YANG Zhi-Min's Experience in Differentiating and Treating Insomnia Based on the Generation,Dispersion,Divergence and Aggregation of Nutritive qi and Defensive qi
10.13359/j.cnki.gzxbtcm.2024.08.035
- VernacularTitle:杨志敏基于营卫输布离合辨治失眠经验
- Author:
Xiao-Xuan ZHANG
1
;
Jin-Xiu CHEN
;
Shi-Ya HUANG
;
Hua-Hua GUAN
;
Bi-Yun XU
;
Fu-Ping XU
;
Jia-Min YUAN
;
Zhi-Min YANG
Author Information
1. 省部共建中医湿证国家重点实验室/广州中医药大学第二附属医院,广东广州 510120
- Keywords:
insomnia;
disharmony between nutritive qi(ying)and defensive qi(wei);
function of ying-wei in the generation,dispersion,divergence and aggregation;
Guizhi Decoction;
Mahuang Decoction;
Xiao Chaihu Decoction;
Rhei Radix et Rhizoma;
Gypsum Fibrosum;
YANG Zhi-M
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(8):2179-2183
- CountryChina
- Language:Chinese
-
Abstract:
Disharmony between nutritive qi(ying)and defensive qi(wei)is the core pathogenesis of insomnia.The normal function of ying-wei in the generation,dispersion,divergence and aggregation is the precondition for the realization of the coordination between ying and wei.The disordered function of ying-wei in the generation,dispersion,divergence and aggregation will cause the disharmony between ying and wei,and then the insomnia occurs.For the treatment of insomnia caused by the disordered function of ying-wei in the generation,Guizhi Decoction associated prescriptions are used for strengthening middle energizer and nourishing ying and wei.For the treatment of insomnia caused by the disordered function of ying-wei in the dispersion,Mahuang Decoction associated prescriptions are used to relieve the exterior and eliminate the pathogen for insomnia patients with the manifestations of the attack of exopathogens,and Xiao Chaihu Decoction associated prescriptions are used to dredge the triple energizer for insomnia patients with the dysfunction of the triple energizer.For the treatment of insomnia caused by the disordered function of ying-wei in the divergence,Rhei Radix et Rhizoma associated bitter-cold prescriptions are used to purge the interior heat for insomnia patients with abundant interior heat syndrome,Gypsum Fibrosum associated pungent-cold prescriptions are used to release muscles and clear heat for insomnia patients with the interior heat complicated by exterior syndrome,Natrii Sulfas Exsiccatus associated salty-cold prescriptions are used to clear heat,moisten dryness and dissipate the masses for insomnia patients with interior heat complicated by dryness syndrome,sour-cold medicines are used to clear heat and remove retained water,supplement deficiency and relieve exterior for insomnia patients with interior heat complicated by water-retention syndrome,deficiency syndrome and exterior syndrome,and Ophiopogonis Radix associated prescriptions and Lillli Bulbus associated prescriptions are used to clear heat and nourish ying for insomnia patients with the consumption of ying and yin.For the treatment of insomnia caused by the disordered function of ying-wei in the aggregation,the compatibility of Poria and Cinnamomi Ramulus is used for warming yang and resolving fluid retention in patients with fluid retention,Taohong Siwu Decoction associated prescriptions are used to activate blood and remove stasis in patients with predominance of blood stasis syndrome,the compatibility of Poria and Paeoniae Radix Alba are used to treat retained water and blood stasis in patients with water-blood co-morbidity.Treating insomnia caused by disharmony between ying and wei from the perspective of the function of ying-wei in the generation,dispersion,divergence and aggregation is aimed at the core pathogenesis of insomnia,which makes the treatment easy to be carried out,and can provide reference for clinical differentiation and treatment of insomnia.
