Professor Wang Shaojie Of Narcolepsy Knowledge And Clinical Experience Of TCM

Narcolepsy is a chronic disease of the central nervous system dysfunction, and it is a rare disease. The incidence of the disease is about0.03%to0.16%, differently in different regions and different ethnic groups, no significant differences in incidence between men and women. Existing related research abroad, for the epidemiology of the disease, there is no systemic research in China. Once the disease often last a lifetime, seriously affecting the quality of life of patients, and even causing accidents and endangering life.It requires to be attentioned.The etiology and pathogenesis of this disease is not clear so far, generally considered to be the result of genetic and environmental factors. Now more and more think its pathogenesis and neurochemical changes in neurological dysfunction and reduction of hypocretin, the latter is considered to be the main pathogenesis of this disease. The disease is difficult to suppress the onset of daytime sleepiness, cataplexy attacks, sleep paralysis, hallucinations and sleep disorder at night as the main feature, the first four symptoms known as narcolepsy Fallot, in addition to psychological, obesity and other symptoms. Western medicine to psychotherapy and drug treatment, drug treatment is mainly symptomatic control the onset of symptoms, including stimulants and antidepressants. The new central stimulant modafinil as the first-line drug for the treatment of EDS, a sodium oxybate3is the only drug to treat narcolepsy Fallot. But the side effects of these drugs,especially for patients with early-onset and there are different levels of dependence and drug resistance, and failed to solve the fundamental problem, so we need to explore better treatment.There is no clear record for this disease in ancient Chinese medicine. The disease is more than medicine sleep soundly, drowsiness, addicted to lying, syncope and other areas. Recently understanding of its etiology and pathogenesis of traditional Chinese medicine is based on the understanding of sleep and theory, primarily considered Wei qi, yin and yang, the relevant organs and meridians. Different physicians on its pathogenesis, syndrome differentiation and treatment are different, there is no uniform standard. Chinese medicine treatment of this disease methods varied, and has the characteristics of good potency and less side effects.There decoction taken orally, acupuncture and traditional Chinese medicine and combined treatment of Chinese and western, have a good effect. But the TCM etiology and pathogenesis of this disease, Syndrome standard and diagnostic criteria has no unified standard, so that clinicians have no basis in accordance with, and for determining the efficacy of traditional Chinease medicine is no standardized criteria.Therefore we need to further strengthen the research aspects of TCM, play the characteristics of Chinese medicine, cure this disease from the root.Tutor Professor Wang Shaojie has diagnosed and treated narcolepsy patients for more than a thousand, accumulating rich clinical experience. Instructor awareness of the disease is based on the understanding of sleep, which belongs to the category of more sleep soundly of traditional Chinese medicine.Sleep is primarily related with the movement of Wei qi and yin and yang. Therefore, the instructor believes that the basic pathogenesis of this disease is Yin Sheng Yang and God Mongolia awakened closed. The disease is located in the brain, and heart, liver, spleen, kidney and other viscera are closely related. The instructor according to clinical disease dialectical can see divided into the following seven syndromes:spleen wet storm syndrome, damp Spleen, liver and spleen Wang syndrome, spleen deficiency syndrome, phlegm Mongolia orifices permit awakened brain stasis syndrome and heat lamps phlegm syndrome. The basic principles of treatment are harmonizing Yin and Yang and Tongqiao refreshing, she made refreshing Tongqiao homemade soup herself, achieving remarkable results.This article has inspected and analyzed narcolepsy in recent years on the literature. Epidemiology of the disease, the etiology and pathogenesis, clinical presentation, diagnostic criteria, treatment and TCM etiology and pathogenesis of this disease, syndrome differentiation, and clinical aspects of medicine and other treatment methods are summarized. According to the tutor’s rich clinical experience for many years, the understanding of the disease of TCM and the experience of clinical medicine are summarized. Provide a reference for narcolepsy awareness and treatment of TCM, in order to explore a better treatment for the benefit of the majority of patients.