Professor Zhang Mingxue 's Experience In Treating Insomnia With Disturbance Of Fire And Disturbance By Using Huanglian Wendan Decoction

Heart is mainly responsible for sleeplessness in Traditional Chinese Medicine (TCM); spleen、stomach liver、gallbladder and kidney are also concerned with insomnia. Pathogenesis is divided into "less moistened mind" and "evil disturbed mind" two aspects. Currently in China, the incidence of insomnia is rising year by year and getting younger and younger. With the quickening pace of life, pressure of work or study is increasing. As the number of people with "damaged spleen and stomach" and "strong internal-heat from heart and liver" arising rapidly, the insomnia caused by evil disturbing heart-mind are getting more.This paper not only reviews the research situation of ancient and modern physicians on treating sleeplessness generally, but also combs and sorts the origin of its theory. It summarizes the clinical experience of Professor Zhang Mingxue in treating insomnia caused by phlegm-fire disturbed mind with added-subtracted Huanglian Wendan Decoction(HWD).According to a statistics, the incidence of insomnia in our country is about30%at present. There is a research which also has shown that the insomnia induced by phlegm turbidity, qi stagnation and internal heat were more than49.64%of all the patients. My tutor treats the insomnia caused by phlegm-fire disturbing mind in the clinical, obtaining good effects. It is always induced by enjoying the daily life with irregular diet or having weakness of middle burner spleen and stomach with long-term work stress causing the liver depressed and being with strong internal-heat from heart and liver. And therefore she puts forward a theory that "Treatment from spleen、stomach is the most important while eliminating phlegm; treatment from heart、liver is for the first while removing heat". She treats insomnia by strengthening the spleen、reconciling the stomach、 digesting the phlegm and soothing the liver、clearing the heart、draining the heat, which regarded as the breakthrough point to its treatment.To treat insomnia caused by phlegm-fire disturbed mind, she uses added-subtracted Huanglian Wendan Decoction(HWD) flexibly, adding psychological counseling treatment and educating for healthy sleeping, and receives curative effect affirmation. It has highlighted the advantages of treating insomnia with traditional Chinese medicine.