One Case of Chaihu Guizhi Ganjiang Tang Flavored in Treatment of Insomnia was Reported
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1.The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou 350004, China
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LUO Jing. One Case of Chaihu Guizhi Ganjiang Tang Flavored in Treatment of Insomnia was Reported[DB/OL].(2023-09-25)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42279632&Fpath=home&index=0
病史摘要,2,林某某,女,56岁,反复入睡困难、睡后易醒5年余。患者5年多前无明显诱因出现入睡困难,睡后易醒,期间曾于外院服用药物(具体不详)治疗,上述症状反复,时重时轻,今为进一步治疗,门诊求诊我处。2023年3月14日接诊时见入睡困难,睡后易醒,口干,思虑过多,烦躁,无潮热出汗,偶有头晕,后背酸痛,怕冷,食生冷之品易腹泻,腹胀,纳差,大便调,夜尿1~2次/天。舌胖淡红苔白边有齿痕,脉弦细。中医诊断 不寐 胆热脾寒证。西医诊断 失眠症干预措施 中医治法:疏胆清热,温中安神,中药予以柴胡桂枝干姜汤加味,饮食上忌海鲜、贝壳、凉茶类,适当增加户外运动。疗效转归 二诊患者服用中药后入睡困难症状明显改善,食冷饮后腹泻症状减轻,疗效较为满意。
Summary of case history, LIN, female, 56 years old, has difficulty falling asleep repeatedly, and is easy to wake up after sleep for more than 5 years. The patient had difficulty falling asleep more than 5 years ago without obvious triggers, and it was easy to wake up after sleeping, during which he had taken drugs (details unknown) in an external hospital for treatment, the above symptoms were repeated, sometimes severe and sometimes mild, and now for further treatment, outpatient consultation with us. On March 14, 2023, when he received the doctor, he saw difficulty falling asleep, easy to wake up after sleeping, dry mouth, excessive thinking, irritability, no hot flashes and sweating, occasional dizziness, back pain, fear of cold, easy diarrhea from raw and cold food, abdominal distention, poor feeding, stool regulation, and nocturia 1-2 times/day. The tongue is fat, red, mossy, white with tooth marks, and fine veins.,TCM diagnosis, Sleeplessness, gallbladder fever, spleen and cold evidence.,Western medicine diagnosis, Insomnia.,Therapeutic methods, Traditional Chinese medicine treatment: loose the gallbladder and clear the heat, warm the mind and calm the spirit, Chinese medicine to add flavor to Chaihu Guizhi Ganjiang Tang, avoid seafood, shells, herbal tea in the diet, and appropriately increase outdoor sports.,Clinical outcomes, After taking traditional Chinese medicine, the symptoms of difficulty falling asleep were significantly improved, and the symptoms of diarrhea were reduced after eating cold drinks, and the effect was more satisfactory.
胆热脾寒证柴胡桂枝干姜汤少阳病伤寒经方
Evidence of gallbladder fever and spleen coldChaihu Guizhi Ganjiang TangLess impotenceTyphoid fever Jingfang
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