Gu Chao
Last week, a patient, Lao Zhang, came to my outpatient clinic for insomnia. His typical symptoms were difficulty falling asleep, waking up early, and difficulty falling asleep after waking up. Dreaming constantly at night, waking up exhausted. Just as I was about to take my pulse to see the tongue coating, Lao Zhang said, “Doctor, I have already taken Chinese medicine, but the effect is not great. Instead, I feel more and more uncomfortable. What’s going on?” Li introduced him, because Lao Li’s insomnia treatment was effective, and he recommended his traditional Chinese medicine to Lao Zhang. As everyone knows, Lao Li suffers from insomnia mainly due to kidney deficiency (mainly manifested by weak waist and knees, fear of cold, and fatigue), while Lao Zhang is anxious, worried, and impatient, which is a typical insomnia caused by excessive anger. The two situations are very different. , of course, the effect of medication varies. Many people wonder, can personality also affect sleep?
Traditional Chinese medicine believes that the liver belongs to wood, and its main physiological function is to dredge and relieve (regulate qi, regulate emotions), and store blood. The coordination and balance between them play an important role. People’s emotional activities depend on the smooth regulation of qi, with qi and blood as the material basis, and the liver can regulate qi and affect the operation of qi and blood. The characteristics of insomnia due to liver stagnation and fire are manifested as more dreams at night, easy to wake up early, red eyes and bitter mouth, constipation, etc. These people are characterized by impatience, irritability, anger, and often argue with others over trivial matters. Emotional factors will cause the liver to lose its stagnation and release, unable to regulate the qi mechanism, and then cause liver qi stagnation, which turns into fire, and symptoms such as irritability and irritability. In addition, the liver is mainly responsible for storing blood, and after the regulation function declines, people will experience heart failure after entering a deep sleep state, causing symptoms such as sleep talk.
In terms of treatment, the diet should avoid overeating hot foods, such as lychee, longan, mango, pepper, onion, pepper, mutton, etc. For the traditional Chinese medicine treatment of liver stagnation and fire, it mainly focuses on soothing the liver and regulating qi, nourishing the heart and soothing the nerves. The more classic prescriptions include Chaihu Shugan Powder, Longdan Xiegan Pills, Danzhi Xiaoyao Pills, etc., which should be prescribed by doctors according to individual physique. Use under the guidance of the dialectical.