| Modern researches consider that psychological stress factor is one of the most important reasons which produce and affect insomnia. There is no perfect cure by now, so traditional Chinese medicine is expected to find a better therapy about insomnia. In the mainland researches have been done in the epidemical features, symptoms, TCM syndrome, prognosis of insomnia, etc. However, there still are not many researches on the topic. 1. Theoretical Study . 1.1S uccessive changes of the name of Insomnia in the past dynasties There were many kinds of names about Insomnia from Chunqiu Period to Qing Dynasty. And there were a lot of descriptions about Insomnia in the famous Chinese medical books such as Huangdi's Internal Classics, Treatise on Febrile Diseases, Difficult Classic and so on. The first name of the "Shimian" appeared in the Tang Dynasty. 1.2 The basic theories of Insomnia in traditional Chinese medical science There are some theories about insomnia in the Chinese medical books. They are Yin Yan hypothesis,yingqi and weiqi hypothesis , Spirit Storage hypothesis and encephalon hypothesis. 1.3The symptom and diagnosticate features of Insomnia in the traditional Chinese medical science When treating Insomnia, we ought to distinguish the excess and deficiency of the diseaes. Because when the organism is insufficient of vital energy and blood, the mind will loss the support. And when the organism is asthenic in Yin, it will cause the predominant Yang and result in the endogeny of adynamic fever. When the organism is asthenic in Yang, it will cause Yin sthenia and be not peaceful in mind. When the organism is deficient of Kidney-Yin, it will cause hyperactivity of cardiac fire. All of those syndromes will agitate the mind and cause Insomnia. Every deficient syndromes of Insomnia result from the deficiency of vital energy, yin asthenia, yang asthenia, and blood deficiency, so we ought to strengthen body resistance primarily and calm the nerves secondary. Most sthenia syndromes of Insomnia result from turbid phlegm, food mass and stagnant worm mass, so we ought to clear heat and pathogenic fire and dissipate phlegm primarily. 1.4 The contemporary determination of treatment based in pathogenesis obtained through differentiation of symptoms and signs In the traditional Chinese medical science, we dividatur the etiopathogenisis and pathogenesis into six patterns of syndrome as "Pathogenic Fire Derived from Stagnation of Liver-Qi", "Excessive Heart Fire", "Endogeny of Phlegm and Heat", "Asthenic Yin Causing Excessive Pyrexia", "Deficiency of Both Heart and Spleen". 2. Clinical Study 2.1The epidemical survey of insomnia in Chinese medicine clinics of Taiwan In this research, we investigated 417 cases of Chinese medical clinics in Taiwan, among which there are 74 insomnia cases, and the incidence rate is about 17.75%. In the sex distribution, the amount of females is larger than males.e And the incidence rate is highest in the age group of 31 to 40. In the age groups of 21-30 and 31-40 the incidence rates are average. In occupations, the incidence rates are higher in job-waitings and program -designers than office clerks , students, teachers and business men. And the incidence rate increases with education level, but it could be associated with the education condition of Taiwan. 2.2 The study on symptom of Insomnia in Taiwan Through analyzing the 74 cases, we compared the symptoms for their incidence rates. There are 39 common clinical symptoms for insomnia, including agrypnia, lassitude, degression of the faculty of memory, inattentions, deficient breath, petulancy, testiness, short breath, spontaneous perspiration, limbs anesthesia, aching pain of lumbar vertebrae, halitosis, drowsiness, chest distress, qualm, pachulosis, algomenorrhea, alopecie, restlessness, abdominal distention, etc. Compared with the normal group, the symptoms of two groups are different evidently. 2.3 The study on TCM syndrome Characteristics of Insomnia in Taiwan This study discusses characteristics of Insomnia syndrome in Ta... |
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