What should I do about narcolepsy? How is narcolepsy treated?

Xiuyuan Xingshen decoction can replace Western medicine, and there is no harm to the body, Xiuyuan Xingshen decoction has a good effect in improving the clinical symptoms of patients, especially improving the symptoms of cataplexy and delaying the development of the disease. In addition, Xiuyuan Xingshen Tang pays attention to the dialectic of the patient's physique, combines disease differentiation and dialectic, and pays attention to overall conditioning to maintain the balance of the human internal environment and return to normal life faster. The characteristics of Xiuyuan Xingshen Soup** narcolepsy are mainly reflected in:

1) Xiuyuan Xingshen Tang For patients who have not received Western medicine in the early stage**, Chinese medicine alone can control or improve symptoms; (2) Xiuyuan Xingshen Tang can reduce the dosage of Western medicine, reduce the amount of Western medicine, reduce the effect of Western medicine, and increase the effect of Western medicine after taking traditional Chinese medicine. (3) Xiuyuan Xingshen decoction also has the effect of sleep restraint, which can delay the development of the disease; (4) Xiuyuan Xingshen Soup** can regulate physical fitness and improve the quality of life of patients: (5) Taking Xiuyuan Xingshen Soup can not only improve the clinical symptoms of narcolepsy, but also significantly improve the symptoms of dizziness, anxiety, memory loss, obesity and other symptoms in patients with narcolepsy.

Narcolepsy is a sleep disorder of unknown cause, which is characterized by an abnormal sleep tendency, which is different from normal sleep. Narcolepsy causes excessive sleepiness during the day. As for how to narcolepsy, Chinese medicine has a good effect.

1) Deficiency of heart and spleen.

1.Symptoms: drowsiness, phantom before bedtime, fatigue and palpitations, unattractive complexion, thin white moss, and weak pulse.

2.The treatment method nourishes the heart and spleen.

3.The prescription medicine is added or subtracted from the spleen decoction.

If the abdomen is distended, stuffy, poor appetite, and the tongue is greasy, add Poria cocos, Huoxiang, and Magnolia bark to aromatize and dissolve dampness, strengthen the spleen and qi; For those who are more dazzled and phantom before going to bed due to the lack of heart yin, add wheat dong, jade bamboo, and northern sand ginseng.

2) Weak temper.

1.Symptoms: drowsiness all day long, yellowish complexion, fatigue and limbs, insomnia and dreams, palpitations and shortness of breath, forgetfulness and irritability, pale tongue, thin white tongue coating, and weak pulse.

2.The treatment method nourishes qi and blood, and awakens the brain.

3.Prescription medicine to nourish the heart of the decoction plus or minus.

If the water is stopped drinking, and the heart palpitations are apprehensive, add Zhu Ling, betel nut, and Ze Yuan; Those who can't wake up all day long can add Suhexiang, calamus, and Yizhiren to awaken their minds with enlightenment.

3) Deficiency of kidney yang.

1.Symptoms: drowsiness or drowsiness, soreness in the waist and knees, chills and cold limbs, impotence, clear and long urine, frequent nocturia, pale tongue, thin white tongue, and weak pulse.

2.Treatment: Warm and replenish kidney yang.

3.Prescription medicine is added or subtracted from the right drink.

If qi deficiency and blood are depleted, add ginseng for reuse and add atractylodes and astragalus.

4) Insufficient sea of marrow.

1.Symptoms: lazy and drowsy drowsiness, soreness in the waist and knees, dizziness or tinnitus, deafness, sluggishness, sluggish thinking, poor spirits, memory loss, pale red tongue, thin white tongue coating, weak or thin pulse.

2.The treatment method fills in the essence and replenishes the marrow, strengthens the brain.

3.Prescription medicine Zuogui pill plus or minus.

Spermatozoa, dreamers, oysters, golden cherry seeds, gourds, lotus whiskers to strengthen the kidneys and astringent essence; Hot flashes, night sweats, and dry mouth go to dogwood, deer armor gum, plus Zhimu, cork to nourish yin and fire.

5) Lack of heart yang.

1.Symptoms: lethargy, lethargy, listlessness, chills, cold limbs, pale complexion, pale tongue, thin white lichen, and thin pulse.

2.The treatment method warms and replenishes the heart and yang, and nourishes the heart qi.

3.Prescription medicine: cinnamon branch licorice decoction and ginseng Yiqi decoction plus or minus.

If you are afraid of cold limbs, add cinnamon and dried ginger to the cinnamon branch to replenish the fire and help the yang, and warm the meridians; If the face is pale and the blood is deficient, add Ejiao, Rehman, wolfberry, and Polygonum multiflorum to replenish blood.

