Studying The Regularity Of Syndrome And Therapy About Insomnia Treated By Fuhe Decoction In 2019 Based On The Theory Of Wuyun Liuqi

Objective:Based on the theory of Wuyun liuqi in the unity of heaven and man in Traditional Chinese Medicine,taking Fuhe decoction for insomnia as an example,to explore the pathogenesis characteristics of insomnia of blood non-nourishing spirit type in the year of Jihai(2019),and the effectiveness and mechanism of Fuhe decoction treatment.According to the regularity of the yunqiy elements of the birth date of the insomnia patients in the year of Jihai,this paper explores the syndrome and treatment regularity of insomnia in the year of Jihai with the correspondence of human body and natural environment.Methods:In this study,75 cases of insomnia patients with blood non-nourishing spirit type in jihai year were collected and given Fuhe decoction for 2 weeks and 63 cases had complete data.The general Data and TCM symptom score table were counted before and after self-treatment,and the clinical efficacy was evaluated.all the insomnia patients(205 cases)with complete data in 2019 were collected,and the yunqi elements of their birth date,such as Tiangan,Dizhi,Sitian,Zaiquan,Keqi,,were statistically analyzed to sum up the regularity of Qi Constitution of insomnia patients in the year of Jihai.Results:1.There were 205 cases of insomnia in Professor Li Yanyan’s outpatient department in jihai year,of which 75 cases were patients with blood non-nourishing spirit,and the proportion of patients with blood non-nourishing spirit in jihai year was 36.6%.2.General informationThere were 63 patients who took Fuhe decoction continuously for 2 weeks.The results showed that the ratio of male to female was 1: 4.7 in 63 patients with insomnia due to blood deficiency and spirit nourishing,and the ratio of male to female was 1:3.66 in 205 patients with insomnia.The ratio of female patients was significantly higher than that of male patients.Among the 63 cases of insomnia,40-49 years old and 50-59 years old accounted for28.6% and 25.4%,respectively,and the patients over 40 years old accounted for 77.8%.Among the 205 cases of insomnia,40-49 years old and 50-59 years old accounted for23.4% and 23.9%,respectively,and the patients over 40 years old accounted for 75.1%,which suggested that the incidence might be related to kidney-Qi attenuation and Yin-blood deficiency.3.Efficacy evaluationAccording to statistics,in 63 patients with insomnia,the TCM symptom score table had statistical significance before and after treatment(P<0.01),and the score showed a downward trend as a whole.3 cases were cured,26 cases were markedly effective,29 cases were effective and 5 cases were ineffective.The total effective rate was about 92.1%.In the six main symptoms of TCM symptom score table(including deficiency and vexation,difficulty in falling asleep,waking up at night,difficulty in falling asleep again after waking up,time of falling asleep again after waking up,insufficient sleep time),there was statistical significance in each main symptom before and after treatment(P<0.01),and the score showed a downward trend.Among them,the cure rate of the symptoms of asthenia,vexation and sleeplessness is 37.3%,and the improvement rate is 93.2%;the cure rate of the symptoms of difficulty in falling asleep is 45.2%,and the improvement rate is88.7%;the cure rate of the symptoms of waking up at night is 31.6%,and the improvement rate is 89.5%;the cure rate of difficulty in falling asleep again after waking is 49.1%,and the improvement rate is 92.5%;the cure rate of the symptoms of falling asleep again after waking for more than 0.5 hours is 47.1%4.Element of yunqiAmong the 63 patients with insomnia caused by blood non-nourishing spirit,10 cases(15.9%)had a maximum annual dry time of five years,which was too old for huoyun.There were 8 cases in Ding Nian(Muyun buji)and Xin Nian(Shuiyun buji),each accounting for 12.7%.The most of the patients’ birth dates were Huoyun(19 cases,accounting for 30.2%),followed by Muyun(14 cases,accounting for 22.2%).The most Dizhi of the patients’ birth date were the year of Hai,with 10 cases,accounting for 16%.There were 14 cases(22.2%)with Yangming zaojin Sitian and Shaoyin junhuo Zaiquan.The Zhuqi of the patients’ birth date were Taiyin shitu,which were 17 cases,and the composition ratio was 27%.As for Keqi of the birth date of patients,Shaoyin junhuo was more,15 cases,and the composition ratio was 23.8%.In 63 cases of insomnia patients with blood failure to nourish the mind,according to the statistics of Yunqi factors of each patient,58 cases of patients’ yunqi factors included Muyun buji or(and)Jinyun taiguo or(and)Jueyin fengmu or(and)Yang ming zaojin,accounting for 92%.In 63 cases of insomnia patients with blood deficiency and mental deficiency,according to the P value of chi-square fitting degree,the distribution of huoyun of the year of birth date of the patients was significantly different from that of other distribution(P<0.05),the distribution of the year of Dizhi in the year of the birth date of the patients was significantly different from that of other distribution(P<0.05),and the distribution of the Zhuqi,which is Taiyin shitu,in the year of the birth date of the patients was significantly different from that of other distribution(P <0.05).There was no significant difference in the distribution of the others elements of yunqi(P> 0.05).Of the 205 cases of insomnia,26 cases were born in the year of Ding and 25 cases were born in the year of Geng,accounting for 12.7% and 12.1% respectively.Most of the patients were born