Wednesday, March 28, 2012

The Treatment of Insomnia with Acupuncture and Chinese Herbs

Chief-complaint: Insomnia with early waking for one year.

Western-diagnosis: Insomnia

Medical-history: A 32 year old female has insomnia for one year with insidious onset. Consulted with western doctor and took Melatonin supplement for 10 months, but she still had insomnia if she didn’t take the pills.

Symptoms: The above client can fall to sleep easily but wakes up regularly at around 4am. She found herself easily agitated and always suffer constipation (hard and dry stool).

Pulse: Her pulse is wiry and rapid. Palpation found sensitivity over the right upper abdomen.

Tongue: The tongue body is thin and red, the coating was thin but yellow in color.

CM-diagnosis: Liver Qi stasis turning to heat

Treatment-principle: clear Liver heat and smooth the Liver Qi

Point-prescription: SJ 17 (excellent point for Liver heat in patients who always complaint with insomnia or headache)
PC 6
KI 6

Herb-prescription: Chai hu jia long gu mu li tang (Bupleurum and Dragon Bone Decoction)(柴胡加龙骨牡蛎汤)

Lifestyle-prescription: Emotional control, also learn deep-breathing exercise. Eat less spicy and deep-fried foods.

Results: 3 treatments of acupuncture and 15 days of the herbal medicine. The client slept well afterward.

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