Insomnia Etiology,differentiation and treatment
Insomnia Etiology, differentiation and treatment
Concept Difficulty in getting to sleep Easy to wake up and unable to sleep again after waking Dream disturbing sleeping Sleeplessness during the whole night Signs and symptoms:insomnia, dream disturbing sleeping,dizziness headache,failing memory
Concept Difficulty in getting to sleep Easy to wake up and unable to sleep again after waking Dream disturbing sleeping Sleeplessness during the whole night Signs and symptoms: insomnia, dream disturbing sleeping, dizziness, headache, failing memory
Refered disease: neurasthenia
Refered disease: neurasthenia
Etiology and Pathogenesis Over thinking deficiency of-deficiency of Over working heart and spleen qi and blood Weakness constitution malnutrition of dysfunction of Zangfu-kidney heart mental After a disease Yin deficiency insomnia fear of gallbladder and heart Terror,grief-abnormal- fire'in disturbing movement of qi liver and heart heart mental Improper diet-dysfunctionof-produce stomach phlegm and heat
Etiology and Pathogenesis Over thinking deficiency of -deficiency of Over working heart and spleen qi and blood Weakness constitution malnutrition of dysfunction of Zangfu—kidney heart mental After a disease Yin deficiency insomnia fear of gallbladder and heart Terror, grief-abnormal - fire in disturbing movement of qi liver and heart heart mental Improper diet-dysfunction of -produce stomach phlegm and heat
Etiology and Pathogenesis "heart mental"is the key Types of insomnia is based on excess and deficiency: (1)deficiency (malnutrition):heart. spleen、kidney、gallbladder (2)excess (being disturbed):heart, liver、stomach (3)combination:disharmony of kidney and heart
Etiology and Pathogenesis “heart mental”is the key Types of insomnia is based on excess and deficiency: (1) deficiency（malnutrition）：heart、 spleen、kidney、gallbladder (2) excess（being disturbed）：heart、 liver、stomach (3)combination：disharmony of kidney and heart
Differentiation Deficiency of Heart and Spleen Main manifestations: difficulty in going to sleep,easy to wake up with excessive dreams during sleep. Accompanying Symptoms and Signs: palpitations,amnesia,spontaneous sweating, lusterless complexion,fatigue,weakness,abdominal distension,loose stool. Tongue and Pulse: a pale tongue with a thin whitish coating,a thready and weak pulse
Differentiation Deficiency of Heart and Spleen Main manifestations: difficulty in going to sleep, easy to wake up with excessive dreams during sleep. Accompanying Symptoms and Signs: palpitations, amnesia, spontaneous sweating, lusterless complexion, fatigue, weakness, abdominal distension, loose stool. Tongue and Pulse: a pale tongue with a thin whitish coating, a thready and weak pulse
Differentiation Disharmony of kidney and heart Main manifestations: Insomnia,restlessness,or easy to wake up after a short sleep. Accompanying Symptoms and Signs: Hot sensation in the palms and soles,severe palpitation,night sweating,a dry mouth and throat, dizziness,tinnitus,amnesia,seminal emission, soreness and weakness of the waist and knees. Tongue and Pulse: a red tongue,a thready rapid pulse
Differentiation Disharmony of kidney and heart Main manifestations: Insomnia, restlessness, or easy to wake up after a short sleep. Accompanying Symptoms and Signs: Hot sensation in the palms and soles, severe palpitation, night sweating, a dry mouth and throat, dizziness, tinnitus, amnesia, seminal emission, soreness and weakness of the waist and knees. Tongue and Pulse: a red tongue, a thready rapid pulse
Differentiation Fear of gallbladder and heart Main manifestation: dream disturbing sleeping Accompanying symptom and signs: easy to be feared,shortness of breathing, difficult to make a decision Tongue and Pulse: a pale tongue,a wiry and thready pulse
Differentiation Fear of gallbladder and heart Main manifestation: dream disturbing sleeping Accompanying symptom and signs: easy to be feared, shortness of breathing, difficult to make a decision Tongue and Pulse: a pale tongue, a wiry and thready pulse
Differentiation Flaring-up of excessive Liver Fire Main manifestation: sleeplessness with dizziness and headache Accompanying symptom and signs: irritability and easy to be scared,redness of the eyes,tinnitus,a bitter taste in the mouth, hypochondriac pain Tongue and Pulse: a red tongue with a thin yellowish coating,a wiry and rapid pulse
Differentiation Flaring-up of excessive Liver Fire Main manifestation: sleeplessness with dizziness and headache Accompanying symptom and signs: irritability and easy to be scared, redness of the eyes, tinnitus, a bitter taste in the mouth, hypochondriac pain Tongue and Pulse: a red tongue with a thin yellowish coating, a wiry and rapid pulse
Differentiation Dysfunction of stomach,Phlegm and heat disturbing Main manifestations: restlessness and insomnia Accompanying symptoms and signs: vexation with a full sensation in the heart, gastric distension,belching,dizziness,even vomiting with phlegm Tongue and pulse diagnosis: a yellow and greasy tongue coating ,a slippery or wiry pulse
Differentiation Dysfunction of stomach, Phlegm and heat disturbing Main manifestations: restlessness and insomnia Accompanying symptoms and signs: vexation with a full sensation in the heart, gastric distension, belching, dizziness, even vomiting with phlegm Tongue and pulse diagnosis: a yellow and greasy tongue coating ,a slippery or wiry pulse