| As the fast developing of modern society, people bear a lot of stress coming fromwork, life, study, etc. Insomnia has a higher morbidity year by year. The prolongedduration of sleeplessness severely affects the health quality of people, as well aspeople’s work, life, study. So far, western medicine has acquired great achievement intreating insomnia. More and more insomnia patients turn to receive the traditionalChinese medical treatment due to the addiction, tolerance and some other side effectsappeared in the clinical application.So,the author has collected a lot of literature andreference.The author recorded quantity of insomnia cases treated by the principle ofministernal fire,and systematicly summarized my tutor’s theoretical basis,pathogensisand mechnasim of disease, differentiation and classification, prescription andmedication combined with my inspiration and my tutor’s teaching to inherit professorZhang’s academic thought.On the basical direction of the academic thought,manymore patients will be benefited due to the effective curement methods.Under thedirection of Chinese medicine theories and on the basis of clinical experience,theproject deeply discusses insomnia.Enrich the Chinese medicine theory about insomnia.Research of the project not only provides valuable clinical experience,but alsoextensively spread academic thought of renowned doctors, so as to let moreinsomnia patients benefit the curement.There are six parts of the whole article.Part one: Generally speaking, insomnia means sleeplessness. The mainmanifestations are short sleep time and insufficient depth of sleep. The degree ofinsomnia varies in different levels. Difficult to sleep, easiness to wake up, or inabilityto sleep after waking up are the common main indications for the mild cases. Keepingawake all night occurs to the severe cases. Insomnia not only occurs independently,but also occurs accompanied with headache, dizziness, palpitation, amnesia and so on.Part two: The ancient physicians held multiple views about insomnia. Generally speaking, viscera of heart, liver, spleen and kidney have close relationship withinsomnia. Dysfunction of nutrient qi and defensive qi, imbalance between Yin andYang, dysfunction of blood and qi, emotional factors, are the main pathologicalmechanism of insomnia. Phlegm, stagnation, fire are the main pathological factors.The above comprehensive theories supply valuable principles to cure insomnia.Part three: Modern physicians have a rich and deeply understanding aboutinsomnia. Most doctors consider the heart as the location of insomnia. Some otherdoctors with modern medical opinions hold that emotional factors are the mainpathogenesis of insomnia. Liver has a close relation with human being’s emotions.Some doctors propose to treat insomnia from liver, some other doctors propose frombrain or liver and brain together.Intemperance of diet, abnormal of emotions,overstrain, over-thinking, old age and weakness are the basic pathological factors.Pathological changes of insomnia include of predominance of yang and decrease ofyin, separation of yin and yang. The treatment principle is to reinforce the astheniaelement and to reduce the sthenia element and regulate the yin-yang relation amongthe viscera.Part four: professor Zhang’s ministerial fire thought to treat insomnia.1.Thesource of ministerial fire and it’s psychological features.2.The pathological featuresof dysfunction ministerial fire.3.From the view of ministerial fire, it is because ofdisorder distribution of ministerial fire to cause insomnia.4.Holystic opinion andcooperation between Sovereign fire and Ministerial fire should be taken account intreating insomnia.5.Nondrug methods should be applied and play an important role inclinical practice.Part five: tapes of differentiation in treating insomnia by professor HuailiangZhang’s ministerial fire theory. Five types:1. Insufficient of liver blood,pathologicalfire can’t be put down,the principles include of nurishing liver by cultivatingblood,claming down the heart spirit,Bugan Tang can be as the basicprescription.2.Stagnation of Liver Qi,accompanied with flaming of gallbladderfire,Xiaochaihu decocration can be applied as the basic prescription with theprinciples of dredging liver Qi and deminishing fire to clam down heartspirit.3.Modification of Xiao chaihu decoction and Guizhi Gancao decoction are theprescriptions to treat insomnia caused by dysfunction of dispersing Shaoyang andimpaired diffusion of ministerial fire. Reinforcing the vital qi and warming the yang,smoothing the stagnation and calming down the spirit, are treatment principles.4.Modifaction of Yinhuo decoction is applied to cure insomnia caused byinsufficient of kidney vital essence and dysfunction of ministerial fire with treatmentprinciples of reinforcing vital essence and directing the fire to its origination place.5Qiju Dihuang Decoction is applied to cure insomnia caused by insufficient of Liverand kidney’s vital essence and flourishing upward fire. Reinforcing Liver-kidney andnourishing yin and calming down disordered yang are the treatment principles.Part six: Professor Huailiang Zhang’s summary of clinical experience to treatinsomnia with the ministerial fire theory. |