6) Biliary heat and phlegm obstruction.

1.Symptoms include drowsiness, dizziness, bitterness and dry mouth, vomiting, chest and flank stuffiness, red and yellow tongue, and pulse count.

2.The treatment method clears the gallbladder and dissolves phlegm.

3.Prescription medicine Artemisia Qinqing gallbladder decoction plus or minus.

Due to phlegm turbidity and internal resistance, qi reversal does not fall, and those who see the heart is hard and the nausea is not removed, add swirl and replace ochre decoction to benefit qi and stomach, dissolve phlegm and reduce qi; If you can't wake up, you can add Angong Niuhuang Pill to wake up your brain.

For narcolepsy, it is recommended to use traditional Chinese medicine, which belongs to "sleepiness" in traditional Chinese medicine, which refers to the lack of yang qi or spleen deficiency and dampness caused by the desire to sleep day and night, wake up, wake up, and fall back asleep. "Lingshu Cold and Fever": "When the yang energy is strong, the eyes are blind, and when the yin energy is strong, the eyes are blind."

It is caused by the deficiency of yang and the prosperity of yin. "Danxi Heart Method" believes: "The spleen and stomach are damp, sleepy and weak, lazy and easy to lie down."

It also shows that the sleepiness is mainly due to the deficiency of yin and yang, because the yang is active, the yin is quiet, and the yin is prosperous. The occurrence of this disease is mainly closely related to the heart, spleen, kidney, medullary sea and other organs. The pathogenesis of narcolepsy is most closely related to the spleen.

It is mostly due to the lack of spleen and temper, weakness of the spleen and stomach, lack of middle qi, and lack of yang qi. Due to tiredness and tiredness, uncontrolled diet, damage to the spleen and stomach, lack of transportation power, insufficient chemical source, and deficiency of qi and blood, unable to nourish the mind and mind, the whole body is weak, and the spirit is sluggish and often becomes sleepy.

Therefore, for narcolepsy, the first thing to do is to replenish the five yangs of the human body. Restoring the balance of yin and yang in the human body is the key to this disease. Strengthen the stomach and spleen, remove dampness in the spleen and stomach, and improve the spleen and stomach qi, which can make the clear qi rise, the turbid qi sink, and the qi can be opened to control drowsiness.

Nourish blood and dispel blood stasis, open up the blood circulation of the whole body, warm and nourish the five organs, dredge the meridians, strengthen the body's metabolism, and eliminate turbidity. Qi is the handsomeness of blood, and qi is blood. The 12 meridians run continuously to maintain the normal physiological function of the brain.

The drug can be taken Shili Xingshen prescription, and the specific medication is determined according to the individual's condition. Please do it under the guidance of a physician** to avoid any effects on your body.

The onset of narcolepsy is most closely related to the spleen. It is mostly due to the lack of spleen and temper, weakness of the spleen and stomach, lack of middle qi, and lack of yang qi. Due to tiredness and tiredness, poor diet, damage to the spleen and stomach, lack of transportation power, insufficient chemical source, and qi deficiency, unable to nourish the mind and mind, the whole body is weak, the nerves are weak and sleepy.

It can also be caused by weakness of the spleen and stomach, phlegm and dampness trapped in the spleen, and the clear yang does not rise, blinding the clear body.

The first step in controlling narcolepsy symptoms is to consider non-pharmacological symptoms, which is the basis of narcolepsy. At the same time, in some special patients (e.g., pregnancy and early childhood) where medication is not appropriate, non-medication** is necessary. Non-pharmacological ** can increase patient confidence, improve adherence, improve narcolepsy symptoms, and reduce comorbidities.

Non-pharmacological modalities include:

Regular daytime naps continue to improve wakefulness levels and help reduce the dose of stimulants and antidepressants;

Good sleep hygiene habits can effectively alleviate EDS, reduce comorbidities, and improve ** adherence;

Through social and family support, we provide understanding and assistance to patients in their studies, work, and life.

There is no definite **** for narcolepsy at present, and it is mainly symptomatic at present. Immunization can be used as an innovative tool and should be given due attention.

**The drugs of choice for EDS are tirolisant, modafinil, sodium -hydroxybutyrate, and other drugs include armodafinil, methylphenidate extended-release tablets, solinfitol, maindole, etc. Recommended drugs and opinions for EDS** are shown in Table 1.

Table 1 Excessive daytime sleepiness** Recommendations.

