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Tcm IntMed somnolenc
Question | Answer |
---|---|
Excess patterns that cause somnolence | Dampness wrapping the spleen. Phlegm obstruction. Blood stagnation |
Deficient patterns that cause somnolence | Spleen qi deficiency. Spleen and kidney yang deficiency |
Fatigue and sleepiness that is better for exercise | Excess pattern |
Fatigue and sleepiness that is worse for exertion | Deficient pattern |
Fatigue and sleepiness that is gollowing a trauma or shock | Blood stagnation |
Thick tongue coat | Dampness or phlegm |
Purple tongue or with brown or purple spots | Blood stagnation |
Swollen and pale with a thin coat | Spleen qi deficiency |
Swollen, pale or bluish with a moist coat | Spleen and kidney yang deficiency |
Sleepiness and drowsiness, particularly after eating and more so after lunch. Depending on the degree of deficiency, however, there may also be difficulty sleeping at night ⢠variable fatigue-may feel better for activity and exertion⢠woolly head | Dampness wrapping the spleen |
Treatment principle for dampness wrapping the spleen | Dry dampness, strengthen spleen |
Acu point prescription for somnolence due to dampness wrapping the spleen | St.40, Sp.3, Du.20, Bl.62, Kid.6, Sp.9, Sp.6, Ren.12, St.36, GB.20 |
chronic and continuous somnolence, heavy sleep, difficult to rouse ⢠tendency to obesity ⢠glossy or greasy skin ⢠woolly headedness (like having the head wrapped in a damp towel) ⢠poor concentration ⢠dizziness ⢠heavy tired limbs ⢠f | Phlegm obstruction |
Treatment principle for phlegm obstruction | Transform phlegm, open the channels to the head |
Acu points prescription for phlegm obstruction | St40, sp3, du20, sp9, sp6, st25, ren12, bl20, st36, liv3, gb20, bl62, kid6 |
What arethe two main causes of somnolence | Obstruction to the ascent of clear yang (primarily excess patterns) Failure of the ascent of clear yang due to deficiency |
Obstruction to the ascent of clear yang can be identified by what patterns | Trauma (blood stagnation), dampness wrapping the spleen, Phlegm |
Failure of the ascent of clear yang can be identified by what patterns | Spleen Qi deficiency and spleen and kidney yang deficiency |
⢠persistent daytime drowsiness, ~mental confusion and unclear thinking ⢠recurrent fixed headache ⢠chronic tinnitus ⢠dizziness ⢠low grade fever at night ⢠broken vessels or spider naevi on the face, trunk, inner knee and ankle ⢠d | Blood stagnation |
Treatment principle for somnolence due to blood stagnation | Invigorate the circulation of blood. Open the channels and collaterals |
Acu point prescription for somnolence due to blood stagnation | Local points of pain on the head plus Bl.15, Ll.4, Bl.17, Sp.6, Sp.10, GB.20, Bl.62, Sl.3, Kid.6, Liv.3, si shen cong ⢠with shock, add Du.26 |
daytime drowsiness and desire for sleep which is worse for exertion and eating ⢠paradoxically, insomnia may develop at night ⢠mental and physical fatigue ⢠weakness and tiredness in the limbs ⢠sallow, pale complexion ⢠poor appetite, nause | Spleen qi (and blood) deficiency |
Treatment principle for somnolence due to spleen qi (and blood) deficiency | Strengthen the spleen and tonify qi. Dry dampness (if necessary) |
Acu point prescription for somnolence due to spleen qi (And blood) deficiency | Du.20, Sp.6, Ren.12, Bl.62, Kid.6, St.40, Sp.3, St.36, Bl.20, si shen cong |
constant drowsiness and desire to sleep, the patient sleeps curled up ⢠mental and physical exhaustion ⢠apathy and depression ⢠soft voice, reluctance to speak ⢠forgetfulness ⢠lower back ache ⢠low libido, impotence ⢠digestive weakness | Spleen and kidney yang deficiency |
Treatment principle for somnolence due to spleen and kidney yang deficiency | Benefit qi, warm yang. Strengthen the spleen and kidney |
Acu point prescription for somnolence due to spleen and kidney yang deficiency | Bl.23, BL20, Du.4, Kid.3, Bl.52, Ren.6, Du.20, Bl.62, Kid.6, St.36 |