| Insomnia is a kind of diseases that often can not have normal sleep. The clinical manifestations include the shortage of hours of sleep and deepness of sleep, and cannot get recovery of physical strength and vigour after sleeping. The milder ones have the clinical manifestations of difficulty falling asleep, or cannot have deep sleep, be awake now and again during sleep, or cannot fall asleep again after awaking at night. The serious patients cannot fall asleep all night long. The main western medicine treatment is taking hypnotics, and it has a certain curative effect. But hypnotics also have toxic and side-effects, such as drug tolerance, drug accumulation, drug dependence, abstinence reaction, influences on cognition and memory, and so on. Chinese Traditional Medicine (TCM) has its own unique theory system on sleep. Accumulating plenty of experiences during thousands of years, curative effects are reliable, and side effects are slight. Professor Gao Ronglin has gone in for theory and clinic research on sleep disorders for a long term. He has cured a lot of insomnia patients, and has formed his own clinical experience. Author of this text overall and systematically arranges and studys Professor Gao Ronglin’s clinical experiences of curing insomnia using thoughts of harmonizing Spleen and Stomach, discussing methods and pathways of TCM treating insomnia by using thoughts of harmonizing Spleen and Stomach. And summarizing effective methods, prescriptions and drugs or herbs of Professor Gao Ronglin’s experiences of curing insomnia by using thoughts of harmonizing Spleen and Stomach. And thus can help raising the clinical level of treating insomnia by TCM.First part Literature review1. Research progress of TCM treatments to insomniaThis part summarizes the research work done by TCM experts inside China in resent years. It contains3parts, TCM realization to etiological factor and pathogenesis of insomnia, TCM Zheng differentiation-treatment to insomnia, and external therapy to insomnia. According to TCM realization to etiological factor and pathogenesis of insomnia, there are a lot of reasons for insomnia, such as over thinking and over fatigue, impairment of Heart and Spleen, heart yang and kidney yin incoordinating, asthenic yin causing excessive pyrexia, disorder of the stomach, and so on, can affect heart-spirit and lead to insomnia. Insomnia is mainly related to Heart, Spleen, Liver and Kidney. From qi-blood zheng differentiation, it’s mainly related to deficiency of yin-blood. From pathology products, it’s mainly related to phlegm, heat harassing and stagnant blood. Totally, they can be analyzed into2kinds from asthenia and sthenia. According to zheng differentiation-treatment, treatments often get quite good effects by curing Liver and Gall, Spleen and Stomach, pyrophlegm, asthenic yin causing excessive pyrexia, and Heart-Spleen deficiency.2. Research progress of western medicine treatments to insomniaThis part summarizes the research progress of modern medicine on insomnia about relevant conception, clinical manifestation, common reasons, diagnostic criteria, correlated chemical and physical examinations, therapeutics, clinical application, difficulties and hot issues on therapy.3. Cinical studies of treating insomnia with harmonizing Spleen and Stomach"Stomach disharmony leading to restless sleep" is one of the famous saying from Huangdi’s Internal Classic. It is the beginning of "treating insomnia with harmonizing Spleen and Stomach". Later ancient TCM physicians expanded this theory a lot. This text try to deeply discusses this view by two ways:One is discusses about relations between sleep and Spleen and Stomach in Huangdi’s Internal Classic, the other is how the later ancient TCM physicians expanded the theory about "treating insomnia with harmonizing Spleen and Stomach". From the point of view about etiology and pathogenesis, this text tries to put such ideas in order: insomnia caused by Spleen and Stomach Qi deficiency; insomnia caused by Stomach Qi ascending counterflow and disharmony between nutrient and defensive Qi; insomnia caused by food piled up in Stomach and Intestine, and disturbance of Qi movement; phlegm heat harassing Heart. Thus can help treating insomnia through Spleen and Stomach by zheng differentiation-treatment more clearly.Second part Professor Gao Ronglin’s academic thoughts about sleepProfessor Gao Ronglin learned from two famous Chinese medicine physicians, Lu Zhizheng and Dong Demao. He inherits their academic thoughts and clinical experiences on harmonizing Spleen and Stomach. He emphasizes hannonizing Spleen and Stomach during his work. He treats insomnia by harmonizing Spleen and Stomach, accumulating plenty of clinical experiences. He belongs to the Spleen and Stomach System in present age.The following part introduces Professor Gao Ronglin’s thoughts about insomnia. First, his realization to theories of insomnia it includes3theories about sleep, yin-yang sleep theory, nutrient and defensive Qi sleep theory, spirit mastering sleep theory. Chinese overall sleep concept Opens up a broad field of study. There are a lot of methods by TCM for the overall adjustment and treatment of sleep disorders, which has opened up a broad prospect for the modern treatment of sleep disorders. According to the theory of traditional Chinese medicine on sleep, sleep is the body whole life form. Sleep are closely related to Yin and Yang, Qi and blood, zang-fu organs. The