Discussion On The Correlation Between Chroinic Hepatio And Biliary Disorder-caused Insomnia And Dreaminess And Sparked A Dream Diagnosis Thinking

Objective:The incidence of insomnia in today’s society is higher nowadays. It makes serious influence during the life and work of people, even causes mental disorder or lead to suicide. According to the symptoms, insomnia can be divided into five kinds:difficulty to fall asleep, dreaminess, easy to wake, early to wake, difficult to fall asleep after waking up. According to the statistics in the Basic Information of Sleep Form、PSQI、SRSS、SAS and SDS scale form(in the appendix), we analysed the insomnia patients of outpatient service and ward gastroenterology department. We found that they all obviously have clinical feature of dreaminess the number and character of which could change with the severity of the illness. Based on the classic theory "liver storing blood, blood storing soul" of TCM, it leads deeper thinking about liver, blood and the soul to the seek the relationship between soul and dream. Making the clinical statistic analysis research, trying to find out insomnia caused by hepatic and biliary disorder, it can provide the advantageous basis for clinical research. Discussion on the correlation between hepatic and biliary disorder-caused insomnia and dreaminess has a profound significance on pathogenesis analysis、judging pathological changes properties and outcome and guiding treatment. And at last it sparked a deep thinking about dream diagnos is.Methods:Under the direction of Professor Zhang Ya-xi, based on the classic theory "liver storing blood, blood storing soul" of TCM, and according to the questionnaire statistics in the Basic Information of Sleep Form、PSQI、SRSS、SAS and SDS scale form, we tries to find out the correlation between hepatic and biliary disorder-caused insomnia and dreaminess and use the statistical software to analyse the data and discuss its mechanisms.Results:1. Most of the liver and gallbladder disease insomnia patients are dreamy and female over male.2. Hepatic disorder-caused insomnia patients are mostly male, and biliary disorder-caused insomnia patients are mostly female. Male patients are most occurred the stagnation of Liver-Qi, Wetness-Heat of Liver and Gallbladder Syndrome and stagnated Liver and Blood Stasis. Female patients are most occurred the heart and gallbladder restless, the deficiency of hepatic blood and the stagnation of Liver-Qi.3. Whether the hepatic and biliary disorder-caused insomnia patient have the dreaminess performance or not made not obviously overall difference on the PSQI and SRSS scores, but had still individual difference.4. During the232patient of the hepatic and biliary disorder-caused insomnia, there are125dreaminess patients and12 nightmare patients. The conditions of the symptoms and laboratory tests of the nightmare patients is worse than other patients, and their PSQI and SRSS scores is also obviously higher than others.5. The SAS, SDS scale form diagnosis result coincide with the self-perception of the patients if their anxiety or depression disappear. It proves that insomnia could trigger anxiety and depression. And in the patients of hepatic and biliary disorder-caused insomnia, males are more likely to be anxiety. Females are more likely to be depression which makes no relevance with dreaminess.6. The objective scores of PSQI and SRSS tests of the Subjective insomnia patients coincide with their subjective feelings.7. the Hepatic and Biliary disorder-caused insomnia patient who had a nightmare have obviously significantly abnormal on the parameters of ALT、AST、TBIL、DBIL.Conelusion:The soul out of liver, sleep cannot be peaceful. If night-sleep is not deep, the soul goes out of live abide the channels to the eyes. So eyes moves, dreaminess and cannot sleep well. If the soul and spirit all together went out, one somnambulates。Based on the classic theory "liver storing blood, blood storing soul" of TCM, we found that most of the hepatic and biliary disorder-caused insomnia patients have symptoms of dreaminess. And with the illness grew worse, the rate of nightmare increases. Hepatic disorder-caused insomnia patients are mostly male, Males are more likely to be anxiety. And biliary disorder-caused insomnia patients are mostly female. Females are more likely to be depressed.