Why do you say that if you can't get through the middle focus and the lung qi doesn't drop, insomnia will come? After reading the following case, you will understand!
Patient Ms. Liu, 46 years old this year, insomnia has been intermittent for 10 years, every day when she comes home from work, she is obviously very tired, but she can't sleep when she lies in bed, even if she falls asleep, she will have a lot of dreams, and it is easy to wake up, especially between 3-5 o'clock in the morning, the effect of local conditioning for many years is not ideal. In short, either it has no effect, or it relapses after stopping the drug, so the first thing patients say when they come to me is "I just want to sleep well".
Traditional Chinese medicine believes that most of the problems of insomnia are related to mental restlessness, so if it is early insomnia, it is good to use drugs to nourish the heart and calm the nerves, but patients with recurrent intractable insomnia should not only see the problems of the mind, but should start from the whole
After a detailed consultation, I learned that in addition to the problem of insomnia, the patient is usually accompanied by a dry cough and less phlegm, the throat is always itchy, and when it feels itchy, it will cough, in addition to the frequent number of nights, dry mouth and thirst, fatigue, night sweats, dizziness and tinnitus, the tongue image shows that the tongue coating in the tongue is thick and greasy and white, the tongue is fat and has tooth marks, and the front of the tongue is swollen.
Traditional Chinese medicine says that when yang enters yin, sleep is actually the process of yang qi hidden in yin, but due to the lack of communication in the middle of the patient, the spleen and stomach are damp, and the dampness accumulates and dissolves phlegm, and the phlegm and dampness are lost in the lungs, the lung qi cannot fall, and the process of yang entering yin is stuck in the stage of lung qi decline, so insomnia and dry cough and itchy throat will occur, and 3-5 o'clock in the morning is the time when the lungs are in order, so the patient will always wake up during this time period
Therefore, the conditioning should be mainly to reduce lung qi, strengthen the spleen, dispel dampness and dissolve phlegm, and give Sanzi Yangqin Tang and Liujunzi Tang to add or subtract, among which sulforaphane seeds and perilla seeds have the effect of lowering gas and dissolving phlegm, and white mustard seeds can warm the lungs and dissolve phlegm; while tangerine peel and banxia can regulate qi, dry and damp phlegm, and help regulate qi; codonopsis, poria cocos, atractylodes, and licorice root invigorate qi and strengthen the spleen, and open up Zhongjiao; finally, wheat Dong and Schisandra chinensis nourish yin and nourish yin, nourish yin and moisten the lungs, and can also restrict the warm and dry medicinal properties of Banxia and white mustard seeds
After taking 5 doses, the patient reported that his sleep had improved, and he no longer had night sweats, and the rest of the symptoms had improved.