Shaoyin disease lasts for more than two or three days, and I can't lie down if I am bored. The treatment is mainly Huanglian Ejiao Decoction. (303)
form
Coptidis Rhizoma 12g Scutellariae Radix 6g Radix Paeoniae Alba 6g Colla Corii Asini 10g Wuji 2 tablets.
Decocting method
Soak the three herbs for 20 minutes and then decoct for 30 minutes, about 400ml, and dissolve them in Ejiao. Take it twice in the morning and evening, and drink black-bone chicken brisson 1 tablet first.
add and subtract
1. If the tongue is red, add Radix Rehmanniae.
2. For dizziness and palpitation, add keel and oyster.
taboo
1. Those who are full of troubles and surprises should avoid it.
2. If the pulse is slippery, avoid it.
3. People who like cold without bitterness should avoid it.
exist
This recipe can nourish yin, reduce fire, and soothe the nerves. Clinically used for insomnia, bitter taste, cold dreams, red tongue tip and thready pulse.
"Lingpuzzlement" said: "You can't enter the Yin, but always stay in the Yang. If you stay in the yang, the yang will be full, but if you don't enter the yin, the yin will be weak, so your eyes will not be sour. " The eyes are not satisfied, although Yunyang does not enter the yin, but Yang does not enter the yin, the heart and spleen are deficient, and the blood does not nourish the heart; Phlegm-fire mutual knot, disturbing the mind; Those with liver and gallbladder fire; Many people don't have hearts and kidneys. Insomnia in this syndrome is caused by deficiency of kidney yin, intense heart fire, surly yin and yang, and disharmony between heart and kidney. Chen Shiduo's Records of Differentiation of Symptoms and Signs says: "Those who can't sleep at night are not satisfied with their hearts and kidneys." It is more common in patients with fever recovery or chronic diseases, such as tuberculosis, hypertension, hyperthyroidism, menopausal endocrine disorders, neurasthenia and so on. It is characterized by insomnia, insomnia, dreaminess, nocturnal emission, impatience, heartburn, flushing on cheeks, tinnitus, headache and dizziness, vexation of the five senses, or bleeding from various orifices, myalgia in the tongue, dry mouth and bitter taste, aversion to cold and thirst, short and red urine, dry stool, dry skin, little red tongue and body fluid, red prickles on the tip of the tongue, or chapped tongue. Clinical differentiation should be based on yin deficiency and pathogenic heat. For example, the symptoms of simple yin deficiency and heat are not strong, and Suanzaoren Decoction and Buxin Dan can both be competent. Huanglian Huangqin tastes bitter and dry, which seems to hurt yin.
The pain of insomnia is hard for healthy people to understand. During the day, they are tired and sleepy. At night, they worry about everything and find it difficult to sleep. People's snoring is mixed with envy, and it is more and more troublesome to listen to the surrounding sounds. When it's hazy, the East turns white. After a long time, the painstaking efforts are exhausted, and even the mind is disordered, such as epilepsy, so it is necessary to seriously adjust the treatment and insist on medication. Yang does not enter Yin, which is not formed in a short time and needs time to recover. Doctors and patients should not change prescriptions because of insomnia, especially those who are dependent on sedative western medicine, and most of them need long-term use to get results. At the same time, you must live in daily life. Sometimes, because I can't sleep, I don't want to read, surf the Internet or watch TV until midnight. I don't know if I will be restless when I am young, which will make the yang more troublesome and beneficial, and it is more difficult to enter the yin and beneficial to insomnia.
Taoism is interested in roots. In the final analysis, it is the anger that goes to dantian and the yang goes back to Tibet. Therefore, breathing exercises can help you fall asleep, that is, sitting cross-legged, sitting quietly and taking deep breaths.
Black-bone chicken is difficult to swallow after mixing with drugs, which has the same effect as taking drugs first and drinking alone.
Quasi-formula
1. Gardenia black bean soup: It can also cure insomnia. Different, Zhichi decoction is characterized by heat accumulation in the chest diaphragm, upset, chest tightness, heartache, smooth and powerful pulse. Although the words are empty and boring, there is no weakness in clinic.
2. Suanzaoren Decoction: the same prescription for insomnia. Different, Suanzaoren decoction belongs to fatigue syndrome, which should have symptoms such as dizziness, thirst, five upset, impatience and fatigue.
3. Chaihu plus keel oyster soup: It can also cure upset and insomnia. The difference is that the syndrome of Chaihu plus Gulong Oyster Decoction is caused by liver depression, excessive phlegm, restlessness, chest tightness, palpitation, heavy pulse or thenar pulse.
