| Purpose:Follow the teacher in the clinic,to sum up the tutor’s use of nourishing the heart and soothing the liver and strengthening the spleen to treat insomnia diagnosis and treatment ideas and medication experience,and looking up and sorting out nearly 10 years of clinical literature on the treatment of insomnia with traditional Chinese medicine,to explore the law of Chinese medicine treatment of this disease,the combination of the two,in order to provide ideas for clinical treatment of insomnia.Material and method:(1)To collate and review the cases of insomnia treated by tutor,to study and summarize the idea and experience of tutor in the treatment of insomnia by nourishing the heart and soothing the liver and strengthening the spleen.(2)From January 1,2009 to November30,2019,"insomnia AND traditional Chinese medical science "," sleepless AND traditional Chinese medical science ","insomnia AND traditional Chinese medicine ","sleepless AND traditional Chinese medicine " etc as the theme words to search the relevant literature of China National Knowledge Infrastructure(CNKI)for nearly 10 years.After obtaining the literature,it would be screened according to the inclusion and exclusion criteria.Data base was established by using EXCEL software to make statistics on the relevant information of literature and TCM syndromes,TCM,etc,the frequency of Chinese medicine syndromes,Chinese medicine involved in the literature were counted,and Chinese medicine category and the property,taste and channel tropism of high-frequency Chinese medicine(frequency >7)were counted.By using SPSS25.0 statistics software,the high-frequency traditional Chinese medicine category carried on the cluster analysis,the high-frequency traditional Chinese medicine carried on the factor analysis,so as to sum up and sort out the relevant content with traditional Chinese medicine treatment of insomnia.Results:1 Instructor uses the method of nourishing the heart,relieving the liver and strengthening the spleen to identify and treat insomnia.Mainly to nourish the heart and peace of mind throughout the treatment,and to soothe the liver and nourish blood,invigorating spleen and medium,using the self-made prescription to relieve depression and sleep,according to the specific symptoms to addition and subtraction the commonly used drugs such as Codonopsis,Astragalus,Longan meat,Radix Polygala,keel,oyster,Mother-of-pearl,Zhu Ru,the curative effect is clear.2 Analysis of TCM syndrome types of insomnia in the literature:A total of 134 articles were included in this paper,involving 26 types of TCM syndromes of insomnia,the first five types of syndromes with the highest frequency were phlegm-heat disturbing heart syndrome 27 times,Liver-fire disturbing heart syndrome 24 times,yin-deficiency fire flourishing syndrome22 times,heart and spleen deficiency syndrome 9 times,heart and chole qi deficiency syndrome 7 times.3 The frequency of use of various Chinese medicine for the treatment of insomnia: in the qualified literature,the total frequency of Chinese medicine used was 1550,involving 136 kinds of Chinese medicine,the frequency of use more than 50 times(including 50times)were6 kinds of traditional Chinese medicine,followed by Jujube kernel,liquorice,Bupleurum,Poria cocos,Polygala tenuifolia,Pinellia ternata.4 Analysis of the categories of traditional Chinese medicine for insomnia: included in the standard literature,the high-frequency traditional Chinese medicine(frequency >7)were classified,summed up 13 kinds of Chinese medicine categories,the highest frequency of the first three in turn is tranquilizer medicine,tonifying deficiency medicine,heat-clearing medicine.5 Summary of the property,taste and channel tropism of traditional Chinese medicine for treating insomnia: the high-frequency traditional Chinese medicine(frequency >7)is included,and the order of the frequency of the property of medicine is cold,warm,flat,cool and hot in turn.The order of medicine taste frequency is sweet,bitter,spicy,sour,salty,light and astringency.The order of traditional Chinese medicine channel tropism frequency is heart meridian,liver meridian,spleen meridian,lung meridian,stomach meridian,kidney meridian,gallbladder meridian,large intestine meridian,three-Jiao meridian,pericardium meridian,bladder meridian,small intestine meridian.6 Cluster results of traditional Chinese medicine category: cluster analysis of high-frequency Chinese medicine(frequency >7)category,a total of four types of combination,(1)tranquilizer medicine,tonifying deficiency medicine,heat-clearing medicine;(2)medicine for relieving exterior syndrome,calming liver and wind medicine.(3)water seepage medicine,phlegm cough and asthma medicine,medicine for regulating Qi flow;(4)medicine for dispelling internal cold,laxative medicine,astringent medicine,medicine for inducing resuscitation,medicine for invigorating blood circulation and eliminating stasis.7 Factor analysis results of traditional Chinese medicine:high-frequency traditional Chinese medicine(frequency >7)included in the literature was carried on factor analysis,to obtain 16 common factors,to acquire 16 groups of small prescriptions.The details are as follows:(1)Zhu Ru,Orange peel,Fructus aurantii immaturus,Pinellia ternata;(2)Radixaucklandiae,Longan meat,Astragalus membranaceus;(3)Peony skin,Angelica sinensis,Atractylodes macrocephala,Gardenia,White paeony;(4)Radix Ophiopogonis,Radix scrophulariae,Rehmannia glutinosa Libosch,Salvia Miltiorrhiza;(5)ginger,Jujube,Cassia Twig;(6)keel,oyster;(7)Ligusticum chuanxiong Hort,Rhizoma anemarrhenae,Dens Draconis,Liquorice;(8)Cinnamomum cassia,Polygala;(9)Codonopsis,lily;(10)Ejiao,Radix scutellariae,Rhizoma Coptidis;(11)Magnetic Stone,Rhubarb;(12)Mother-of-pearl,fushen,Poria cocos;(13)Rhizoma Cyperi,Caulis Polygoni Multiflori;(14)Radix Curcumae,cortex albiziae;(15)Semen boitae,Semen zizyphi spinosae;(16)Fructus aurantii,Bupleurum chinensis.Conclusion:1 The method of nourishing the heart and soothing the liver and strengthening the spleen is an important method for the tutor to treat insomnia clinically.2 In insomnia,excess syndrome with phlegm heat disturbing heart syndrome,Liver-fire disturbing heart syndrome is common,deficiency syndrome with yin deficiency and fire flourishing syndrome,heart and spleen deficiency syndrome is common,The disease location is mainly heart,liver and spleen.3 In the treatment of insomnia,the main treatment direction should be from the heart and liver and spleen,medicine categories of tranquilizing the mind,tonifying deficiency,clearing heat are commonly used for insomnia,and Semen zizyphi spinosae,licorice,Bupleurum,Poria cocos and Radix Polygala are commonly used in clinical medicine,and at the time of clinical treatment,we should pay attention to the matching applications of various drugs to achieve better clinical efficacy. |
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