The Syndromes And Symptoms Of Insomnia Syndrome Analysis And Research

Insomnia is a frequent symptom of dyssomnia, named"sleeplessness"in traditional chinese medicine, of which the attack rate is go up on and on recently. It affects the human health, living and efficiency especially. For clinical manifestation, the insomnia includes difficulty falling asleep, festless sleep and early wake. The theoretical study includes epidemiology feature of each kind of insomnia, and summary of traditional cognition to insomnia. The clinical research includes epidemiologic study, symptom study and syndrome study of each kind of insomnia.1 Theoretical Study1.1 Epidemiology characteristic of insomniaAbout age, the aged is the main crowd of insomnia, and difficulty falling asleep and festless sleep is about 30%, and early wake is less, about 20%.But the middle-Age people are increasing for delivery pressure is increasing. About sexuality, the attack rate of insomnia of female is super than male. About occupation, night shift staff and high pressure worker of insomnia is increasing year after year. The insomnia is connected with a lot of disease, and the incidence of kinds of insomnia is different.1.2 Mechanism of insomniaAbout the mechanism of insomnia, there are yingqi and weiqi hypothesis, Yin Yang hypothesis, entrails hypothesis in the traditional chinese medicine.Of the hypotheses, entrails hypothesis is studied mostly, and is applied to the clinical and teaching.But the traditional chinese medicine didn't discuss the different or identical of each kind of insomnia in determination of treatment based in pathogenesis obtained through differentiation of symptoms and signs. The different and identical should be disscuss penetratingly, of which is beneficial to consummate measure of treating insomnia through modern medicine and traditional chinese medicine.2 Clinical StudyThe clinical research is on epidemiology, symptomatology and syndrome Characteristics of insomnia, and compares each kind of insomnia from the above-mentioned aspects. By clinical manifestation, the insomnia is divided into difficulty falling asleep group, restless sleep group, early wake group and poly-symptom group.2.1 The study of epidemical survey of insomniaAbout sexuality distribution,the number of the male is 60, the female is 138, and the female is about twice to the male, there is no difference in the three kinds of insomnia.About age distribution, the frequency is maxlmum aged between 18 and 30, about 32.8%, and then aged between 31 and 40, about 30.3%, that is to say, the postadolescence of insomnia occupy 60%,for the crowd assume living and delivery pressure extremely. The early wake group mailnly found in aged people aged over 50, is different from others mainly found in middle-aged people aged between 18 and 40.About educational level, the ratio of undergraduate student is the most, about 60%,and then is senior middle school, national school and postgraduate in turn, which is due to the educational level is promoted yearly, but the employment is not improved. Each kind of insomnia are identical.About occupation, the ratio of businessman is the most, about 22.7%,and engineering personnel, about 22.2%, and others is less than 20%.The ratio of each kind is different in each occupation, festless sleep and early wake mainly take place in the businessman, and the other professions are identical.About marriage state, the married are more than the unmarried, and each kind of insomnia is different in distribution, in difficulty falling asleep group the unmarried is more than the married,and the others is opposite. 2.2 The study on symptom of InsomniaThe symptoms of insomnia are complicated, and concerned to heart,liver,spleen and kidney.The number of symptoms, whose frequency is over 30%, are 44, and the number, whose frequency is over 50%, is 7, the symptoms are no consciousness, aching pain of lumbar vertebrae, descence of memory, dread to cold weather, restless, dizziness to stand up,and muscular soreness.The frequency of symptoms in each group is also different. The number of which frequency is over 30% is 48 in difficulty falling asleep group, and 39 in festless sleep group, 41 in early wake group, and 49 in poly-symptom group.All in all, the items of symptoms is more in difficulty falling asleep group and poly-symptom group than others, and more complicated too.2.3 The study on syndrome Characteristics of InsomniaBy analyse and differentiate pathological conditions in accordance with the dight principal syndromes, the simple asthenia syndrome or sthenia syndrome is less than compounded syndrome. And both of them are distributed uniformly in each group, that is sthenia syndrome is more than asthenia syndrome more or less. By syndrome differentiation of body fluid and syndrome differentiation of Qi and blood, the number of Qi stagnant, Qi deficiency, blood stasis, body fluid deficiency, turbid phlegm, turbid damp, and blood deficiency, which demonstrate insomnia is due to functional disorder of QI and blood and running disorder of body fluid. Qi stagnant and Qi deficiency play an important role in the difficulty falling asleep group, which demonstrate that although the group take the most cases and the most complicated symptoms, for the cause is Qi.The festless sleep group owe to body fluid deficiency and Qi stagnant, which is accord with the frequency distribution of symptoms. The early wake group is due to Qi stagnant and blood stasis, which is consistent with the original research. The course of disease of poly-symptom group is more longer than others, and blood stasis is the most syndrome.By syndrome differentiation of entrails, insomnia is a disease concerned to multisystem, includes sthenia syndrome and asthenia syndrome of heart, heart and kidney, Stagnation of Qi due to depression of the liver play the most important role, the frequency of which is above 50%, and then are asthenia syndromes including the renal deficiency, deficiency of heart, and hepatic asthenia, and then are the sthenia syndromes including stagnation of the gallbladder-Qi and disturbance of phlegm, stagnant blood of cerebullar collaterals, hyperactivity of cardiac fire, hepatochlic hygropyrexia, excessive rising of liver-YANG,hyperactivity of liver-YANG and hyperactivity of hepatic fire.The asthenia syndromes are not obviously differente, but the sthenia syndromes are different. Stagnation of QI due to depression of the liver play the most important role in the in difficulty falling asleep group, stagnation of the gallbladder-QI and disturbance of phlegm in festless sleep group, hyperactivity of cardiac fire in the early wake group, and stagnant blood of cerebullar collaterals in the poly-symptoms.