How does TCM differentiate narcolepsy?

Traditional Chinese medicine believes that narcolepsy is caused by the bad luck of Zhongqi, which is the qi of the spleen and stomach, and the medicine of the motherland has the saying that "people who are trapped in the spleen are sleepy", in the human body, because "yang" is active and "yin" is mainly quiet, so when yang qi is insufficient and yin qi is excessive, narcolepsy will be caused. The chapter "Lingshu Cold and Fever" says: "If the yang energy is strong, the eyes will be disgusted, and if the yin energy is strong, the eyes will be blind."

This shows that the pathogenesis of narcolepsy mainly lies in the prosperity of yin and the decline of yang. "On the Spleen and Stomach: The Deficiency of the Spleen and Stomach of the Lungs" says: "The weakness of the spleen and stomach is lazy and sleepy.

Danxi Heart Method: Medium Wetness" said,"The spleen and stomach are damp, sleepy and weak, lazy and sleepy. "These can be used as TCM explanations for the pathology of narcolepsy.

1. Phlegm dampness and spleen type. It is more common in people with obesity, manifested as chest tightness, sluggishness, unpleasant stool, phlegm and vomiting, sticky mouth, heavy drowsiness, white and greasy tongue, slow pulse, ** The principle is to dry and damp the spleen and open the phlegm, and the prescription medicine is to awaken the spleen and open the body.

2. Lack of temper. It is more common in people who are sick or elderly, and are manifested as fatigue, abdominal distension and less food, drowsiness and drowsiness after eating, lack of qi and lazy speech, emaciation or obesity and edema, pale tongue and thin white tongue, weak pulse, ** The principle is to invigorate qi and strengthen the spleen, and the prescription is used to awaken the spleen and open the body with ginseng, atractylodes, astragalus, etc.

3. Liver depression and spleen deficiency type. Patients have long-term anxiety, listlessness, dizziness and dreams, sometimes discomfort in both flanks, less food, unfavorable stool or abdominal pain and diarrhea, thin white or slightly greasy tongue, thin or astringent pulse, ** principle is to soothe the liver and strengthen the spleen and open the body, and the prescription medicine is to awaken the spleen and open the body, add Bupleurum chinensis, Codonopsis, Citrus aurantium, etc.

4. Deficiency of qi and blood. The patient's complexion is yellowish or pale or pale, less food, fatigue, palpitations and dreams, shortness of breath and lazy speech, self-sweating, dizziness, pale tongue, thin and white, thin and weak pulse, the principle is to nourish qi and nourish blood and awaken the spleen and open the body, and the prescription medicine is used to awaken the spleen and open the body, plus astragalus, angelica, ginseng, etc.

5. Wet and cloudy masking type. The patient's head is heavy, the mouth is dry and sticky, the patient does not want to drink water, the chest is tight, the stool is not good, and the tongue coating is thick and greasy. "The Yellow Emperor's Neijing" cloud,"Where evil is gathered, its qi will be empty, and righteousness will be stored in it, and evil cannot be done.

The head is the meeting of the sun, if it is blinded by dampness and turbidity, the yang does not rise, and the turbidity does not fall, then it is sleepy and sleepy. **The principle is to aromatize turbidity and awaken the spleen. Prescription medicine is used to awaken the spleen and open the body, and the soup is added with peilan, atractylodes, white cardamom, etc.

Tips: Patients with narcolepsy should consciously arrange their lives in a colorful way and try to avoid engaging in monotonous activities; Tea or coffee can be drunk appropriately during the day to increase the excitability of the brain; Avoid being depressed and sad, but don't get too excited; It is best not to travel alone, nor to engage in high-altitude and underwater operations, let alone to drive vehicles, control various signals and other tasks with heavy responsibilities to avoid accidents.

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.

1. Phlegm-dampness (internal resistance) syndrome: fatigue and drowsiness, heavy limbs, abdominal distention, nausea and vomiting, chest tightness and phlegm, pale tongue, pale and greasy, slippery or wet pulse, and obesity.

2 Symptoms of spleen deficiency and qi trapping: drowsiness after eating, fatigue, lack of food, abdominal distension and loose stools, or falling asleep suddenly, pale tongue, slow pulse, and yellowish complexion.

3. Symptoms of deficiency of heart and spleen: fatigue and drowsiness, dizziness and forgetfulness, palpitations, lack of food and loose stools, pale tongue, weak pulse, pale or yellowish complexion.

