Theoretical Discussion And Clinical Observation On Three Classical Formulas Combined With Acupuncture Treatment To Treat Insomnia

Object:Through analyzing the statistics on the frequency of prescriptions used by Professor Huang Huang in the treatment of insomnia,understand his most common formulas used to treat insomnia.Through the summary of the clinical experience of Professor Huang Huang,where he often used formulas Wen Dan Tang,Chai Hu Plus Long Gu Mu Li Tang and Suan Zao Ren Tang,the populations characteristics of above three Jing Fang formulas,the disease spectrum,and the application of the three Jing Fang formulas on insomnia were concluded and analyzed.On the basis of Professor Huang Huang's theory of "formula,disease,person",and through experience from personal cases,comparison was applied:between Wen Dan Tang,Chai Hu plus Long Gu Mu Li Tang,and Suan Zao Ren Tang in combination with acupuncture,or acupuncture alone as a treatment for insomnia.The advantages of Classical Formula combined with acupuncture treatment for insomnia were analyzed and evaluated,thus helping insomnia patients to find more safe and effective treatments that can better alleviate insomnia and its accompanying mental symptoms in the short term.Moreover,under the guidance of the instructor's "correspondence between syndrome and formula" theory,and through clinical observation and research,the prescription of acupuncture and classical formula under the theory of "formula symptoms and signs" is preliminarily explored.Methods:The theoretical part of this study:systematically expounded Zhang Zhongjing and historical doctors's understanding of insomnia.The tutor's experience summary section:collected Professor Huang Huang's medical records,summarized Professor Huang Huang's often used formulas for treat insomnia,and also collected Professor Huang Huang's records of using Wen Dan Tang,Chai Hu Plus Long Gu Mu Li Tang and Suan Zao Ren Tang from January 2018 to April 2019.The applicable populations of the three Classical Formulas and disease spectrum were summarized,thus further improving the understanding of the tutor's "formula,disease,person" theory.The research section:consisted of personal cases between July 2017 to April 2019,where 30 cases of Wen Dan Tang,Chai Hu plus Long Gu Mu Li Tang,and Suan Zao Ren Tang was applied in combination with acupuncture,compared with 30 cases of acupuncture alone as a treatment for insomnia.The advantages of Classical Formula combined with acupuncture treatment for insomnia,and its accompanying mental symptoms,were analyzed and evaluated.Results:1.Professor Huang Huang's experience summary:1.1 The most frequently used prescription in Professor Huang Huang's clinical treatment of insomnia is Wen Dan Tang,followed by Chai Hu plus Long Gu Mu Li Tang.Although Suan Zao Ren Tang's frequency of occurrence is not high,it is often combined with Wen Dan Tang,which is most frequently used to treat insomnia.1.2 The population characteristics and the disease spectrum of Wen Dan Tang:higherlevel of anxiousness and timidity.More common in women,more round face or round eyes,more moderate or overweight in body shape.Facial complexion either red or yellow,skin color either yellow or white,lip color is red.Red tongue or red tip of the tongue,often has teeth marks,tongue coating is thick and greasy.Pulse is mainly slippery or string-sliding.Abdominal palpations sometimes have umbilical jump;however,not at a high rate.Most commonly used in neurological diseases,with insomnia accounting for the highest proportion of all the main disease spectrum.Most frequently used on insomnia caused by anxiety and other related mental illnesses.1.3 The population characteristics and the disease spectrum of Chai Hu plus Long GuMu Li Tang:Easily fearful and high occurrence of depression.The ratio of male and female is relatively equal,the body shape is slim or medium-sized.Expression is blank.The facial complexion is either yellow or dim yellow,the skin color is yellow,and the lip color is red.The tongue is dark red or dark,with teeth marks,and tongue coating is either yellow greasy or greasy.The pulse is mainly composed of slippery pulse,string pulse or string-sliding,and the umbilical jump is obvious and at a high rate amongst the cases.Professor Huang Huang uses Chai Hu plus Long Gu Mu Li Tang most commonly for neurological diseases,with insomnia accounting for the highest proportion of all the main disease spectrum.Most frequently used on insomnia caused by depression and other related mental illnesses.1.4 Commonly used combinations of Suan Zao Ren Tang and its main disease spectrum:In Professor Huang Huang's medical cases collected over a period of more than one year,Suan Zao Ren Tang was always used in the form of a combination.Suan Zao Ren Tang is most often combined with Wen Dan Tang.Professor Huang Huang attaches great importance to the combination of Suan Zao Ren Tang and Wen Dan Tang,and it is most widely used on insomnia caused by anxiety and other related mental illnesses.According to Huang Huangs Guide to Clinical Application of Classical Formulas.the population characteristics and the disease spectrum of Suan Zao Ren Tang are:easily anxious,irritability and emotional instability;slim body shape,dry skin,dry fingernails,lips dry and red;thin and white tongue coating,fine and string pulse.[59]2.Conclusion of author's personal clinical cases:Suan Zao Ren Tang,Wen Dan Tang,Chai Hu plus Long Gu Mu Li Tang,combined with acupuncture treatment has significant curative effect,which can effectively improve insomnia in a short time,and its curative effect is better than acupuncture treatment alone.For insomnia related mental disorders such as anxiety and depression,Classical Formulas combined with acupuncture treatment is also superior to acupuncture treatment alone.