In "Treatise on Typhoid Fever", Wumei pills, as the main treatment for syncope and yin disease, have a significant effect on insomnia and other diseases. Before coming into contact with Jing Fang, the author had many patients with insomnia, some of whom improved, but most of them did not have good results. Some patients even develop drug resistance due to long-term use of sleeping drugs, resulting in insomnia symptoms. After studying the Jing Fang, the author learned that the pathogenesis of insomnia mainly lies in the imbalance of yin and yang, the mixture of cold and heat, and the syncope and yin meridian is at 1 3 o'clock in the morning, so for some insomnia patients who wake up at a fixed time, especially those who wake up at the time of the syncope and yin meridian, the use of Jing Fang** is very effective.
The patient is a 43-year-old female. Chief complaint: easy to wake up at night for several years. The patient is easy to wake up at night, wakes up mostly at 1 3 o'clock in the morning, dry mouth, bitter mouth, upset, prone to aphthous ulcers, chills and cold limbs, especially in winter, loose stools, 2 3 times a day, has taken warm and yang traditional Chinese medicine, resulting in mouth ulcers, and also takes ** aphthous sores of cool medicine, after the medicine stomach discomfort, the frequency of stool increases. The tongue is red, thin, and the veins are thin.
Diagnosis: insomnia (upper heat and lower cold syndrome).
Prescription: black plum, Coptis chinensis, Sichuan pepper, dried ginger, ginseng, cooked attached tablets, angelica, cinnamon branches, fine spice, cork, gardenia. The patient complained that after taking the drug for 3 weeks, he could fall asleep quickly after waking up at night, and no longer had irritability and difficulty falling asleep, and after continuing to take the drug for 2 weeks, the patient hardly woke up again at night. After that, the patient continued to take Wumei pills to consolidate ** for a period of time, and the insomnia symptoms were significantly improved.
The patient's symptoms belong to the typical syndrome of upper heat and lower cold, which reminds me of the Wumei pill in the "Treatise on Typhoid Fever", which treats ascaris and Jiuli. "Treatise on Typhoid Fever" contains: "Typhoid fever, the pulse is faint and syncope, until seven or eight days, the skin is cold, the person is irritable, and there is no temporary peace, this is visceral syncope, not for ascaris. Those who have roundworms should spit out roundworms. It makes the patient quiet, and the recovery is annoying, which is dirty cold. The roundworm enters the diaphragm, so it is annoying, it must be stopped, and the person who has to eat and vomit, and the annoyance, the roundworm smells and smells of food, and the person should vomit the roundworm. The roundworm, the master of the black plum pill. This prescription is the only prescription for syncope and yin disease in the "Treatise on Typhoid Fever", and its composition includes black plum, coptis, Sichuan pepper, dried ginger, ginseng, aconite, angelica, etc., which has the effect of strengthening the right and dispelling evil, and relieving pain. According to the characteristics of the formula in the original text: pain (ascaris syncope abdominal pain), syncope (cold skin), vomiting (vomiting after eating), benefit, slight pulse, sometimes dry and sometimes quiet, analyze the patient's symptoms, in line with the Wumei pill syndrome of syncope, benefit, pulse slight, dryness, pain (with stomach discomfort as the main manifestation), so the author tried to use Wumei pill ** syncope and insomnia.
By harmonizing yin and yang, cold and heat, Wumei pills are used to effectively improve insomnia symptoms. Coptis chinensis, Phellodendron phellodendron clears heat and dampness, can clear the heart heat, reduce deficiency heat, dry ginger, aconite, cinnamon branches, fine pungent and pepper are all warm medicines, can warm the kidney yang, tonify the spleen yang, and can warm the blood veins, and the heat clearing medicine is compatible, both can go to the heat, and can warm the cold, kill two birds with one stone, contain each other, and complement each other. Insomnia in syncope and yin disease, the patient's liver blood and heart blood are insufficient, so the yin blood is insufficient when the syncope and yin meridian is in order, and the yang does not enter the yin, resulting in easy awakening. All kinds of medicines work together to clear heat, warm and cold, nourish blood and help sleep.
In addition, the formula of Wumei pill is flexible and changeable, and the dosage and compatibility of the drug can be adjusted according to the specific condition of the patient, and the safety is high, the effect is stable and long-lasting, and it can be taken for a long time. Relevant clinical case reports show that Wumei pill, as a classic prescription for syncope and yin disease, can also suffer from insomnia and stomach pain when it is ugly. It can be seen that the meridian prescription is not only related to the six meridians, but also closely related to the running time of the twelve meridians of the human body.