clinical application
1. Treat purulent blood caused by dampness toxin, deficiency of yin and irritability, and don't lie down. ("Medical Cases Must Read")
2. Treating yin blood with heat will turn red. (Zhang Yitong)
3. Add Radix Rehmanniae to treat patients with tongue coating shedding. (Four medical records in Liu Xuan)
4. Upset, bloating, abdominal pain and diarrhea, bloody dysentery and bloody stranguria. (Interpretation of Treatise on Febrile Diseases)
5. Leaching, urinating like hot soup, burning pain in the stem and excessive blood. (Huang Han Pharmaceutical Weitai Company)
6. Blood loss, chest tightness, body heat, abdominal pain, meager profit, dry tongue and lips, irritability and insomnia, fatigue, loss of blood color or hot flashes. (Han Huang Medical Cluster Fang Guang)
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7. Treat skin diseases, such as facial flushing, dizziness, itching, insomnia at night, redness of affected part, dry and itchy skin, dry tinea, dry dermatitis, dry eczema, keratosis of palm skin, pustules and blisters on palm toes, etc. This is not effective for refrigerants and coolants. (Clinical TCM prescription1981; 4: 1 1)
8. Refractory aphonia, neurosis, bronchiectasis and hemoptysis, chronic ulcerative stomatitis, insomnia, abortion, premature ejaculation and impotence. (Zhejiang journal of traditional chinese medicine1980; 5:58)
9. insomnia; Urinating blood; Collapse and leakage; Lower extremity syncope. They all have red tongues, tongue tips, no fur, thin yellow fur and thin pulse. (Selected Cases of Liu Duzhou)
10. Lower limb chills. Red tongue, upset, insomnia, dreaminess, sweating on the upper body. (Clinical Guide to Classical Prescriptions)
1 1. Laugh. Flushed face, red tongue without coating, and thin pulse. Two doses stopped. (hebei journal of traditional chinese medicine Journal1992; 3:27)
12. Blind. At the same time, my heart is hot, irritable and my pulse is weak. (New use of ancient prescription)
Medical record of Huanglian Ejiao decoction
1. Insomnia wet dream
Zhang, male, 26 years old. She is strong and full of energy, suffering from many marital problems, and all kinds of worries come together, leading to anxiety and insomnia. At the beginning, Xu Shang could fall asleep by turning it over. It was hard to sleep all night after that. Headache, brain swelling, cicadas in my ears. Taking valium and other sedatives, a small amount will not help, and a large amount will only sleep for two or three hours. Dreaming after sleep, nocturnal emission, long-term treatment, upset is beneficial. Dry mouth and bitter taste, thinking about drinking and thinking about cold. It is regarded as listless, with white eyes covered with red silk, red tongue and insufficient body fluid, especially at the sharp edge, with thin yellow fur. Feel the pulse, the string is thin and counted.
Judging from its pulse condition, this heart and kidney don't care about each other. The sage said that all five ambitions can be turned into fire. Being shrouded in anxiety and qi stagnation for a long time, excessive heart fire, such as scorching sun, causes internal friction of true yin, insufficient kidney water and insufficient water and fire, so insomnia and insomnia will be discharged. Zhang Jingyue said: "Although essence is hidden in the kidney, the master of essence is in the heart." Therefore, when clearing heart fire and nourishing kidney water to help fire and water, the Lord knows God's safety. Huanglian Ejiao Decoction:
Coptidis Rhizoma 6g Scutellariae Radix 10g Colla Corii Asini 10g Radix Paeoniae Alba 15g Wuji 2 tablets are taken in three times.
The second diagnosis: I can sleep after one dose, and I can sleep for five or six hours every night after three doses, and my anxiety and tinnitus are also obviously reduced. * * * After taking 12 dose, I stopped taking the medicine as soon as my sleep recovered.
2. insomnia
Wang, female, 43 years old, from Dongshi Village, engaged in sewing. Because of the integrity of the industry, there are many businesses, eating, drinking and working overtime, which leads to the loss of qi, blood and kidney yin. Over time, overwork has become a disease. 36-year-old amenorrhea, treated with nourishing yin and blood, less menstrual flow. Because I suffered from cold for ten times at a time, I failed to take medicine continuously, and then I closed it again. Recently, due to overwork, I often suffer from insomnia and even stay up all night. Anxiety, burning of five internal organs, soreness of waist and knees, bitter taste and thirst, thirst and excessive drinking, red tongue with little coating and rapid pulse. Zhang Jingyue said: "Those who worry too much will cause blood consumption ... so they don't sleep." There is another cloud: "Sleep is due to yin, and God is dominant. When God is calm, he sleeps; when God is restless, he doesn't sleep. He is uneasy because he is disturbed by evil spirits and is not satisfied with glory. " In this case, the patient is overworked, Yin Ying is deficient, and kidney water can't be delivered to the heart, which leads to exuberant heart fire. The monarch's palace burned and the gods were confused, so he was upset. Treatment should nourish kidney water and clear heart fire. It is suggested that Huanglian Ejiao decoction should be flavored, combined with work and rest, and work and rest should be moderate.
Coptidis Rhizoma 6g Scutellariae Radix 6g Radix Paeoniae Alba 15g Colla Corii Asini 15g Black-bone Chicken 2 Rehmannia 15g.
The second diagnosis: the sleep is obviously improved and the anxiety is lighter. This kidney receives water, and heart fire is also a sign of decline.
Three doses of defensive prescription
Three diagnosis: after taking six doses, sleep will be sweet and greasy. Take Buxin Dan and Maiwei Dihuang Pill for one month. Follow-up after half a year, the curative effect was consolidated.
-This article is taken from the classic practice record.