Relative Research On Different Symptomatic Characters Of Insomnia And Pathologic Distribution Of TCM Syndrome Factors

Objective:This chapter will classify insomnia according to different symptoms (difficulty in falling asleep-sleeping type of insomnia; easy to wake up or not easy to fall asleep after waking up; dreaminess-dreaminess type of insomnia; early to wake up-early awakening type of insomnia; awake all night-pernoctation type of insomnia; with all above symptoms or just one of them-mixed type of insomnia.)and study pathologic difference of TCM syndrome factors characters of all kinds of insomnias, so that we can enrich TCM pathology basis contents of insomnia, to serve for clinical classification diagnosis and treatment.Methods:This chapter uses symptom factors dialectics to collect different symptom features four diagnostic information of318cases of patients with insomnia, through the theoretical study and clinical features, using statistical method to analyze different symptom insomnia TCM symptom pathologic distribution character and their correlations.Results:1. The pathologic characters of TCM syndrome factors of insomnia:The disease of insomnia is located at mind, heart, liver, kidney, spleen, stomach, uterus, gallbladder, lungs; the nature of disease are manifested as Yin deficiency, Qi stagnation, hot, Qi deficiency, phlegm, wet, blood deficiency, Yang deficiency, Yang hyperactivity, blood stasis.2. The relation between gender and pathologic character of TCM syndrome factors:On the frequency, female’s blood deficiency is higher than male’s (P<0.05),in the meantime, liver frequency is obviously higher than male’s (P<0.01),however, male’s phlegm frequency is distinctively higher than female’s (P<0.01);on the integral, Qi stagnation and blood stasis of female are higher than male’s (P<0.05),and liver and blood deficiency are clearly higher than male (P<0.01) at the same time, but male’s phlegm integral is obviously higher than female’s (P<0.01)3. Relation between ages and pathologic characters of TCM syndrome factors of insomnia: compared between the young, middle-aged and the elderly people in TCM syndrome factor pathologic factors, no matter on frequency (P<0.01)and integral(P<0.05), the young and middle-aged liver and hot are higher than the elderly people, the elderly people’s kidney, Qi and Yang deficiency are obviously higher than the young and middle-aged people; on integral, Qi stagnation, Yang hyperactivity, blood stasis of the young are higher than the elderly people (P<0.05)4. The pathologic characters of insomnia TCM syndrome factors of different symptoms: insomnia with difficulty in falling asleep, the disease location is related to heart, gallbladder, lung (P<0.05, OR values are5.438、0.339、6.587.0.062respectively), the nature of disease is related to hot, Qi stagnation, and Yang deficiency (P<0.05, OR values are2.756、0.221、0.192respectively);dreaminess insomnia,disease location is related to liver, kidney, stomach, heart (P<0.05, OR values are5.720、0.279、0.185、0.136respectively),nature of disease is related to Qi stagnation, phlegm, Yang deficiency, Yang hyperactivity (P<0.05, OR values are3.186、0.368、0.324、2.406respectively);easy to wake up insomnia,the disease location is related to liver,kidney, stomach, mind, gallbladder and lung (P<0.05, OR values are0.275、0.323、3.765、0.224、0.195、21.562respectively),the nature of disease is related to Qi stagnation, hot. phlegm,Yang hyperactivity, blood stasis (P<0.05, OR values are3.839、0.497、2.358、0.274、0.405respectively);early to wake up insomnia, the disease location is related to kidney, mind,gallbladder (OR values are1.151E9、0.000、0.000respectively),the nature of disease is related to Qi stagnation, hot, and Yang deficiency (OR values are0.333、0.166、2.291E8respectively); pernoctation insomnia, the disease location is related to mind,spleen (P<0.05), OR values are11.519、2.629respectively), the nature of disease is related to Yang deficiency, Yang hyperactivity (P<0.05, OR values are7.020、3.530respectively)Conclusion:1. There are obvious differences in the TCM pathologic distribution characters of different symptoms:disease of difficulty in falling asleep insomnia is mainly located at heart, gallbladder, the nature of disease is hot; disease of dreaminess insomnia is located at liver, the nature of disease are Qi stagnation, Yang hyperactivity; disease of easy to wake up insomnia is mainly located at stomach and lung, the nature of disease are Qi stagnation and phlegm; disease of early to wake up insomnia is located at kidney, the nature of disease is Yang deficiency; disease of pernoctation insomnia is located at spleen and mind, the nature of disease are Yang deficiency and Yang hyperactivity.2. Different genders of patients with insomnia in TCM syndrome factor pathology. On syndrome factors pathology, female are involved in Qi Stagnation, blood deficiency, blood stasis, male involved in phlegm, so in the clinical treatment, female can begin with regulation Qi and blood, male can begin with eliminating phlegm.3. Different age groups of patients with insomnia in TCM syndrome factor pathology. The young and middle aged people are involved in hot, Qi stagnation, Yang hyperactivity, blood stasis etc. excess syndrome factors, however, the elderly people are most involved in Qi deficiency and Yang deficiency. So the young and middle-aged people should be eliminate excess, the elderly people should supplement deficiency in clinical treatment.4. Treatment of insomnia in Clinical, should according to the different characteristics of primary symptom classification diagnosis and treatment.