in the year of muyun,accounting for 44 cases(21.5%).The most Dizhi of birth was the year of Hai,with 30 cases(14.6%),then was the year of Mao,with 25cases(12.2%).The patients were born in sitian,Yangming Zaojin sitian(Shaoyin Junhuo zaiquan)and Jueyin fengmu sitian(Shayang xianghuo zaiquan),with 41 cases and 39 cases respectively,accounting for 20.0% and 19.0% respectively.The Zhuqi of the patient’s birth date was Taiyin shitu,which was 41 cases,and the composition ratio was 20%.The keqi of birth of patients was Jueyin Fengmu more,40 cases,the composition ratio was 19.4%.In 205 patients with insomnia due to blood deficiency and mental deficiency,according to the statistics of yunqi factors of each patient,the yunqi factors of 186 patients included muyun buji or(and)Jinyun taiguo or(and)Jueyin fenmu or(and)Yangming zaojin,accounting for 90.7%.In 205 cases of insomnia,according to the P value of chi-square fitting degree,the distribution of Dizhi of the birth date of the patients in the year of Hai and the year of Si had statistical significance compared with other distribution(P<0.05).There was no significant difference in the distribution of the remaining yunqi(P> 0.05).Conclusion:1.Fuhe decoction is designed for the Jueyin fengmu,Shaoyang xianghuo zaiquan,its main treatment for symptoms of insomnia caused by blood non-nourishing spirit.The compatibility of the formula reflects the thought of Inner Canon of Huangdi “Jueyin guest,with pungent tonic,with acid diarrhea,with sweet slow”.In the clinical,the treatment of insomnia has achieved good curative effect.Fuhe decoction can significantly improve the sleep quality of patients with insomnia of blood deficiency and spirit nourishing type,including symptoms of deficiency and vexation,difficulty in falling asleep,waking up at night,difficulty in falling asleep again after waking up,time of falling asleep again after waking up and insufficient sleep time,etc.It also provides clinical basis for the same treatment of different diseases and the expansion of treatment range.2.The main population of insomnia are women and middle-aged and elderly people.Women have special physiological characteristics,their menstruation,belt,fetus,delivery is the most likely to consume blood and blood loss,resulting in liver blood deficiency.And women are the most likely to be emotional injury,resulting in Liver Qi Stagnation.Compared with men,women’s physiological characteristics make them more prone to liver blood deficiency,and then the liver does not hide the soul,more prone to insomnia.Compared with teenagers,the physiological characteristics of the middle-aged and elderly people are the gradual decline of kidney Yin,the gradual decline of qi and blood,the deficiency of Yin and blood,the liver does not hide the soul,the soul is restless,and the hair is restless.3.The human body is affected by yunqi factors,and the diseases it suffers from also have certain regularity.Taking Jueyin Fengmu sitian in the year of the year of Jihai as an example,the proportion of patients with blood non-nourishing spirit type insomnia was about 36.6%,which means that the patients were affected by the yunqi of the year.However,we should not only consider the yunqi elements of the year of Jihai,but also combine the yunqi elements of the patient’s birth date,combined with the symptoms of the patient.In clinical diagnosis,it is necessary for comprehensive analysis of data gained by four diagnostic methods,and add the patient’s yunqi element at birth and the yunqi element at the time of visit,comprehensively consider,analyze the main pathogenic factors,and then treat based on syndrome differentiation.4.As far as insomnia is concerned,the main cause is liver depression and Qi stagnation or liver blood deficiency,and the liver does not hide the soul,which is closely related to liver mu.The Qi Constitution of the patients with insomnia in the year of jihai is mainly affected by the jueyin fengmu sitian(Dizhi is Hai),and is mostly affected by the factors such as muyun buni,jinyun taiguo,jueyin fengmu,or yangming zaojin,which makes the patients tired by insufficient liver wood and metal restricting wood,so they have insomnia.The statistical analysis of the yunqi factors of 63 patients with insomnia of blood non nourishing type was carried out on the date of birth.It was found that there were some regularity in the physical fitness of the patients with blood non nourishing type insomnia in the year of Jihai.In other words,in the year of Jihai(the year of Tuyun buji,Jueyin fengmu sitian),The patients with the three kinds of yunqi factors,which were the Huoyun of Nianyun,the Taiyin shitu of Zhuqi and the Sitian of Jueyin fengmu,have the tendency of insomnia with blood and non nourishing spirit.Through the statistical analysis of 205 cases of insomnia patients’ date of birth,it is found that there is a certain regularity of the factors of birth luck of insomnia patients in the year of Jihai,that is,in the year of Jihai(the year of Jueyin Fengmu Sitian),the main factor of birth yunqi that affects patients’ insomnia is Jueyin Fengmu Sitian.5.According to the yunqi of the year of visit,we can infer what kind of syndrome type the patient is most likely to suffer from,and according to the yunqi of the patient’s birth,we can infer why the patient is easily affected by the disease.The Wuyun liuqi are the treasures of traditional Chinese medicine theory and the core of Traditional Chinese Medicine in preventing disease.The scientific nature and regularity are thought-provoking,and provide new ideas for clinicians to treat and prevent diseases.