Zhou Zhongying National Medical Master (1928-)
Zhou Zhongying, the first national medical master, Chief physician and professor of Nanjing University of Traditional Chinese Medicine. Traditional Chinese medicine believes that the main causes of insomnia are: heart and kidney deficiency, fire does not return to the original state; heart and spleen deficiency, heart and kidney failure, heart and kidney failure; phlegm and heat disturb the heart, gallbladder and stomach discord, etc. Now, Zhou Zhongying's test case for insomnia treatment is introduced as follows to enjoy colleagues.
● Heart and kidney deficiency, fire does not return to the original
Yuan Moumou, male, 36 years old at the time, first diagnosed on April 30, 2008. I have been complaining of long-term insomnia for nearly 3 to 4 years, I have been sleeping all night, I can sleep for one day, I am dizzy, I only slept for 2 hours after taking sleeping pills, and I am still good at eating and taking forgetfulness, and I am difficult to be competent for work. I have dry mouth and want to drink, my tongue is dark purple, my tongue is yellow, and my pulse is deep and thin.
syndrome differentiation: Insomnia (both the heart and kidney deficiency, fire does not return to the original state).
prescription: 30 grams of cooked jujube seeds, 410 grams of Apricotum html, 410 grams of Chuanxiong html, 15 grams of Salvia miltiorrhiza, 4 grams of Coptis chinensis, 410 grams of Pinellia ternata html, 410 grams of Sugar sausage html, 410 grams of Cinnamon html, 42 grams of Poria cocos html, 410 grams of Roasted licorice html, 43 grams of Sichuan lily html, 415 grams of Acorus granulated html, 48 grams of 15 grams of acacia peel, 15 grams of Cinnamon html, 420 grams of calcined oysters.
Visit on May 21, 2008: Insomnia in the patient improved after the medication, and could sleep for 6 to 7 hours, easily wake up, improve his spirit during the day, have good food and appetite, have poor stools, dark tongue, yellow, thin and greasy coating, and thin and smooth pulse. Add night-fried vine 25 grams and 12 grams fried malt above.
Note: This patient complained of insomnia for nearly 3 to 4 years. According to the long-term illness, it will be weak, and long-term illness will cause blood stasis. The tongue is dark and purple, and the pulse is deep and thin. I know that the pathology is stasis and deficiency. The heart hides the spirit and the blood vessels. If the heart is weak, the spirit will not be clear, so the mind will not be clear, so the spirit will be forgotten. " Internal Classic " says: "The kidney controls the bones, and the marrow is produced and connected to the brain." The brain is marrow sea , which is the fat in the bones. The marrow cannot be filled with the brain, so symptoms such as dizziness, insomnia, forgetfulness, and difficulty in being able to do work. If the fire is on the rise, the moss will become yellow and the mouth will be dry and you will want to drink. The blood vessels are not smooth, the qi is stagnant, blood stasis is caused by purple and dark tongue. Therefore, Mr. Zhou distinguishes it as the heart and kidney deficiency and the fire does not return to the original. He uses cooked jujube seeds to nourish the blood of the heart, calm the heart and stabilize the mind, use the mother to clear the fire and moisturize the lower part of the body, nourish the yin, Chuanxiong and Salvia miltiorrhiza to promote blood circulation and remove blood stasis, calm the mind, use summer dry grass and acacia skin to promote qi and relieve depression and calm the mind, use calcined dragon bones, calcined oysters, coptis chinensis, and cinnamon to calm the fire, and to restore the fire and return to the original , and also to replenish the kidney qi. to treat summer , poria cocos, roasted licorice to calm the soul and nourish the soul, and tonic Zhongzhou, Sichuan lily and acorus granulum clear the heart and calm the mind, and tonify the mind. After taking the medicine, insomnia will improve and sleep for 6 to 7 hours.
Acorus granulum
● Both heart and spleen are weak, heart and kidney do not intercourse
Liu Moumou, female, 35 years old at the time, first diagnosed on March 3, 2005. If you complain of insomnia for several months, you can sleep for 2 to 3 hours when you feel comfortable and stable, otherwise you will not sleep all night. Accompanying symptoms such as poor skin , fatigue, dry mouth, insufficient drinking, obvious fear of cold on both lower limbs, dark red tongue, light yellow and greasy coating, and thin and stringy pulse.
syndrome differentiation: Insomnia (both heart and spleen deficiency, heart and kidney failure).
prescriptions: 30 grams of cooked jujube seeds, 12 grams of Salvia miltiorrhiza, 25 grams of night-fried vinegar, 2.5 grams of Coptis chinensis, 10 grams of Pinellia ternata, 410 grams of Codonopsis pilosula, 410 grams of roasted Atractylodes macrocephala, 10 grams of roasted Astragalus, 3 grams of roasted licorice, 10 grams of Poria cocos, 2 grams of cinnamon, 15 grams of Acacia peel, 420 grams of keel bone.
