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INSOMNIA
NESA Int Med INSOMNIA
| Question | Answer |
|---|---|
| Define insomnia. | Sleep disturbance, inability to sleep, difficulty falling asleep, frequent waking, difficulty falling back to sleep once awakened, fitful sleep, restless sleep, dream disturbed sleep, light sleep |
| List the etiological factors leading to insomnia. | Emotional disruption or stress; improper diet; frail constitutin following an illness; constitutional weakness; physical disorders (cough, back pain, nocturia); misuse of sleep aids; late or irregular bedtime |
| What are the crucial points in diagnosing insomnia? | Identify the site of disease (Ht, Kd, Sp, Lv, Gb, St); distinguish xu from shi |
| What is the general treatment strategy for excess patterns of insomnia? | Clear heat, drain fire, transform phlegm, reduce food stagnation |
| What is the general treatment strategy for deficiency patterns of insomnia? | Tonify deficiency (nourish Heart yin or blood, tonify Kidney yin, augment qi of the Heart and Gall Bladder) |
| What are the seven patterns of insomnia? | Heart-fire blazing; Liver qi stagnation; Liver heat or fire; Phlegm-fire harassing the interior; Yin xu with vigorous fire; Heart and Spleen xu; Heart and Gall Bladder qi xu |
| What are the treatment strategy and formula for insomnia due to Heart-fire blazing? | Clear the Heart, drain fire and calm the spirit with Zhu Sha An Shen Wan |
| Which two herbs can be added to Zhu Sha An Shen Wan for insomnia with nausea, irritability and a stifling sensation in the chest? | Dan Dou Chi and Zhu Ru |
| What are the treatment strategy and formula for insomnia due to Liver qi stagnation? | Soothe the Liver and quiet the spirit with Chai Hu Shu Gan San or Xiao Yao San |
| What are the treatment strategy and formula for insomnia due to Liver heat or fire? | Regulate the Liver qi, clear heat, drain fire, sedate and calm the spirit with Jia Wei Xiao Yao San or Long Dan Xie Gan Tang |
| What are the treatment strategy and formula for insomnia due to Phlegm-fire harassing the interior? | Clear heat, transform phlegm, harmonize the Stomach and quiet the spirit with Wen Dan Tang or Huang Lian Wen Dan Tang |
| What are the treatment strategy and formula for insomnia due to Yin xu with vigorous fire? | Nourish Kidney yin, drain Heart fire and calm the spirit with Liu Wei Di Huang Wan plus Huang Lian E Jiao Tang or Tian Wang Bu Xin Dan |
| What are the treatment strategy and formula for insomnia due to Heart and Spleen xu? | Supplement the Heart and Spleen, nourish the Heart and calm the spirit with Gui Pi Tang |
| What can be added to Gui Pi Tang for severe insomnia? | Wu Wei Zi, Ye Jiao Teng, Bai Zi Ren |
| What are the treatment strategy and formula for insomnia due to Heart and Gall Bladder qi xu? | Supplement the qi, suppress fright, stabilize the mind and calm the spirit with An Shen Ding Zhi Wan plus Suan Zao Ren Tang or Ding Zhi Wan |
| What are the common ingredients for nourishing the Heart and calming the spirit? | Wu Wei Zi, Suan Zao Ren, Bai Zi Ren, He Huan Pi, Yuan Zhi, Ye Jiao Teng |
| What are the common ingredients for anchoring, settling and calming the spirit? | Long Gu, Long Chi, Mu Li, Hu Po, Ci Shi |
| List the ingredients in Chai Hu Shu Gan San. | Chen Pi, Chai Hu, Chuan Xiong, Zhi Ke, Bai Shao, Zhi Gan Cao, Xiang Fu |
| List the ingredients in Xiao Yao San. | Chai Hu, Dang Gui, Bai Shao, Bai Zhu, Fu Ling, Zhi Gan Cao |
| List the ingredients in Jia Wei Xiao Yao San. | Dang Gui, Bai Shao, Fu Ling, Bai Zhu, Chai Hu, Mu Dan Pi, Zhi Zi, Zhi Gan Cao |
| List the ingredients in Long Dan Xie Gan Tang. | Long Dan Cao, Huang Qin, Zhi Zi, Mu Tong, Che Qian Zi, Ze Xie, Chai Hu, Sheng Di Huang, Dang Gui, Gan Cao |
| List the ingredients in Wen Dan Tang. | Zhu Ru, Zhi Shi, Ban Xia, Chen Pi, Fu Ling, Gan Cao, Sheng Jiang |
| List the ingredients in Huang Lian Wen Dan Tang. | Huang Lian, Zhu Ru, Zhi Shi, Ban Xia, Chen Pi, Fu Ling, Gan Cao, Sheng Jiang |
| List the ingredients in Liu Wei Di Huang Wan. | Shu Di Huang, Shan Zhu Yu, Shan Yao, Fu Ling, Mu Dan Pi, Ze Xie |
| List the ingredients in Huang Lian E Jiao Tang. | Huang Lian, Huang Qin, E Jiao, Bai Shao, Ji Zi Huang (egg yolk) |
| List the ingredients in Tian Wang Bu Xin Dan. | Sheng Di Huang, Ren Shen, Tian Men Dong, Mai Men Dong, Xuan Shen, Dan Shen, Fu Ling, Yuan Zhi, Dang Gui, Wu Wei Zi, Bai Zi Ren, Suan Zao Ren, Jie Geng |
| List the ingredients in Gui Pi Tang. | Ren Shen, Huang Qi, Bai Zhu, Fu Ling, Suan Zao Ren, Long Yan Rou, Mu Xiang, Zhi Gan Cao, Dang Gui, Yuan Zhi |
| List the ingredients in An Shen Ding Zhi Wan. | Fu Shen, Fu Ling, Yuan Zhi, Ren Shen, Shi Chang Pu, Long Chi |
| List the ingredients in Ding Zhi Wan. | Ren Shen, Fu Ling, Shi Chang Pu, Yuan Zhi |
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rswain
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