| With the promoting of medical level, the senile society is coming. So we need to keep the old healthy,enhance the prevention and cure to geriatrics. Sleep puzzle is the very common problem for the public. Based on research statistics, there are nearly 30% persons havingbeen puzzled by insomnia, and some of them are so serious that they need herb, the rate is up to 17%; the ratio of the old over 65 is more 5 to 6 times than the ratio of the yong. lnspite insomnia is not so seriouse, the quality of sleep affect the old's health strongly. So it's a actual and urgent task to improve senile insomnia, increase their life quality.The Chinese Medical pathogenesis of senile insomnia is yang doesn't interlock yin, dysphoria, disease site is heart and liver, gallbladder, especially heart. The main pathogenesis characteristic of senile insomnia is deficiency in origin and excess in superficiality. Because of old age, deficiency of qi and blood, weakness of viscera function, yin and yang will disorder easly. Among the insomnia syndrome of emotional hurt, deficiency of qi and blood in the heart and spleen, disorder of the stomach-qi, enharass of phlegm and ecchymosis. The author thinks that emotional hurt, stagnation in liver and gallbladder, enharass of phlegm and ecchymosis, dysphoria are common, the main character of illness is complicated between deficiency and eccess. Emotional factor is the main reseason of senile insomnia. The old can not live peacefully because of the quick society rhythm and great press. So stagnation of heat in liver and gallbladder are a common sight.ChaiHu plus LongGu MuLl decoction in with the effect of tranquilizing and allaying excitement, soothing the liver and regulating the circulation of qi, replenishing to invigorate spleen, can be used to cure the stagnation of heat in liver and gallbladder of senile insomnia. We made the clinical and experimental research on ChaiHu plus LongGu MuLi decoction therapy on senile insomnia with character of stagnation of heat in liver and gallbaldder. The results are as follows:The research collected 60 cases accord with the indusive criteria of senile insomnia with character of stagnation of heat in liver and gallbladder. The average age: 67.5 ~5 .91, the average process of illness: 47 years, with 22 cases of slight degree, 30 cases of middle edgree, 8 cases of serious degree. After therapy, recovery cases: 45 (75% ), effective cases: 9 (15%), ineffective cases: 6 (10% ), the total effective rate is 90%. Among slight degree cases, recovery rate is 81.8%, effective rate is 13.6%, ineffective rate is 4.6%, total effective rate is 95.4%; among middle degree cases,recovery rate is 80%, effective rate is 10%, ineffective rate is 10%, total effective rate is 90%; among seriouse degree cases, recovery rate is 37.5%, effective rate is 37.5%, ineffective rate is 25%, total effective rate is 75%. It indicates ChaiHu plus LongGu MuLi decoction has a excellent treatment effect on senile insomnia with the character of stagnation of heat in liver and gallblader, and the therapy effects of slight and middle degree are better than that of serious degree. However, there are no significant difference among them ( P>0.05 ). On the aspect of improving syndroms, after the first therapy process, all syndroms have 70?0% total effective rate but 100% and 50% effective rate of red urine and fatigue and anorexia; on the end of second therapy process, the total effective rate of fullness in the chest and hyprochondtium, often sighing, dysphoria and bitter taste and red urine all reach 100%, the others?are all over 90%. On the aspect of tongue fur and pulse condition, after the first therapy process, the total effective rate of red tungue with yellow fur, and pink tongue with thick, white fur are 93.3% and 66.7%, however, at the end of the second therapy process, they are 97.7% and 100%; and after the first therapy process, the total effective rate of taut and thready pulse or taut and thready, rapid pulse, taut and slide pulse or tau... |
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