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Internal Medicine A
Insomnia
Disease | Clinical manifestation | Toungue/Pulse | Acupunture | Formulas |
---|---|---|---|---|
HT-Fire blazing | wake up during night, nightmare, dream of flying, mental restlessness, biter taste, thirst, tongue ulcer, palpitation | T: Red, redder tip w/ red point, yellow T/C P: rapid & overflow on left front | HT8, HT7, SP6, LI11, REN15, DU19, BL15, BL44 | Xie Xin Tang |
Phlegm-Heat harassing Mind | Restless sleep, toss & turn, unpleasant dream, nightmare, feeling of heavy, dizzy, feel oppress chest, nausea, no appetite, palpitation, feel of heat ,sputum in throat, mental restlessness, sticky taste | T: red w/ sticky yellow coat, HT crack, s/ sticky rough yellow coating inside it P: slippery & rapid | ST40, [REN12, REN9, BL20], [SP9, SP6], LI11, ST8, GB12, ST45 (small moxa help fire down), [SP1, ST44] | Wen Dan Tang Variation |
Ht-Qi Stagnation | Palpitation, feel distension or oppress of chest, depression, sli feel of lump in throat, sli sore of breath, sighing, poor appetite, weak & cold limb, sli purple lips, pale complex | T: Sli pale purple on side in chest P: empty but very sli overflow on left front | PC6, [HT5, HT7], REN15, REN17, LU7, ST40, LI4 | Ban Xia Hou Po Tang |
Ht-Blood Stasis | Insomnia, dream disturb sleep, toss & turn in bed during night, palpitation, chest ache, mental restlessness, anxiety | T: purple P: Choppy or firm | [HT7, HT5, PC6], REN17, BL17, BL44 | Xue Fu Zhu Yu Tang Variation |
Residual heat in diaphragm | Restless sleep, wake during night, mental restlessness cannot lie down or sit, feel stuff in chest, epigastric discomfort and sour regurgitation | T: Red in front part, red point around center P: deep, sli rapid | [LU10, HT8], BL17, ST40, LI11, SP6, REN15 | Zhu Ye Shi Gao Tang |
Retention of Food | Fullness, pain & distension of epigastruim (relieve by vomit), nausea, vomit of sour fluid, foul breath, sour regurgitation, belching, loose stool or constipation, poor appetite | T: thick coat (could be white/yellow) P: Full Slippery | REN13, REN10, ST21 ,ST44, ST45, SP4, PC6, ST40, [ST19, KI21] REN12 | Ban Xia Shu Mi Tang |
Ht & Sp Blood Def | diff in fall asleep, palpitation, tiredness, poor appetite, sli anxiety, blurred vision, dizzy, poor memory, pale face | T: Pale P: Choppy | [ST36, SP6, BL20], [HT7, REN14, REN15], BL15, YINTANG, [PC6, SP4], KI9 | Gui Pi Tang |
Ht-Yin Def | waking freq during night, dry throat, mental restlessness, palpitation, night sweating, poor memory | T: w/o coat, Ht crack, red tip if there empty heat red body P: floating empty (thready rapid) | HT7, [BL15, REN14], [SP6, ST36], REN4 | Yang Xin Tang (II) |
Ht & Kid not harmonize | wake up freq during night, diff in fall asleep, dry throat, night sweat, five palm heat, poor memory, palpitation, dizzy, mental restless, tinnitus, backache | T: red w/o coat, tip red, Ht crack dry P: floating empty, sli rapid | HT7, HT6, PC7, REN4, [SP6, KI3, KI6], REN15, [BL15 BL23], [BL44, BL52] | Tian Wang Bu Xin Dan |
Ht & GB Def | wake up early in morning, being unable to sleep again, light sleep, dream a lot, propen to be startled, timid, lack of initiative & assertive, palpitation, breathlessness tired, depression | T: pale, Ht crack P: empty | HT7, GB40 | An Shen Ding Zhi Wan |
Liver Yin Def | wake up during night, dream a lot, talking when sleep in severe case sleep walk, dry throat, irri blur vision, feel heat, sore & dry eyes, skin & hair dry, dizzy | T: w/o coat P: floating empty, espc on left side | LIV8, REN4, HUSHE, SP6, PC7, [DU24, GB15], BL47, ANMIAN | Suan Zao Ren Tang |
Liver-Fire Blazing | Restless sleep, unpleasant dream, nightmare, dream of fire, irri propensity to outburts of anger, bitter taste, H/A, red face, thirst, dark urine, dry stool, dizzy | T: Red, redder on side with dry-yellow coat P: wiry rapid | LIV2, LLIV3, GB44, GB12, GB20, SP6, BL18, DU24, GB13 ,GB15, BL47, BL62, BL1, KI6 | Long Dan Xie Gan Tang Variation |