Insomnia Tcm Clinical Observation

Sleep as a vital process played a very important role in life,was an important part of the body recovery,integration and consolidation of memory,an indispensable components of health。The causes of insomnia were very Complexed,and the current consensus view that the following five aspects:(1)psychological factors(2) the change of sleep rhythm(3) mental illness(4) Drug factors(5) mental disorders。Research PurposeThis paper is aimed to observe TCM Syndrome Types of Insomnia,in order to explore the different effects of insomnia and the reasons for differences in efficacy。Clinical ResearchIn this study,out-patient with insomnia of more than 200 cases,and put into six groups as Stagnation of the Heart courage Deficiency,insufficiency of heart-YIN cardiosplenic asthenia;deficiency of both heart and spleen,deficiency of liver-blood, stagnation of QI due to depression of the liver,syndrome of phlegm-heat attacking internally,30 cases each.Insomnia diagnostic criteria adopted the "China mental disorders classification and diagnostic criteria version 3(CCMD-3)" diagnostic criteria for insomnia,Chinese dialectical type criterion-referenced SFDA "Chinese medicine clinical research of new drugs guiding principles",Chinese Medicine Authority "Chinese medicine diagnosis Syndrome Evaluation standards" development,Chinese medicine symptoms and signs of reference points of "Chinese medicine clinical research of new drugs guiding principles",a semi-quantitative Points Act.And Pittsburgh Sleep Quality Index.TCM Syndrome Clinical criteria used nimodipine index calculated effect.The statistical analysis showed that the treatment of insomnia Zhou Shaohua instructor certification of the cards have a good effect.Clinical control and significant efficiency is about 38.33 percent,the total efficiency of 90 percent or more, especially syndrome of deficiency of both heart and spleen in the efficiency of control and 60 syndrome of deficiency of both heart and spleen,syndrome of deficiency of both heart and spleen and insufficiency of heart-YIN Is better than pathogenic fire derived from stagnation of liver-QI.At the same time,the subjects of the PSQI Insomnia Scale Integration there have been noticeable improvements,the treatment of patients by eight weeks,more to improve conditions.Deficiency of the heart with courage is treated by Dingzhi sedative pill,Heart Yin insufficient evidence is treated by Bu Xin Dan King,Deficiency Heart with two is treated by Guipi soup,Evidence insufficient blood soup with Suanzaoren treatment,liver depression with evidence of fire Modified by Xiaoyao treatment.Heat disturbance permit in bamboo leaves with Chaihu treatment Wendan Decoction.ConclusionThe clinical observation confirmed that the TCM treatment of insomnia was effective,and my tutor's accurate differential diagnosis.In the circumstances of the insomnia increasing and the side effects of western medicine,the results of this study show that Chinese medicine has great advantages on insomnia treatment.The TCM differential diagnosis were not limited to the six-syndromes,the observation of other syndromes and using of herb medicine have to be further studied.