is mainly used to treat lily disease, which is a disease. Symptoms include "cannot lie down when trying to sleep, unable to walk when trying to walk" and "cannot lie down when trying to walk". Among them, lily is sweet in taste and neutral in nature. It can replenish deficiency and clear away heat, clear the heart and calm the mind. It is a good medicine that can clear the heart and moisturize the lungs, replenish qi and calm the mind. Modern Pharmacology Studies have shown that lily glycosides in lilies have a sedative effect and can improve the quality of sleep; rehmannia glutinosa nourishes heart yin, clears away heat and cools blood. The Chinese medicine team of Le Qisheng believes that lily combined with rehmannia glutinosa can nourish the blood and cool the blood, nourish yin, moisten dryness and relieve troubles.
It should be noted that in the pathogenesis of internal heat due to yin deficiency, deficiency is yin deficiency, but internal heat may include deficiency heat, residual heat, and stagnation heat. In addition to insufficient heart yin, it may also be accompanied by There are other concurrent syndromes, so clinical treatment requires dialectical addition and subtraction, or the combination of several prescriptions.
For example, for patients with severe heat symptoms such as yin deficiency and excessive fire, asthenia, dry mouth and bitter mouth, you can choose to add or subtract Coptis Ejiao Decoction, Zhusha Anshen Pills, Lily Anemarrhena Decoction, and Baihe Dihuang Decoction; If the heat signs of yin deficiency and fire exuberance are not obvious, Tianwang Buxin Dan or Baizi Yangxin Pills are often used. If heart yin is insufficient and liver qi is not harmonious, and the internal organs are agitated, often accompanied by mental trance, joy and sadness, Ganmai Da can be used. Modification of Zao Zao Decoction; for patients with insufficient liver blood and internal disturbance of deficiency and heat, modification of Suanzaoren Tang; for patients with insufficient Qi and blood and deficiency of the heart and spleen, modification of Guipi Decoction or Siwu Anshen Decoction.
For example, Ms. Li, 46 years old, who came to the clinic some time ago, said she had been suffering from insomnia for more than half a year. She could only sleep 2-3 hours a night, accompanied by chaotic dreams and listlessness during the day. Dizziness, palpitations, hot flashes and night sweats, dry mouth, dry stools, hot hands, feet, and palms; a red tongue with less coating can be seen. Treatment is to nourish yin and blood, nourish the heart and calm the mind.
Recipe: Suizaoren Decoction, Lily Rehmannia Decoction and Ganmai Dazao Decoction. Additions and subtractions: Suanzaoren, Salvia Miltiorrhiza, Lily, Rehmannia glutinosa, Anemarrhena, wolfberry, licorice, Poria, jujube, mother-of-pearl. (decoct first), Huaimai wheat, Noctis noctus; 7 doses, 1 dose per day, decoct in water and take.
During the second consultation, Ms. Li reported that her insomnia had improved. After taking Chinese medicine, she could now sleep for more than four hours. Her palpitations and dizziness were relieved, but she was still upset and depressed. Her tongue was red and had a moist coating. Add Albizia Julibrissin bark and Albizia Julibrissin flowers to the top, adjust the prescription, and instruct you to continue taking 14 doses.
Third diagnosis: After taking the prescription, Ms. Li complained that she could sleep for more than 6 hours, and her sleep was deeper and the quality of sleep was better. The other symptoms disappeared and the effect was not changed. She was instructed to continue taking 14 doses of the prescription. Consolidate treatment.
In fact, the patient in this case, Ms. Li, is 46 years old. She is about to die of Tiankui and is gradually depleting yin and blood. Therefore, she is prone to insomnia, dizziness, palpitations, palms and soles, and other symptoms of yin deficiency, internal heat, and mental failure. . According to the "Synopsis of the Golden Chamber", "For fatigue, fatigue, and inability to sleep, Suanzaoren Decoction can treat it." ", and used Baihe Dihuang Decoction to treat symptoms of heart and lung yin deficiency such as "cannot lie down if desired, unable to walk if desired". Therefore, three prescriptions are used in combination, including lily, rehmannia glutinosa, wolfberry, and jujube to nourish yin and nourish blood; anemarrhena and salvia miltiorrhiza to clear away heat and cool blood; poria, huai wheat, nocturnal vine, jujube kernel, and mother-of-pearl nourish the heart and calm the mind; Licorice harmonizes various medicines. The whole prescription has the effect of nourishing yin and blood, nourishing the heart and calming the nerves. However, the mood was still depressed during the second diagnosis, so Albizia Julibrissin peel and Albizia Julibrissinus were added to soothe depression, regulate qi, and calm the mind. The whole prescription hits the pathogenesis, so the symptoms after the second diagnosis are all Significant improvement.
In real life, many people with long-term insomnia take sleeping pills or sedative Chinese patent medicines to help them sleep, but still suffer from recurring insomnia. The reason is actually related to the complex and changeable etiology and pathogenesis of insomnia. The treatment of chronic insomnia is a complex and long-lasting process. First of all, whether you use classic prescriptions or empirical prescriptions, you need to add or subtract them according to the actual condition and the syndrome. You cannot copy the original prescription, and the dosage should be adjusted according to the person's syndrome. On the other hand, you can also learn from each other's strong points and improve the curative effect by combining them with other prescriptions.
Secondly, we must pay attention to psychological adjustment. Especially in modern society, young and middle-aged people are under great pressure, and the loneliness that the elderly may face will become negative factors leading to the occurrence of diseases. Only many Only through conditioning can the purpose of healing be achieved.
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