March 14, 2005 Second visit: Insomnia in patients improved, and their sleep was short, but they could still sleep again after waking up, accompanied by swelling of the head, poor appetite, and irritability. They had diarrhea once during the medication. The tongue is dark red, the coating is light yellow and greasy, and the pulse is thin and stringy.
prescription: Add 30 grams of cooked jujube kernel, 6 grams of orange peel, 12 grams of fried malt, and 412 grams of Huaiyen yam above.
Note: patients have insomnia for 3 months and have poor effect on taking calming. According to the symptoms, poor absorption and fatigue, they know that their spleen is weak, and spleen deficiency will cause health and health and loss of power and lifting and lowering. The spleen controls the limbs as the basis of acquired limbs. If the limbs are not filled, the lower limbs are afraid of cold and fatigue. If the health is abnormal, the qi and blood will not be produced. There is no such thing as the spirit of the heart, so the heart is weak. "Su Wen·Linglan Secret Book Chapter 8" says: "The heart is the official of the monarch. The gods come out. If the master is bright, the lower part will be at peace. If the master is unclear, the twelve officials will be in danger. If the master is weak, the fire of the face moves randomly, and the heart and kidneys do not communicate, so they cannot sleep.This case is mainly due to deficiency of the heart and spleen, so the Apricotum, Chuanxiong, and Xia dying grass are removed, and jujube seeds and salvia are used to replenish the heart and blood, so as to calm the mind and calm the mind; use Lu Codonopsis, Poria, roasted Astragalus, roasted Astragalus, and roasted Atractylodes macrocephala to strengthen the spleen and replenish qi, nourish the heart and calm the mind, and take the meaning of Guipi Decoction; use night-to-night interchange vine, coptis chinensis, and cinnamon to communicate with the heart and kidneys, so that the fire is safe; use Hehuan to regulate the qi; use Dharma Xia and stomach qi to promote yin and yang; use dragon bone to restrain the fire of floating Yue to calm the heart and soul, and improve sleep after taking it, and first achieve results. The next diagnosis is law-abiding. Looking at the structure of the formula, we can see that Mr. Zhou used medicines to strengthen the spleen and nourish blood to treat the root cause, and medicines to transport the heart and kidney as supplements. He was a good candidate for medicines to calm the heart and calm the soul and regulating the qi to treat the symptoms and distinguish the main and secondary, so that he could achieve good results.
Night sex fungus
● Phlegm and heat disturb the heart, gallbladder and stomach are not harmonious
Wang Mou, male, 40 years old at the time, had his first diagnosis on April 5, 2007. The patient complained of insomnia for 7 to 8 years, and chronic diarrhea for 43 years, causing anxiety and low potassium. He stayed in the brain hospital for more than 40 days and has been taking medicine for many years. At present, insomnia is still suffering. It is difficult to sleep soundly when taking sleeping pills. He is irritable and excited when encountering things, has a sore stomach, a sound of water, loose stools with oil and fat, red tongue, light yellow and greasy in the middle, and pulse is stringy .
syndrome differentiation: Phlegm and heat disturb the heart, gallbladder and stomach disorder.
prescriptions: 4 grams of coptis chinensis, 6 grams of tangerine peel, 10 grams of celery, 10 grams of Poria cocos, 3 grams of roasted licorice, 6 grams of stir-fried citrus aurantium, 46 grams of bamboo ru html, 25 grams of cooked jujube seed, 6 grams of Anaestheticum, 10 grams of Chuanxiong, 10 grams of Sugaria sausage, 25 grams of night-history vine, 20 grams of Hepato peel, 20 grams of Dragon bone, 25 grams of oyster, 15 grams of Chuan lily, 415 grams of fried Xuanhu html.
Second visit on June 28, 2007: The patient's sleep improved, there was pain in the upper left abdomen, and his hands were hot. Recently, I have had premature palpitations, pale tongue, thin yellow and greasy coating, and thin and stringy pulse.
prescription: add 15 grams of Salvia miltiorrhizae, 12 grams of Cang Atractylodes macrocephala, 43 grams of Amomum keratin, 10 grams of Insecta glutinosa, 10 grams of Prince Ginseng, and 2.5 grams of cinnamon on top of .
Note: In addition to the main symptoms of insomnia, this patient also has chronic diarrhea for years. It can be seen that the Middle Earth has declined at this time. The "Inner Classic of Internal Medicine" says: "If the stomach is not harmonious, you will be restless." If the earth is weak and healthy, you will feel phlegm and heat oil will naturally arise. If the phlegm and heat disturb the heart, you will feel restless, irritable and excited, your tongue is red, your tongue is yellow and greasy, and your gallbladder and wood are insulted in the weak earth, your stools will be loose and rotten, and your pulse is stringy. The "Daily Classic of Mencius" says: "Worry and thinking are sad," you can know that your emotions are uncomfortable. If you are anxious, the heart will be hurt by the heart. Since the heart fire is damaged and the middle path is blocked, it will not be allowed to interfere with the kidneys. Therefore, this case is treated from the treatment of gallbladder and stomach discontent and heart and kidney failure. Huanglian Wendan Decoction is added and subtracted: use cooked jujube seeds and Sichuan lily to save the injured mind; use tangerine peel, Poria cocos, Faxia, and fried citrus aurantium to regulate qi and stomach, strengthen the spleen and eliminate phlegm; bamboo ru and coptis chinensis clear heat and eliminate phlegm; Xuanhu, Hehuan peel, Xia sausage, Chuanxiong, to relieve liver and gallbladder; dragon bones and oysters to calm the heart and calm the mind; night interfere vines to communicate with the heart and kidneys. On the basis of abiding by the law and prescription, the sleep has basically improved after four treatments.
