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Successful TCM Treatment Case
Insomnia
June 10,
2005,
Zhang Ming,
a female living in Huaihua city, 30 years old, she suffers from insomnia for two
months. Every night, she could only sleep for four hours or so with dreaminess.
So the mind becomes unclear everyday. Especially, this condition worsens at the
noon and in the evening. The patient feels tight sense at the right temple, the
left temple and the back part of the head. The local areas have burning sense.
Also the head feels being wrapped by something. When the patient tries to strike
the head with her own hands, this tight and wrapping sense could be relived.
The patient
also complains of forgetfulness, absent-mindedness. She is also easily to be
scared, for example, when hearing the sounds around her. The patient feels
slight tinnitus, distending and dry eyes, black spots found in front of her eyes
sometimes. The eyeballs are always distending when pressing them. Eye drops are
usually used to relieve the dryness of the eyes.
The patient
dose not feel dry mouth and lips. She does not like drinking too much and she
prefers cold drinks. The patient complains chest oppression, palpitations,
shortness of breath. If forcing herself to exhale strongly, this practice could
relieve the chest oppression. The stomach is of no distention. Slight aversion
to oily foods. In recent two days, the patient feels nauseating.
The bowl
movement is roughly normal. The urine is slightly yellowish. Soft legs. The food
intake is normal roughly, yet without good appetite.
The aching
two shoulders could be relieved after being stricken . The patient does not feel
back pains. No necessity to get up for urinating at night. Hot sense in the
soles and palms is obvious.
Generally
speaking, during these two months, the spirit is poor, dreaminess, poor sleep.
The sleeping hours are only 4 hours or so instead of the past normal sleep of 7
to 8 hours a day. The patient reported that maybe the reason for current
insomnia is due to overwork two mouths ago for removing her house to a new site,
in which she did not sleep for whole 2 days. Insomnia happened after that.
The pulse
is thready and rapid, slightly feeble, obvious feeble kidney pulse. The tip and
two margins of the tongue body are red. Also slightly purplish color of the
tongue is found.
Diagnosis:
Insomnia
Damp heat
disturbing at the upper part, double deficiency of the heart and spleen, kidney
deficiency.
Treatment
strategy:
Clearing
heat, eliminating dampness, enriching the heart and spleen, tonifying kidneys.
schizonepeta
12g
amommon seed
10g
coix seed
15g
pueraria root
15g
codonopsis root
15g
ovate atractylodes rhizome
15g Chinese yam
10g poria 10g
mulberry seed 15g
cornus fruit
15g
cuscuta seed
10g
lycium berry
10g
wild jujube 10g
polygala root
10g
biota seed
10g silktree bark10g
tangkuei root
10g
ligusticum root
10g
cooked rehmannia root
15g
peony root
10g
scutellaria root
10g
buplureum root
10g gardenia root
10g
moutan bark 10g
Three
dosages are prescribed, a dosage a day. Taking 200 milliliters in the morning
and another 200 milliliters in the afternoon.
Dr. Ming
June 13,
2005. The symptoms remain almost the same as before, no obvious change.
Dizziness, aching two shoulders, poor sleep, fatigue. Another three dosages are
offered with the same treatment strategy.
lycium root bark
15g
schizonepeta
12g
amommon seed
10g
coix seed
15g
pueraria root
15g
codonopsis root
15g
ovate atractylodes rhizome
15g
Chinese yam
10g
poria
10g
mulberry seed
15g
cornus fruit
15g
cuscuta seed
10g
lycium berry
10g
wild jujube
10g
polygala root
10g
biota seed
10g
silktree bark
10g flowery knotweed stem15g
ligusticum root
10g
cooked rehmannia root
15g
peony root
10g
scutellaria root
10g
buplureum root
10g
gardenia fruit
10g
moutan bark
10g
Dr. Ming
June 16,
2005. The unclear mind is improved. Dizziness is relieved. The burning sense on
the head is
reduced. The tight sense of the head is relieved 70%. The two shoulders do not
feel pains almost. The sleeping time and sleeping quality are improved a lot.
She said she could sleep 6 hours a night now without much dreams. The feeling of
being easily scared is slighter. The spirit is improved 50%. The food intake is
doubled, close to the normal appetite. The patient reports thirst and yellowish
urine.
The tongue
coating is less greasy and yellowish. The tip of the tongue is still red. The
pulses are thready and feeble. The new formula tries to strengthen the heart and
calm the spirit as four dosages below.
ophiopogon tuber
15g
schizonepeta 10g
amommon seed
10g coix seed
15g
pueraria root 15g
codonopsis root
15g
ovate atractylodes rhizome
15g
Chinese yam
10g
poria
10g
mulberry seed
15g
cornus fruit
15g
cuscuta seed
10g
lycium berry
10g
wild jujube
10g
polygala root
10g
biota seed
10g
silktree bark
10g flowery knotweed
stem 15g
ligusticum root
10g
cooked rehmannia root
15g
peony root
10g
scutellaria root
10g
buplureum root
10g
gardenia fruit
10g
moutan bark
10g
Dr. Ming
June 20,
2005. The lady comes to report that she has been back to the normal sleep,
appetite and spirit. No more formula is advised to her. So ten days treatment
cures her insomnia for two months.
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