Objective:To study the etiology and pathogenesis of insomnia with phlegm syndrome,and to summarize its clinical syndrome and treatment law.Methods:The etiology,pathogenesis and treatment of insomnia in western medicine and TCM were reviewed in this paper.Searching about treatment of insomnia with phlegm syndrome from ancient literature and modern clinical reports,explore the theoretical basis from the treatment of insomnia with phlegm syndrome.On this basis,combining with the advisor’s experience,summarize the clinical syndrome and treatment law of this kind of insomnia,and through the medical cases analysis,identify the clinical curative effect of treatment of insomnia with phlegm syndrome.Results:Emotion and diet intemperance and physical factors were the cause of the phlegm creating.The dysfunction of viscera and the circulatory disturbance of liquid and Qi in the body are the basic of phlegm creating.The phlegm is divided into cold and hot nature.The clinical manifestation of insomnia with cold phlegm syndrome is characterized by phlegm with cold nature,which treat by regulating the flow of Qi to eliminate phlegm,and the using Wen Dan Tang to treat it.The clinical manifestation of insomnia with hot phlegm syndrome are mainly characterized by the heat syndrome and the treatment is clearing hot phlegm,and the using prescription is Huang Lian Wen Dan Tang.The clinical manifestations of insomnia with more hot phlegm,which can be cured by purging fire and eliminating phlegm,and using Meng Shi Gun Tan Wan to treat it.It should combine many treatments to treat insomnia with phlegm syndrome.Conclusion:The treatment base on the insomnia with hot or cold phlegm syndrome,to distinguish the phlegm’s type,and clip combination,on the basis of reasonable choose medication,to enrich the connotation of insomnia with phlegm syndrome,guiding the clinical application of insomnia with phlegm syndrome. |