The Survey And Analysis Of Insomnia Patients' Corporeity And The Pattern Of Syndrome

Sleeping is a physiological process of human body. It takes up one third of our life time and it is an important links of recover, conformity and consolidating memory. There are more and more sleeping disorders with the increasing level of modernization, the quicken pace of life, more night life and the increasing psychological pressure. Insomnia requires a long period of treatment. The main step of treating insomnia under modern medicine is receiving sedative and hypnotic. Although differetiation of TCM symptoms and signs could percipitate its individualized therapy, it would show its bad compliance for a long period of treatment. It would more embodies the "treating disease from the root" after we adjusted the ambalance body. A new idea will be supported for solving the complicated sleeping problem by the priority of TCM.Part one Literature ResearchThis paper summarized the name, pathogenesis, treatment of insomnia in TCM and modern traditional Chinese medical physician's achievements. It alao summed up the domestic and foreign scholars's progress on the epidemiology, etio-logy, pathology, pathogenesis, diagnosis and treatment, and the research trend and direction of insomnia, in our country or abroad now. It is said that there were a lot of factors would lead to insomnia. The inner quanlity is closely ralated to constitution.Part two clinical and experimental research1. Objective:The survey and analysis of insomia patients'corporeity and the pattern of syndrome. We will make a special effort to investigate the relativity of corpreity and pattern of syndrome. 2. Methods:158 patients who comply with a standard of CCMD-3 are collected. On the basis of the syndrome classification from the Chinese Internal Medicine, they have been divided in to 4 groups such as liver fire harassing the heart, hearts dis-turbed by phlegmy, insufficiency of heart and spleen, strong virtual fire. Patients should be evaluated by PSQI.3. Results:1)There were 67 male and 91 female. There were 100 people in control group.2) 53.8% insomnia patients have problems in maintenance stage. There were about 23.4% and 22.8% insomnia patients have problems in falling asleep and premature awake. Over 80% insomnia patients have doldrums and tiredness. Therefore doldrums and tiredness are the main symptoms of the diurnal residual effects(serious in the morning).3)There were 38.6% insomnia patients differentiated liver fire harassing the heart. But the insomnia patients in insufficiency of heart and spleen just occupy 10.8%. Patients in strong virtual fire have the longest disease processes and the difference has statistical significance compared with other three syndrome types.4) Patients in strong virtual fire had.the worst level of insomnia, shorter sleep time and lower sleep efficiency.5)The distribution of insomnia patients'corporeity showed that there were 25.3% patients in obstruction of the circulation of vital energy. Gentle, dificiency of yin, damp-heat and deficiency of yang were in proper sequence.6) It is found that patients in gentle had the negative correlation of PSQI's factors.4. Conclusion:Most patients under stagnation of liver-qi in ealy stage of insomnia. As the course of disease prolonged, fire-transmission and dampness would appear more than the beginning, especially strong virtual fire. Insomnia had a closely relationship between gentle, deficiency of yin and damp heat.