The Syndrome Differentiation And Treatment Of Wakefulness, Analyses And Clinical Experience

Insomnia, which means,have difficulty to fall asleep, easy to wake up and waking up early, is one of the most common disease of TCM internal medicine outpatient service. Specially nowadays, in the fierce competition society, insomnia has the high incidence. China’s first report on people’s sleep quality released recently in Beijing showed that our citizens don’t sleep well enough given the sleep quality index being only at a passable level, and about55.3%said they had to resort to various methods to go to sleep while half of the respondents admitted work pressure have affected their sleep patterns.Research objective:This study based on Data Mining Technology aims to discuss on the treatment thought of insomnia of professor Gao Ying by observing the distribution of TCM Syndromes, Clinical Characteristics, the formula and herbs choosed of the research objects, and to provide a new method for further clinical research on TCM treatment of insomnia.Research methods:All116cases collected between July,2011and September2012are out-patients who primary complain of insomnia from Dongzhimen hospital of Beijng university of Chinese medicine.They were selected strictly conforming to the inclusion criteria.After inputing the imformatiom into the excel sheet,I unify the description of Syndrome type. Formula, herbs and ects. with reference to teaching books.By exce-12007,the frequency ofage, gender, information from the TCM four diagnostic methods,formula,herbs were analyzed, and then import the data from the Microsoft excel2007to SPSS Clementine12.0to do correlation analysis on Syndrome type,information from the TCM four diagnostic methods, formula and herbs.Finally, disscuss the results.Research results:1. General data of the116cases of patients shows that females are more often affected than males,and it occurs more freguently between the age45and59year old, accounted for44%.2.Of those86cases with definite course, the average course is5.11years and70.93%’s are more than one year.The most common primary complaint is falling asleep difficultly,accompanied with other symptoms such as fatigue, irritability,poor appetite, loose stool and tension, frequencies of which are over30%. The analysis of tongue demonstration shows that the frequencies of dark tongue, red tongue, pale tongue, red tip of tongue, thin tongue coating, white tongue coating, yellow tongue coating, sticky tongue coating are above20%. Thread, taut, slippery. deep pulse are common.3.Insomnia has five common clinic types:type of stagnation of liver-QI with deficiency of the spleen. type of Stagnation of QI due to depression of the liver, type of insufficiency of heart and spleen, type of phlegm-heat attacking the heart. type of heart and kidney Yin deficiency.When treating insomnia, the commonly used herb is sedative agent, followed by tonic agent, invigorating agent.4. Association analysis between TCM type and primary complaint shows that patients dignosed as deficiency syndrome often have difficulty maintaining sleep while patients dignosed as excess syndrome falling asleep difficulty or dreaminess5. Association analysis betweeninformation from the tem four diagnostic methods and formula shows: peptic powder combined with pingtang recipe is correlated to easy to wake up.gastric distension,dry stool,dark tongue,sticky tongue coating and thread pulse;chaiqin wendan decoction is correlated to falling asleep difficulty, early awakening, fatigue, dry stool, irritability, dizziness, forgetfulness, perspiration, dark tongue, red tongue, white tongue coating, sticky tongue coating, taut pulse, slippery and pulse.Decoction for Invigorating the Spleen is correlated to forgetfulness,falling asleep difficuity,easy to wake up,easy to wake up, menoxenia, loose stool, irritability, swollen tongue body, pale tongue, thin white tongue coating, white tongue coating, deep pulse, thread pulse, slippery pulse; Sini Powder is correlated to falling asleep difficuity, easy to wake up, easy to wake up, dreamfulness,earlyawakening,tension,depression,tinnitus,fatigue,palpitation,perspiration, dry mouth,dizziness,pool appetite,dark tongue,pale tongue coating,thin tongue coating, white tongue coating,taut pulse,threat pulse;ease Powder is correlated to falling asleep difficuity,easy to wake up, red tongue, dreamfulness, easy to wake pool appetite,loose stool, redtip of tongue, pale tongue coating, thin tongue coating, white tongue coating, sticky tongue coating, yellow tongue coating, taut pulse, threat pulse, slippery pulse.6. Association analysis between herbs and Information from the tcm four diagnostic methods shows:deep pulse is correlated to codonopsis, radix astragali, rhizoma anema-rrhenae and nacre; slippery pulse is correlated to sweetflag, rhizoma coptidis, cortex moutan and pinellia tuber;thready pulse is correlated to rhizoma anemarrhenae,rhizoma ligusticiwallichii, nutgrass galingale rhizome,nacre;taut pulse is correlated to bamboo shavings pinellia, radix curcumae, radix scutellariae and pinellia Tuber;fatigue is correlated to bamboo shavings, dried tangerine or orange peel, astragalus root and pinellia tubenirritability is correlated to nutgrass galingale, bamboo shavings, radix scutellariae and radix curcumae;dark tongue is correlated to rhizoma ligustici wallichii, calcined magnetite, main licorice and fried bitter orange;red tip of the tongue is correlated to lily.rhizoma anemarrhenae and gardenia;red tongue is correlated to rhizoma coptidis. radixscutellariae, nacre and bamboo shavings;pale tongue is correlated to codonopsis. astra-galus membranaceus. acorus gramineus and atractylodes;yellow tongue coating is corre-lated to Cortex moutan. rhizoma coptidis. bamboo shavings and dried tangerine or orange peel;sticky tongue coating is correlated to bamboo shavings, acorus gramineus.pinellia tuber and immature bitter orange.It shows that the asocciation rules are consistent with the basic theory of TCM when combined with clinical practice to analyze the results.Research conclusions:Through the statistical analysis of relevant information of the116patients, the conclusions drew are as follows.When come to the treatment based on the differential diagnosis of TCM of insomnia,Firstly,attach great importance to the emotional Factors;secondly, grasp the core of information from the tcm four diagnostic methods; thirdly,regard tranquilization as the primary therapeutic method and treat the ailment from the Idea of Zang-fu Correlation,especially pay attention to liver and spleen. What’s more,professor Gao Ying is good at using the classical prescriptions according with the syndromes and symptoms.