4 Symptoms of stasis obstruction of the brain: lethargy, short onset of sleep, dizziness and heaviness, forgetfulness, dark complexion, or history of head trauma, purple and dark tongue or ecchymosis, astringent pulse or strings.

5 Symptoms of bile heat and phlegm: unpleasant expression, drowsy as if drunk, sleeping more and getting up less, upset heart, bitter mouth and phlegm, dizziness, red tongue and greasy tongue, and number of pulses.

Some parents reported that the good children who used to study hard and listen obediently have now changed, not only do they always doze off during class time, but they also become less and less energetic in their usual activities, even if they usually go to bed early, it will not help. Not only that, but the child's weight is also constantly **, and his temper is getting worse and worse......What's wrong with the child?

When the child has the above situation, parents need to be vigilant, the child may be suffering from a disease called "narcolepsy", in recent years, more and more children with this disease, and because the initial symptoms of the attack are mostly "love to sleep", it is easy to be ignored by parents or regarded as other diseases, thus delaying the diagnosis and **.

From the perspective of traditional Chinese medicine, narcolepsy is called "polysleep" in traditional Chinese medicine. There is a saying in the medicine of the motherland that if the spleen is poor, people will be sleepy. Dr. Yan Fengshan is good at sleep disorders, has rich experience, and has unique insights and concepts for narcolepsy.

The traditional Chinese medicine of narcolepsy** mainly pays attention to the collection of the condition of narcolepsy patients through the method of four diagnoses and consultations, and carries out syndrome differentiation**. The most commonly used dialectical arguments are the eight-outline dialectic, the viscera dialectic, and the qi and blood dialectic; Dialectical treatment is a unique diagnostic method and clinical method of traditional Chinese medicine, and the eight principles of dialectic are the basis of it, although there are various and complex diseases in the world, Chinese medicine can use the eight principles of yin and yang, surface and interior, cold and heat, and virtual and real, and classify all of them into categories to prescribe the right medicine.

Sleep-relieving, drinking for narcolepsy is gradually established on the basis of a holistic view, and the symptoms are carried out according to the control-absorption-**-consolidation stage**; Internal regulation and external treatment, because the theoretical basis of traditional Chinese medicine is dialectical unity, the human body is an organic whole, internal organs and the surface are the same, the body is sick, naturally in the body surface will also find the corresponding point, from the patient, disease, disease location, analysis of the pathogenesis and changes in the body's internal organs, meridians and joints, qi, blood and fluid. On the basis of many years of clinical experience and a large number of patients' best examples, balance yin and yang, comprehensively regulate the patient's spirit and spirit, and promote the recovery of the body's righteous qi, so as to consolidate the effect and restore the patient to a healthy living state, so as to achieve the purpose of treating both the symptoms and the root causes.

Daily dietary care for narcolepsy:

1. The diet should be light: after eating too greasy fatty dishes, the blood will gather on the digestive tract when the human body digests fat, which will inevitably affect the amount of blood in the brain, so that people will be tired after meals and work efficiency will decrease. Eat some leeks and garlic sprouts in moderation, while yellow and green vegetables rich in vitamin A can restore energy and eliminate drowsiness.

2. Eat vegetables and fruits: Eat more vitamin-rich seasonal vegetables and fruits in spring to ensure a balanced diet, which has a positive effect on maintaining normal function and maintaining vigorous energy in the human body.

The main consideration of narcolepsy is related to genetic factors, and there is research evidence that in the case of narcolepsy in first-degree relatives, this group of people is about 40 times higher than normal. Although genetic factors play a crucial role in narcolepsy, some patients are also related to environmental factors.

If there is a head injury, a sudden change in sleep habits, or a head infection, it can lead to the occurrence, and the proportion of cases in men is relatively higher than that of women.

1. Poor sleep at night, or too short sleep time, or sleep apnea, that is, snoring during sleep, and intermittent breathing, which affects the quality of sleep; Over time, the biological clock is disturbed. Fatigue and lethargy, with dizziness and confusion, may be a manifestation of early neurasthenia. 2. Nutritional deficiencies can easily lead to drowsiness and sleepiness.

Supplementing with protein will make drowsiness better. In addition, there is narcolepsy, narcolepsy mostly starts after puberty, the main symptom is daytime sleepiness, manifested as sleepiness regardless of time and place, such as talking to guests, or at work, there will be sleep attacks, narcolepsy generally does not cause other organic lesions.

TCM understanding of narcolepsy.