good balance of yin and yang, sufficiency and smooth transferof qi-xue, coordination and unification of zang-fu, the gentlenss and smoothness of gas lift and down, peaces of five organs, are the necessary conditions of sleep. Insomnia is a plurality of the mechanism. If just one of the relationships of yin and yang, qi and xue, and zang and fu, are all imbalance, it will happen. So Professor Gao Ronglin thinks that five-zang and six-fu all can make people insomnia. Discussing the main pathogenesis of zang and fu functional disorders causing insomnia, giving the thought that treating insomnia causing by Heart, commonly needs nourishing Heart, clearing away Heart-fire, deoppilation Heart, and calming Heart. Treating insomnia causing by Lung, commonly needs invigorating Lung, nourishing Lung, facilitating Lung, keep nutrient and defensive Qi in balance. Treating insomnia causing by Liver and Gall, commonly needs invigorating Liver, nourishing Liver, facilitating Liver, clearing away Liver-fire, warming Gall, et al. Treating insomnia causing by Spleen and Stomach, commonly needs hannonizing Spleen and Stomach, invigorating Spleen, regulating stomach, et al, to get the body back to health. Treating insomnia causing by Kidney, commonly needs invigorating Kidney, clearing away Kidney-fire, coordinating Heart-Kidney, et al. Thus, Professor Gao Ronglin suggests that Stomach and Spleen disharmony leading to restless sleep. Demonstrating the relationship between Spleen and Stomach and sleep. Spleen and Stomach making refined nutritious substances, conveyance of the thick essence to Heart, transporting essential substances to the Liver, ascending the clear and descending the turbid, coordinating heart-kidney, regulating stomach and calming the nerves, and origin of insomnia in modern time, such as anxiety causing qi stagnation, over improper diet and overtiredness, endogenous phlegm heat, constitution on causing disease; and yin yang disharmony of Spleen and Stomach, heart-spleen deficiency, sputum crudum causing by spleen asthenia, Liver and Sspleen disharmony.Third part Professor Gao Ronglin’s experiences of curing insomnia by harmonizing Spleen and StomachThis part introduces main therapies for insomnia according to thoughts of harmonizing Spleen and Stomach, including strengthening spleen and benefiting vital energy, benefiting Heart and Spleen, eliminating heat and dissipating phlegm, regulating Qi and stomach, soothing liver and regulating stomach, and supplying successful clinical cases, and then the cases of changing of method of harnonizing Spleen and Stomach. I learn from Professor Gao Ronglin, and gather558cases in his clinical time. I import the clinical data into computer, adopting the method of man-machine integration and mainly by man, and start to statistical analysis, arranging Professor Gao Ronglin’s experiences of treating insomnia. Thus can summarize main Zhenghou, frequently used therapies, set recipes and traditional Chinese drugs. And then summarize Professor Gao Ronglin main prescriptions of treating insomnia by thoughts of harmonizing Spleen and Stomach, Decoction of calming Heart and the nerves, Decoction of harmonizing middle energizer to calm the nerves, and Modified Danzhi Xiaoyao San.Forth part The clinical research of Decoction of harmonizing middle energizer to calm the nerves treating insomnia We arrange Professor Gao Ronglin’s empirical formula of treating insomnia, Decoction of harmonizing middle energizer to calm the nerves, using random controlled clinical method, to observe the clinical therapeutic effects of Decoction of harmonizing middle energizer to calm the nerves treating insomnia caused by phlegm heat harassing Heart. Results:Decoction of harmonizing middle energizer to calm the nerves, treat insomnia39cases, fully recovered6cases, excellent10cases, in effect17cases, useless6cases. Total effective rate is84.62%. There is no significant difference between treatment group with Decoction of harmonizing middle energizer to calm the nerves, and control group with estazolam. The treatment group gets better curative effect. Decoction of hannonizing middle energizer to calm the nerves does better in releasing symptoms, such as frightening dream in sleeping and appetite symptoms, and can raise the quality of patients’sleep and life. Decoction of harmonizing middle energizer to calm the nerves treating insomnia is worth of further research.Fifth part Experience of treating cervical vertigo by harmonizing Spleen and StomachTill now, department of osteology in TCM hospital almost becomes integrated TCM-WM. Some cervical vertigo patients can not be treated by operation or by manipulation therapy. They have symptoms such as dizzy, headache, head heavy, neck stiff, nausea even calming, which are caused by disorder of function of Spleen and Stomach, retention of phlegmatic dampness, unrising of lucid yang. I followed Professor Gao Ronglin’s academic thoughts of hannonizing Spleen and Stomach, regulating Spleen and Stomach, using method of strengthening spleen and regulating vital energy, eliminating sputum. Using Wendan Tang adding Liujunzi Tang, we get good therapeutic effect. I will continue to succeed and develop Professor Gao Ronglin’s academic thoughts and clinical experience, study endotherapy of orthopedics diseases, try my best to work hard to bring new ideas and do my best for orthopedics development. |
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