The main anti-cataplexy drugs currently recommended are tirolixen, sodium oxybate, and antidepressants (tricyclics, venlafaxine). Tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRISs) usually do not have strong wakefulness effects, whereas tilolixen and sodium oxybate can improve both cataplexy and EDS. Selective serotonin and norepinephrine reuptake inhibitors (SNRIS) and selective norepinephrine reuptake inhibitors have certain wakefulness effects.

These drugs may also be used in combination. Recommended drugs and opinions for cataplexy are shown in Table 2.

Table 2 Recommendations for cataplexy**.

The latest findings suggest that tilolisen (level recommendation, level A evidence) and sodium oxybate (level recommendation, level A evidence) have a clear improvement effect on hypnagonistic hallucinations and sleep paralysis, and are recommended for both symptoms**. Antidepressants that shorten REM sleep, such as tricyclic antidepressants (level recommendation, level D evidence), SSRIS (level recommendation, level D evidence) and SNRIS (level recommendation, level D evidence), can improve hypnagogue hallucinations and sleep paralysis. If cataplexy is combined, consider referring to the ** drug for cataplexy.

**Recommended medications and opinions for hypnagogic hallucinations and sleep paralysis are shown in Table 3.

A variety of clinical methods can shorten the patient's daytime sleep time, control cataplexy attacks, improve nighttime sleep, and achieve the purpose of relieving symptoms to varying degrees, the main methods are as follows:

1. Rationalize and arrange patients to sleep for a short time during the day;

2. Avoid drinking coffee drinks;

3. Reduce carbohydrate intake;

4. Western medicine can use modafinil and methylphenidate**;

5. Traditional Chinese medicine can be carried out by taking Chinese herbal decoction and acupuncture**.

Maintain an optimistic mood and avoid depression and sadness, but do not be too excited and sad, or think too much and easily hurt the spleen and stomach and cause the condition to worsen. And excessive emotional fluctuations can easily induce cataplexy. Don't travel far alone, engage in work such as high altitudes, going into the water, driving, etc.

Sedatives and neurostimulants should be avoided as much as possible to avoid dependence and increased morbidity. In terms of nutrition, the diet should be balanced, eat more vegetables and fruits, promote blood circulation, and drink less coffee or tea, or foods with high sugar content.

I don't know, it's going to take three or four days to sleep in a seizure, and I can't have many seizures in my life, so I haven't watched too much.

People with sleeping sickness should maintain a good attitude, exercise more, and eat more fruits and vegetables.

1. Under the guidance of a doctor, patients can take oral drugs containing central stimulants, pimolin, amphetamines, etc., which can promote the release of presynaptic monoamine neurotransmitters and inhibit the patient's urge to sleep during the day. However, it will have certain sequelae, which will cause symptoms such as headache, insomnia and dry mouth, so it is necessary to control the dosage as soon as it burns.

2. Patients can also use traditional Chinese medicine**. For example, oral Chinese medicine prescription Shili Xingshen prescription can play a role in activating blood circulation and removing blood stasis, regulating the spleen and stomach, warming the spleen and stomach, and restoring the balance of yin and yang in the five organs. You can also take traditional Chinese medicine such as Poria cocos, Huoxiang, Zhu Ling, and betel nut to refresh your mind and inhibit daytime sleep.

Generally, it takes about 3 months of conditioning, but due to the different severity of each person** and the severity of the disease, the recovery time is also different.

3. It is also important for patients with narcolepsy to develop good living habits. Adjust your daily routine first, try to get up and go to bed on time, and don't stay up late. At the same time, it is also necessary to create a comfortable and quiet sleeping environment for patients to avoid affecting the quality of sleep.

In the diet, you can eat more eggs, milk, lean meat and other foods with relatively high protein content.

The impact of narcolepsy on the patient's life is multifaceted, in order to avoid the disease from bringing more harm to the patient's life, the patient must go to the hospital for examination in time, and must cooperate with the doctor in the process. When you usually go out, it is best to go out with the company of your family, and at the same time, you must also take protective measures.

The narcolepsy** protocol is as follows:

1. First go to the hospital for examination, diagnose through polysomnography and multiple sleep latency tests, and determine whether it is cataplexy or non-cataplexy, and different types of ** schemes are different;

2. For patients with episodic narcolepsy, because they are more drowsy, it is best to take a lunch break at noon, and they should maintain a relaxed attitude during the day; For people with cataplexy narcolepsy, fluoxetine is usually taken as prescribed. In addition, it is important to stay relaxed and get enough sleep. And having time during the day to sleep for a little time can improve the symptoms to a certain extent.