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Tcm IntMed somnolenc

QuestionAnswer
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
Created by: Jkellycal