Professor Chen Yiguo's Wenyang Regulating Qi Therapy In The Treatment Of Depressive Insomnia

Purpose:In this paper,Professor Chen Yiguo's experience in the treatment of depressive insomnia by warming Yang and regulating qi is summarized,and the correlation between emotion and sleep is discussed,so as to provide theory and effective method for clinical practice.Method:1.Through the analysis of ancient and modern Chinese medicine literature,the paper demonstrates the significance of the method of warming Yang and regulating qi in depressive insomnia based on the research about the relationship between sleep and emotion,combined with professor Chen Yiguo's academic thoughts and clinical experience,2.Through the collection and analysis of clinical cases of depressive insomnia,we can find the general rule of treating depressive insomnia by professor Chen Yiguo,and summarize the principles and common methods in clinical treatment.3.This paper describes the clinical effect of warming Yang regulating qi in the treatment of depressive insomnia by collecting cases and presenting typical cases.Clinical data,limited with inclusion criteria and exclusion criteria,were derived from depressive insomnia records in the Outpatient service of professor Chen Yiguo in using the warming Yang and regulating qi method.And the clinical medical records was from January 2019 to December 2019.4.The paper takes typical clinical cases in order to comprehensive analysis of the professor's treatment experience.Results:1.Professor Chen Yiguo summarized the pathogenesis of depressive insomnia as "yin excess yang deficiency,disorder of qi activity",and believed that the treatment principle of depressive insomnia was to warm yang and regulate qi.Therefore,the method of warming yang and regulating qi was established to treat depressive insomnia.The major component in prescription should be wen yang herbs and supplement by qi-regulating drugs.At the time of acupuncture,we should seem regulating qi as major and the warming Yang as the subsidiary.The upper points of governor vessel were taken to warm yang qi,and the abdominal and umbilical points were chosen to regulate the qi of middle jiao.And professor advocated nourishing the mind through shape adjustment,balancing the diet,and so on,which can achieve the purpose of treatment.2.Clinical observation and treatment of 30 cases of depressive insomnia found(1)the total effective rate was 94%,there into 20 cases were cured,accounting for 40%,22 cases were markedly effective,accounting for 44%,5 cases were effective,accounting for 10%,3 cases were ineffective,accounting for 6%.(2)The HAMD scores before and after treatment were26.66±4.13 and 9.72±4.00,respectively,and the difference was significant before and after treatment(P=0.000<0.05).The results were statistically significant.(3)The PQSI scores before and after treatment were 15.34±3.59 and 6.68±1.97,respectively,and the difference was significant before and after treatment(P=0.000<0.05).The results were statistically significant.Conclusion:1.Professor Chen yiguo established the treatment method of warming Yang and regulating qi,which can guide the treatment of depressive insomnia by internal administration of traditional Chinese medicine,acupuncture,rehabilitation and exercise.2.The method of warming Yang and regulating qi has a significant effect on the treatment of depressive insomnia,and has obvious effect on the state of depression and sleep disorders,which has certain clinical significance.