Theoretical Research On Treating Insomnia From The Perspective Of Heart-kidney Discoordination

Objective: Based on the understanding of the concept and mechanism of insomnia in traditional Chinese medicine,the theoretical basis for treating insomnia from the theory of heart-kidney absent is discussed,combined with the constitution of traditional Chinese medicine and the theory of yin and yang,to clarify its etiology and pathogenesis,and summarize its differentiation and treatment methods.The further discussion and improvement of the theory of treating insomnia by the inadequacy of heart and kidney is expected to inspire the clinical treatment of insomnia.Methods: This article adopts the literature retrieval method,using "insomnia","shaomei","cannot sleep","insomnia","heart-kidney intersect" and "heart-kidney intersect" as search terms in How Net and the Chinese Medical Dictionary.The summary and induction method summarizes the literature research on the treatment of insomnia by the doctors of the past dynasties.In the research on the theory of insomnia,heart-kidney insufficiency,this article explains the connotation and mechanism of heart-kidney incompatibility,focuses on the reasons and mechanisms of heart-kidney insufficiency,and discusses the importance of treating insomnia from the theory of heart-kidney insufficiency Sex.In the diagnosis and treatment of insomnia,the viscera-based treatment method is proposed to communicate the heart and kidney,and the cause and treatment of insomnia due to the incompatibility of the heart and kidney are summarized.Conclusions:1.The theory of insomnia,heart and kidney failure is a full manifestation of the holistic view of Chinese medicine.This article clarifies the connotation and denotation of heart-kidney intercourse from many aspects,such as the integration of water and fire,the five elements to produce gram,the interconnection of the meridians,the interoperability of the spirit,the mutual capital of yang and the qi,the mutualization of essence and blood.Moreover,the theory of heart-kidney non-community is extensive.It not only connects the theory of yin and yang,qi and blood,but also the theory of god,Yingwei,meridian,and five elements.It embodies the basic pathogenesis of insomnia,loss of acquaintance between Yin and Yang,and discord between Ying and Yang.Therefore,the heart and kidney are not the key to the pathogenesis of insomnia.2.Differentiation and treatment of insomnia with heart-kidney incompatibility can be divided into two categories according to the pathogenesis,one is the narrow sense of heart-kidney yin and yang,water and fire arrhythmias,the specific can be refined into the kidneys not contacting the heart and the water is dry and the fire is full Fire,the heart does not pay the kidneys,but the fire is hot,the water is cold,the fire is insulting the water,the heart and the kidneys are yin deficiency;the second is the generalized heart and kidney essence,qi,blood,and spirit disorders,which can be specifically divided into mental incompatibility,essence and blood disorders,and kidney deficiency Blood stasis.Therefore,the treatment should be based on the heart and kidney harmonizing yin and yang,treating water and fire,but also not neglecting the regulation of qi and blood,the regulation of mind and the regulation of essence and blood.3.Diseases of both the heart and kidney and other viscera can also cause heart and kidney to lose communication and cause insomnia.The spleen,stomach,liver and gallbladder are abnormally raised and lowered,and the triple-burner gasification is not good,which can cause the heart-kidney intercourse pathway to be blocked and heart-kidney dissociation.Therefore,during differentiation and treatment,attention should be paid to regulating the Qi machine of liver and gallbladder,spleen and stomach,and triple energizer,so that viscera and viscera can be connected and the path of heart-kidney communication is smooth.4.When communicating with the heart and kidney,the principle of "three factors should be followed".It is necessary to adapt to the individual’s conditions,differentiate the body to treat the disease,and to adapt to the current conditions,to comply with the day and night yin and yang,and the law of ying and yang during the day and night,and separate treatment from day to night.On the basis of prescription treatment,it can also be combined with acupuncture therapy for flexible treatment.