Professor Yu Shangzhen's Clinical Experience Research On The Differentiation And Treatment Of Insomnia

Purpose:This study systematically summarizes Professor Yu Shangzhen's clinical experience in treating insomnia,and at the same time analyzes the drugs based on statistical analysis,discusses their prescription drug rules,and perfects and supplements the summarized clinical experience,so that it can be better promoted And inheritance.Methods:Through this study to clinical and ask yu Shang Zhen professor way,more than the preliminary summary Shang Zhen treating fatal familial insomnia clinical experience,professor at the same time were collected and compiled in June 2017 to October 2020 into standard outpatient cases,the data analysis,the formulas of these drugs,and the prescriptions and frequency,sexual flavour of a preliminary statistical analysis,attempts to summarize professor yu Shang Zhen treating fatal familial insomnia prescription patterns.Results:The 10 traditional Chinese medicines with the highest frequency of use were poria cocos(132 times),bupleurum bupleurum(126 times),angelica sinensis(123 times),peony peony(121 times),peony bark(119times),ginger(117 times),prepared liquorice(116 times),atractylodes(112 times),mint(104 times)and gardenia fruit(103 times).In terms of medicinal properties,warm drugs were used the most frequently(626 times),followed by cold drugs(615 times),flat drugs(615times),cool drugs(41 times)and hot drugs(35 times).In terms of medicine taste,sweet medicine was used the most frequently(1128 times),followed by acrid medicine(807 times),bitter medicine(857 times),sour medicine(235 times),astringent medicine(74times),salty medicine(33 times).In terms of drug channelling,the spleen meridian was the most(1191),followed by the heart meridian(947),lung meridian(946),liver meridian(881),stomach meridian(620),kidney meridian(520),gallbladder meridian(257),large intestine meridian(112),trijiao meridian(103),bladder meridian(58)and small intestine meridian(26).On the frequency of use,Dan Zhi xiaoyao powder use frequency is highest,102 times,followed by the radix bupleuri wendan tang(13),plum pill(12),cassia twig tuckahoe pills(12),kidney pills(11),astragalus membranaceus chienchung soup(ten times),bupleurum cassia twig decoction(4 times),spleen decoction(4 times),cassia twig and keel oyster soup(4 times),warm soup(3 times).in conclusion:1.Professor Yu Shangzhen believes that the pathogenesis of insomnia is yin and yang incompatibility,and there are many causes.He advocates the use of the six-channel syndrome differentiation system to treat insomnia,which makes it easier to seize the pathogenesis.2.Professor Yu Shangzhen's clinical experience in treating insomnia:(1)Yingwei Disharmony: Guizhi Decoction;(2)Stagnation of the liver and spleen: Danzhi Xiaoyao Sanhua;(3)Phlegm-heat disturbing heart and anxiety: Wendan Decoction;(4)Heart and Spleen Two deficiency: Guipi Decoction addition and subtraction;(5)Taiyin spleen deficiency,Qingyang not rising: Huangqi Jianzhong Decoction addition and subtraction;(6)Heart and kidney failure: Huanglian Ejiao Decoction addition and subtraction;(7)Shaoyang depression heat: Chaihu plus Longgumuli Decoction addition and subtraction;(8)Blood deficiency Hanning:addition and subtraction of Wenjing Decoction;(9)upper heat and lower cold: addition and subtraction of Wumei pills.3.Based on the preliminary analysis of data statistics,Professor Yu Shangzhen's formula for differentiation and treatment of insomnia:(1)Deficiency of the viscera,prone to insomnia;(2)Combined use of cold and temperature for a period of time;(3)Elevating and lowering simultaneously,taking care of the five internal organs;(4)Insomnia,The liver receives it first.