Treatment Of Early Awakening Insomnia Based On The Sleep-related Theory Of The Huangdi’s Innner Classic

Objective:to explore the mechanism and treatment of early awakening insomnia by both literature research and data analysis,to rationalize the understanding,clinical treatment and other interventions of early awakening insomnia in traditional Chinese medicine and contemporary medicine,to sort out the contents and principles of insomnia and abnormal waking activity in the Huangdi’s Inner Classics,so as to organize the clinical identification and framework system for the treatment of early awakening insomnia,and to guide the clinical practice.Methods:The literature related to early awakening insomnia was researched from CNKI,Wanfang and CQVIP databases from its inceptions to January 2021.The visualization tools Cite Space and VOSviewer software were applied to analyze the current status of research,research progress and research hotspots of early awakening type insomnia.Based on the 100 medical cases of early awakening insomnia from the Qingyang District Traditional Chinese Medicine Hospital and Zheng-healing clinic,the gender,age,the and prescriptions of patients with early awakening insomnia have been analyzed.Besides,their pathological mechanisms the medication patterns have been also documented.Results:The current research on early awakening insomnia in modern medicine is not deep enough,and the current research on early awakening insomnia in traditional Chinese medicine is mostly based on the collection of clinical data to conduct syndrome differentiation and analyze typical symptoms.The current clinical patterns of early awakening insomnia are mostly "qi stagnation and blood stasis","gallbladder stagnation and phlegm disturbance" and "yin deficiency resulting in vigorous fire".Based on the sleep-related theories of the Huangdi’s Inner Classic,the appliance of early awakening insomnia with modified wendan decoction and modified gui zhi decoctionis highly effective.Conclusions:As a typical symptom of depression,early awakening insomnia should receive attention and be distinguished from the common types of insomnia in terms of recognition and treatment.Patients with early awakening insomnia are often suffering from "Qi stagnation and blood stasis","gallbladder stagnation and phlegm disturbance" and "yin deficiency resulting in vigorous fire".Under the guidance of the Huangdi’s Inner Classic,as well as the instructor’s formula "wendan decoction" and "gui zhi Decoction",and the various treatment methodsbased on the clinical guidance of expelling evil and reinforcing the healthy qi,harmonizing ying-wei,and Yin-Yang,the treatments have shown remarkable clinical efficacy.It mayprovide colleagues with a complete clinical treatment concept for early awakening insomnia and advice on the prescription of medication.