Professor Jia Haizhong 's Clinical Experience In Treating Insomnia With The Theory Of "Form And Spirit Dividement"

Background:The common symptoms of patients, can be derived from local lesions of the body, and may result from mental disorders. The differential diagnoses is difficult for the health workers who is lack of medical and psychological knowledge. patients will not get proper treatment without accurate identification of the physical or mental illness. Insomnia is a syndrome of sleep disorder, caused by disorder of falling asleep, maintaining sleep or poor sleep quality, can’t satisfy the physiological needs, and affect the activity during the day. It is not only one of the most common clinical symptoms, but also act as one of common symptoms and precipitating factors of many diseases such as mental illness and cardiovascular diseases.Insomnia reduces the personal quality of life and damages the social function, increases the risk of traffic accidents, consume a amount of medical resources.Objective:Professor Jia has been Enlightened by the body-mind theory in traditional Chinese medicine (TCM),absorbed the knowledge of modern physiology, psychology, psychosomatic medicine, psychiatry and integrated his long-term clinical experience, finally brought forward a concise and practical theory named "body-mind individual treatment". This paper aims to summarize the clinical experience and provide new ideas and methods for treatment of insomnia.Methods:By retrieving the ancient and modern documents of "body-mind", this paper summarizes the ancient doctors and modern physicians on connotation, level, relationships, formation and the application situation of the "body-mind" theory.Through to the modern literature retrieval, summarizes the classification, mechanism, diagnosis and treatment of insomnia.To summarize professor Jia’s theory of classification, diagnosis and treatment in insomnia by following him in visiting, rounding and teaching in the last two yearsResults:Overview of ancient and modern literature for the "body-mind".the author has found that though the content is rich, clear concept, monographs, innovation, breakthrough, clinical practice and validation hasn’t been producted. Modern literature for the "body-mind" has been limited in the interpretation of the concept, origin development of investigation and analysis of hierarchy.even if some individual theory had a wide range of applications, but has been failed to integrate TCM and Western medical theory, and also failed to put into practice by breakthrough or innovation.This paper reviewed the progress in diagnosis and treatment of insomnia.insomnia is a common symptom. Epidemiology of insomnia is not unified and lack of standard of statistics. Although the researchs of the mechanism have made great progress, the allostatic regulation mechanism of sleep is still not clear. Classification and diagnosis of insomnia in DSM-5, ICD-10, ICSD-3 and CCMD-3 has big differences. The treatment of insomnia has been made some progress on drugs. TCM doctors treat patients by his own experience. The evidence of evidence-based medicine is not enough. Non-drug treatment in insomnia is numerous, CBT-I has been supported by the evidence of evidence- based medicine, but the promotion in China is so poor. Other non-drug treatment is lack of double-blind, randomized, placebo-controlled study. Without a total research of comorbid insomnia,the solutions is to take some simple measures on the basis of disease so far.Professor Jia brought forward the theory of "body-mind individual treatment" in the diagnosis and treatment of insomnia. He pays attention on details in the diagnosis and treatment. According to the theory of "body-mind individual treatment",insomnia can be divided into "mind illness", "body-mind illness" and "body illness effect mind". the treatment of insomnia is effective. Xuefu Zhuyu Decoction(血府逐瘀汤)is frequently and widely used with the flexible addition and subtraction. Acupuncture and moxibustion, massage, and the environment treatment are also included.Conclusion:Professor Jia has been engaged in combination of Chinese and Western medicine with clinical work for more than 30 years, He formed a unique and complete dialectical system of diagnosis and treatment in insomnia and achieves great results.His experience has great value of clinical guidance and practice. And also provides new ideas for clinical recognition, diagnosis and treatment of insomnia.