《中国传统医学》课程PPT教学课件（Traditional Chinese Medicine）Diseases treatment——Insomnia

Insomnia Etiology,differentiation and treatment

Insomnia Etiology, differentiation and treatment

Concept Difficulty in getting to sleep Easy to wake up and unable to sleep again after waking Dream disturbing sleeping Sleeplessness during the whole night Signs and symptoms:insomnia, dream disturbing sleeping,dizziness headache,failing memory

Concept Difficulty in getting to sleep Easy to wake up and unable to sleep again after waking Dream disturbing sleeping Sleeplessness during the whole night Signs and symptoms: insomnia, dream disturbing sleeping, dizziness, headache, failing memory

Refered disease: neurasthenia

Refered disease: neurasthenia

Etiology and Pathogenesis Over thinking deficiency of-deficiency of Over working heart and spleen qi and blood Weakness constitution malnutrition of dysfunction of Zangfu-kidney heart mental After a disease Yin deficiency insomnia fear of gallbladder and heart Terror,grief-abnormal- fire'in disturbing movement of qi liver and heart heart mental Improper diet-dysfunctionof-produce stomach phlegm and heat

Etiology and Pathogenesis Over thinking deficiency of -deficiency of Over working heart and spleen qi and blood Weakness constitution malnutrition of dysfunction of Zangfu—kidney heart mental After a disease Yin deficiency insomnia fear of gallbladder and heart Terror, grief-abnormal - fire in disturbing movement of qi liver and heart heart mental Improper diet-dysfunction of -produce stomach phlegm and heat

Etiology and Pathogenesis "heart mental"is the key Types of insomnia is based on excess and deficiency: (1)deficiency (malnutrition):heart. spleen、kidney、gallbladder (2)excess (being disturbed):heart, liver、stomach (3)combination:disharmony of kidney and heart

Etiology and Pathogenesis “heart mental”is the key Types of insomnia is based on excess and deficiency: (1) deficiency（malnutrition）：heart、 spleen、kidney、gallbladder (2) excess（being disturbed）：heart、 liver、stomach (3)combination：disharmony of kidney and heart

Differentiation Deficiency of Heart and Spleen Main manifestations: difficulty in going to sleep,easy to wake up with excessive dreams during sleep. Accompanying Symptoms and Signs: palpitations,amnesia,spontaneous sweating, lusterless complexion,fatigue,weakness,abdominal distension,loose stool. Tongue and Pulse: a pale tongue with a thin whitish coating,a thready and weak pulse

Differentiation Deficiency of Heart and Spleen Main manifestations: difficulty in going to sleep, easy to wake up with excessive dreams during sleep. Accompanying Symptoms and Signs: palpitations, amnesia, spontaneous sweating, lusterless complexion, fatigue, weakness, abdominal distension, loose stool. Tongue and Pulse: a pale tongue with a thin whitish coating, a thready and weak pulse

Differentiation Disharmony of kidney and heart Main manifestations: Insomnia,restlessness,or easy to wake up after a short sleep. Accompanying Symptoms and Signs: Hot sensation in the palms and soles,severe palpitation,night sweating,a dry mouth and throat, dizziness,tinnitus,amnesia,seminal emission, soreness and weakness of the waist and knees. Tongue and Pulse: a red tongue,a thready rapid pulse

Differentiation Disharmony of kidney and heart Main manifestations: Insomnia, restlessness, or easy to wake up after a short sleep. Accompanying Symptoms and Signs: Hot sensation in the palms and soles, severe palpitation, night sweating, a dry mouth and throat, dizziness, tinnitus, amnesia, seminal emission, soreness and weakness of the waist and knees. Tongue and Pulse: a red tongue, a thready rapid pulse

Differentiation Fear of gallbladder and heart Main manifestation: dream disturbing sleeping Accompanying symptom and signs: easy to be feared,shortness of breathing, difficult to make a decision Tongue and Pulse: a pale tongue,a wiry and thready pulse

Differentiation Fear of gallbladder and heart Main manifestation: dream disturbing sleeping Accompanying symptom and signs: easy to be feared, shortness of breathing, difficult to make a decision Tongue and Pulse: a pale tongue, a wiry and thready pulse

Differentiation Flaring-up of excessive Liver Fire Main manifestation: sleeplessness with dizziness and headache Accompanying symptom and signs: irritability and easy to be scared,redness of the eyes,tinnitus,a bitter taste in the mouth, hypochondriac pain Tongue and Pulse: a red tongue with a thin yellowish coating,a wiry and rapid pulse

Differentiation Flaring-up of excessive Liver Fire Main manifestation: sleeplessness with dizziness and headache Accompanying symptom and signs: irritability and easy to be scared, redness of the eyes, tinnitus, a bitter taste in the mouth, hypochondriac pain Tongue and Pulse: a red tongue with a thin yellowish coating, a wiry and rapid pulse

Differentiation Dysfunction of stomach,Phlegm and heat disturbing Main manifestations: restlessness and insomnia Accompanying symptoms and signs: vexation with a full sensation in the heart, gastric distension,belching,dizziness,even vomiting with phlegm Tongue and pulse diagnosis: a yellow and greasy tongue coating ,a slippery or wiry pulse

Differentiation Dysfunction of stomach, Phlegm and heat disturbing Main manifestations: restlessness and insomnia Accompanying symptoms and signs: vexation with a full sensation in the heart, gastric distension, belching, dizziness, even vomiting with phlegm Tongue and pulse diagnosis: a yellow and greasy tongue coating ,a slippery or wiry pulse