A Clinical Study Of Wang Maohong’s Application Of Five Spirit Zang-Viscera In The Treatment Of Insomnia

Objective:1.Explore the theoretical source of Five Spirit Zang-Viscera theory on the treatment of insomnia.2.Discuss the relationship between Five Spirit Zang-Viscera theory and the pathogenesis and symptoms of insomnia.3.Summarize the instructor’s clinical experience in treating insomnia with the theory of Five Spirit Zang-Viscera.Method:1.In-depth study of the chapters on the theory of Five Spirit Zang-Viscera in the "Huang Di Nei Jing" to form a preliminary understanding of the theory of Five Spirit Zang-Viscera,and then use the "Chinese Medical Classics" to search for later generations’ discussions on the theory of Wang Maohong,classify and organize,and systematically summarize the core content of the theory of Five Spirit Zang-Viscera;thereby analyzing the relationship between the pathogenesis and symptoms of insomnia and the theory of Five Spirit Zang-Viscera,and summarizing the feasibility of using the theory of Five Spirit Zang-Viscera to treat insomnia.2.Organize the published papers,works,and lecture recordings of the tutor,and summarize the tutor’s discussion and development of the theory of Five Spirit Zang-Viscera in the treatment of insomnia.3.Collect and sort out the clinical cases of the tutor using Five Spirit Zang-Viscera theory to treat insomnia,proceed data analysis and summarize the tutor’s thinking on syndrome differentiation and the law of selecting prescriptions and medications in treating insomnia.Results:1.The theory of Five Spirit Zang-Viscera is based on the theory of the unity of form and spirit.It believes that the mind and spirit are the masters of human life activities,the spirits stored in the liver and lungs are transformed from the mind and spirit,and the spirits stored in the spleen and kidneys embody the subjective initiative of the mind and spirit.Essence,Qi,blood and body fluid are closely related.2.The pathogenesis of insomnia is that the yin does not restrain the yang,which is actually caused by the five gods unable to regulate the body’s yin and yang.The disturbed sleep of the five gods is affected,thus showing different clinical symptoms.Among them,dreaminess is particularly closely related to the five gods.Sickness dreams are often caused by dreams created in the heart,souls flying,and yin and yang reversed.From the excess and deficiency of dream images,the body’s good and evil conditions can also be judged.3.The instructor uses the theory of Five Spirit Zang-Viscera to understand the etiology and pathogenesis of insomnia,one is yang disease;the other is yin disease;the third is pivotal disease.There are three yang diseases,one is yang(qi)excess,and heat disturbs the gods;the second is yang(qi)deficiency,and the clear yang does not rise;There are three yin diseases,one is yin excess,yin and yang disharmony;the second is yin deficiency,yin does not restrain yang;the third is yin knot,yang does not enter yin.There are also three diseases of the pivot,one is the pivot disease of Shaoyang,the movement of qi is not adjusted,and the yin and yang are not in harmony;Cold and heat are mixed;the root of the disease is the dysfunction of "heart governing the gods".The treatment focuses on harmonizing yin and yang,restoring the ups and downs of qi,and also emphasizes the use of five tones,adapting to solar terms and comprehensive treatment with various external treatments.4.Through the data analysis of the cases of insomnia treated by the instructor using Five Spirit Zang-Viscera theory,it is found that the ratio of male to female is approximately 3:4,and the age group of 30-50 is the main group of insomnia patients.Commonly used prescriptions are Chaihu jia Longgu Muli Tang,Si ni San,Wen dan Tang,Danggui Sini Tang,Suan Zao Ren Tang,Wu Mei Wan,Zhu Ling Tang,and Bu Zhong Yi Qi Tang.Commonly used medicines are Albiziae Cortex,Bupleuri Radix,Magnolia Officinalis Cortex,Draconis Os,Concha Ostreae,Scutellariae Radix,and Pinelliae.5.The instructor uses Five Spirit Zang-Viscera theory to treat insomnia.Common prescriptions are: Chaihu jia Longgu Muli Tang,Si ni San,Wen dan Tang,Danggui Sini Tang,Suan Zao Ren Tang,Wu Mei Wan,Zhu Ling Tang,and Bu Zhong Yi Qi Tang,etc.,42 cases,28 cases,24 cases,15 cases,14 cases,12 cases,9 cases,6 cases,accounting for 28%,18.67%,16%,10%,9.33%,8%,6% of the total %,4%.Albizia bark,bupleurum,magnolia officinalis,keel,oyster,scutellaria baicalensis,and pinellia have been used more than 90 times.Zhimu,Astragalus,Anemarrhena,Lily,Rehmannia glutinosa,Jujube Seed,Fushen,Wumei,Jiaozhizi,Douchi,and Curcuma have been used more than 40 times.Conclusion:1.The theory of Five Spirit Zang-Viscera is derived from the "Huang Di Nei Jing".Through the systematic investigation of the material basis of the five gods,the relationship with the five wills,and the relationship with the essence,qi,blood,and body fluids,it is found that the theory of the five gods can be treated from two aspects: form and spirit.Insomnia,the pathogenesis and symptoms of insomnia are closely related to Five Spirit Zang-Viscera,which provides new ideas for clinical treatment of insomnia.2.The theory of Five Spirit Zang-Viscera can be divided into five and combined into one.Instructor Wang Maohong uses the theory of Five Spirit Zang-Viscera to understand the process and mechanism of insomnia with yin and yang as the key link,emphasizing that "the heart governs the gods" as the root of the disease,and it is necessary to reconcile yin and yang1.Adjust the movement of the Qi up and down to treat as a whole,restore the functions of the five gods,and take a period of peace.