Summer dead grass
● Liver depression turns into fire, mental loss
Fan Moumou, female, 58 years old at the time, first diagnosed on August 3, 2006. I complain about difficulty falling asleep, sleeping for about 3 hours a day, having a lot of dreams, feeling irritable, depression, chest tightness, and palpitations. The tongue is dark red, the coating is thin and yellow and greasy, and the pulse is thin and stringy.
syndrome differentiation: liver depression turns into fire, yin does not contain yang, and the mind loses nourishment.
prescriptions: 30 grams of cooked jujube seeds, 10 grams of Anagamoto, 10 grams of Chuanxiong, 10 grams of Salvia miltiorrhiza, 4 grams of Coptis chinensis, 10 grams of Sugaria ternata, 10 grams of Pinellia ternata, 410 grams of Danpi html, 10 grams of Black Gardenia, 412 grams of Raw Rehmannia html, 10 grams of Sichuan lily, 20 grams of calcined dragon bone, 20 grams of calcined oyster, 30 grams of mother of pearl, 10 grams of 10 grams of scented aconite.
August 10, 2006 Second visit: patients sleep for about 4 hours a day. Emotional tension, fatigue, warm hands, soccer and sole, and food and appetite are acceptable. The tongue is dark red, the coating is thin and yellow, and the pulse is thin and stringy.
prescription: add 12 grams of fried malt, 10 grams of Ophiopogon japonicus, 44 grams of vinegar, 45 grams of gentian grass, 10 grams of chennai, 410 grams of Scrophularia ginseng, 15 grams of Scrophularia ginseng, 15 grams of saccharomyces peel.
August 17, 2006: The patient sleeps for 4 hours at night, has many dreams, is nervous, candid, and has dry stools. The tongue is dark red, the moss is yellow, thin and greasy, and the pulse is small and stringy.
prescription: add floating wheat 30 grams and 15 grams of acacia peel above .
August 31, 2006 Four visits: patients have been sleeping for 5 hours recently, are irritable, tired during the day, discomfort in the neck, and are happy and sighing. The tongue is red, the moss is yellow, thin and greasy, and the pulse is thin and stringy. This is due to the depressed heart and liver fire, and yin does not contain yang.
prescription: add asthma 10 grams and raw licorice 3 grams above .
Note: This case is mainly caused by insomnia and difficulty falling asleep. You can only sleep for about 3 hours. Then, according to the irritability in dreams, depression in emotions, tightness in chest, thin and yellow and greasy fur, thin and stringy pulse, you know that the liver is depressed and insomnia due to discomfort in the seven emotions, and the qi is not regulated, and the chest is tight. If the depression is turned into fire for a long time, the mind will be restless, irritable, and the tongue is dark and red. If the qi is depressed, the body fluid cannot be distributed, and the phlegm will be caused by thin and yellow and greasy fur. Therefore, the symptoms are liver depression and turn into fire, and the yin does not contain yang, and the mind will be unhealthy. Therefore, the treatment should be based on relieving depression and regulating qi, purifying fire and calming the mind.
analyzed from four diagnosis times. Mr. Zhou reused cooked jujube kernel nourishing blood and calming the mind. He used Danpi, Black Gardenia, Gentiana, Agnesium, and Summer Rehmannia to clear the heart and liver stagnation. He used vinegar Bupleurum , made Xiangfu , Chuanxiong and Xuanhu to relieve liver depression. He used calcined dragon bones, calcined oysters, and pearl mother to calm the heart and calm the mind. He used raw rehmannia, Sichuan lily, asthenos, and Ophiopogon japonicus to nourish the heart and calm the mind. He used chlorella and methods to nourish the heart and calm the mind. He used chlorella and methods to clear heat and eliminate phlegm. The combination of various medicines is composed of Longdan Xiegan Decoction, Sour Zao Ren Decoction, and Chaihu Shugan Decoction. After the treatment, the patient's sleep quality was significantly improved.
solemnly stated:
Due to the different physical constitution and condition of each person, the prescriptions and dosages in this case are only applicable to the patient's condition at that time. The prescriptions and dosages in this case shall not be copied and used without diagnosis and treatment by traditional Chinese medicine. Readers should go to regular hospitals for diagnosis and treatment if necessary to avoid delaying the condition. ■
[Content compiled from: "China Traditional Chinese Medicine News" fifth edition, November 24, 2017, author: Zhuo Jiahui Nanjing University of Traditional Chinese Medicine]
