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Therapeu I- Insomnia
Four Insomnia Etiologies/Pathogeneses, Symptoms & Treatment
Question | Answer |
---|---|
Four etiologies (even though there are surely more) for insomnia. What are the 2 Xu? | HT-KD "Disharmony" (basically KD yin xu with "Water failing to 'nourish' Fire") and HT-SP Xu |
Four etiologies (even though there are surely more) for insomnia. What are the 2 XS? | LQS --> LR Fire and "Discomfort in Stomach |
Insomnia sx; tell me diagnosis: DDS, difficulty falling asleep. (They all have restlessness as sx.) Dizziness, tinnitus, 5CH, night sweat, palpitations, SWLBK. Red T scanty coat; Rapid, thready P | HT-KD Disharmony |
Insomnia sx; tell me diagnosis: "Restless sleep," fatigue, palpitations, (poor memory! i thot that was KD...), pale complexion, lassitude. Pale T with TWC. Thready, weak P. | HT & SP Xu |
Insomnia sx; tell me diagnosis: "Restless sleep" with bad dreams. Irritable, HA, distending pain chest/HCR, bitter taste in mouth, red eyes, constipation. Red T with yellow coat. Wiry, rapid P. | LR Fire |
Insomnia sx; tell me diagnosis: Abdominal distention/discomfort, belching, poor appetite. Greasy T with thick coat. Slippery P. | Stomach discomfort |
Common points for Insomnia | H7, SP6, An Mian, Yin Tang, Si Shen Cong (Four Spirits Wisdom) |
Differentiation points for insomnia d/t Disharmony between Heart and Kidney | UB15, UB23, K3, K6, K2 |
Differentiation points for insomnia d/t Heart and Spleen Deficiency | UB15, UB20, ST36, P6/SP4, MOXA SP1 (!!!!) |
Differentiation points for insomnia d/t Liver Fire | UB18, LR2, GB43 |
Differentiation points for insomnia d/t Stomach discomfort | Ren 12 (FM of ST), UB21 (BS of ST), ST36 (He-Sea), P6 (for fullness in chest/epigastrium) |
Formula for insomnia d/t Disharmony between Heart and Kidney | Tian Wang Bu Xin Dan (Emperor of Heaven Special Pill to Tonify the Heart) |
Formula for insomnia d/t Heart and Spleen Deficiency | Gui Pi Tang (Restore the Spleen Decoction) |
Formula for insomnia d/t Liver Fire | Long Dan Xie Gan Tang (Gentanae Pill for Draining Liver-Fire) |
Formula (plus modification) for insomnia d/t Stomach discomfort | Bao He Wan (Preserve Harmony Pill) +Suan Zao Ren |
Differentiation points for insomnia d/t Liver Fire | UB18, LR2, GB43 |
Differentiation points for insomnia d/t Stomach discomfort | Ren 12, UB21, ST36, P6 |
Insomnia T/P: Red T scanty coat; Thready rapid pulse. | HT-KD Disharmony |
"Trouble falling asleep" | "HT-KD Disharmony" |
Insomnia T/P: Pale T, TWC; Thready, weak pulse. | HT-SP Xu |
Insomnia T/P: Red T, yellow coat; Wiry, rapid pulse | LQS turning into Liver Fire disturbing Heart |
Insomnia T/P: Greasy thick coat; Slipper pulse | ST discomfort affects Shen |