The Lingshu Camp Health Association said: "The trip of the camp guard is not out of order, so the day is fine and the night is blind." "Lingshu Oral Question" said: . .

Wei Qi travels in the yang during the day, and travels in the yin in the middle of the night, the yin is the main night, and the night is the main bedroom. He also said: "When the yang energy is exhausted and the yin energy is strong, the eyes are blank; When the yin energy is exhausted and the yang energy is strong, it is not enough.

Traditional Chinese medicine believes that sleep is mainly related to Wei Qi, pointing out that the human body's sleep and wakefulness are determined by the entry and exit of Wei Qi and the rise and fall of Yin and Yang. Any reason that causes the rise and fall of yin and yang to be abnormal, that is, yang does not come out of yin, can cause sleepiness. "Treatise on Typhoid Fever: Distinguishing the Pulse and Syndrome of Shaoyin Disease" cloud:

Lack of yin is a disease, the pulse is fine, but the desire to sleep is also. It also shows that sleepiness is mainly caused by the deficiency of yin and yang, because yang is active, yin is quiet, and yin is prosperous.

Spleen deficiency and dampness. Symptoms: drowsiness, heavy sleepiness, fatigue and weakness of limbs, accompanied by dizziness, easy to fall asleep after eating, fat body, pale tongue, pale and greasy, slow pulse.

Treatment: Dry and damp awaken the spleen, dissolve phlegm and open the body.

Prescription medicine: Huopu Xia Ling decoction and Erchen decoction plus or minus.

The liver and gallbladder are really hot. Symptoms: mental faintness, often wanting to sleep, laughing and falling suddenly, dreaming a lot at night, nightmares, panic and easy to wake up, accompanied by chest and flank swelling and pain, bitter mouth and chest tightness, red tongue, yellow moss, and number of pulses.

Treatment: clear the gallbladder and diarrhea, dissolve phlegm and open the body.

Prescription medicine: Artemisia Qinqing gallbladder decoction plus or minus Coptis warm gallbladder decoction.

How does TCM explain narcolepsy? Symptoms of narcolepsy and ** method Narcolepsy is a sleep attack syndrome that does not discriminate time, place, and occasion, and patients cannot sleep uncontrollably while walking, eating, and working.

Narcolepsy is a disease that is genetically predisposed to and influenced or triggered by environmental factors. Secondary or symptomatic narcolepsy is more common after traumatic brain injury, other tumors of the brainstem, granulomas of the hypothalamus, etc.

Traditional Chinese medicine believes that narcolepsy is caused by the bad luck of Zhongqi, which is the qi of the spleen and stomach, and Chinese medicine has the saying that "if the spleen is sleepy, people are sleepy", in the human body, because "yang" is active, "yin" is the main quiet, so when yang qi is insufficient and yin qi is excessive, narcolepsy will be caused. The chapter "Lingshu Cold and Fever" says: "If the yang energy is strong, the eyes will be disgusted, and if the yin energy is strong, the eyes will be blind."

This shows that the pathogenesis of narcolepsy mainly lies in the prosperity of yin and the decline of yang. "On the Spleen and Stomach: The Deficiency of the Spleen and Stomach of the Lungs" says: "The weakness of the spleen and stomach is lazy and sleepy.

Danxi Xinfa Zhongdamp said, "The spleen and stomach are damp, sleepy and weak, lazy and sleepy." ”

Traditional Chinese medicine can also **narcolepsy, but Chinese medicine**narcolepsy is adjunctive**, generally on the basis of Western medicine for auxiliary**, it is not recommended to apply **narcolepsy alone**narcolepsy, it is recommended to go to a regular hospital, under the guidance of professional doctors, it can also be used with acupuncture, physiotherapy massage narcolepsy**, generally speaking, it is mainly symptomatic ** and **, at present, it is mainly symptomatic**, such as if the patient has daytime sleepiness, Drowsiness can be used with modafinil or methylphenidate hydrochloride for mental stimulation**, if the patient wants to have this kind of nocturnal hallucinations, etc., can be used tricyclic antidepressants or venlafaxine serotonin reuptake inhibitory drugs for **, Chinese medicine has no ** effect on narcolepsy. Traditional Chinese medicine believes that narcolepsy is caused by the deficiency of the spleen and stomach and the weakness of yang qi, which cannot reach the brain, and the yuan spirit is not nourished, resulting in drowsiness symptoms, mostly accompanied by fatigue, dizziness, cold limbs and other symptoms. It is recommended to eat lightly in daily life and increase physical exercise appropriately to improve the body's immunity.