Po-Chun Hsieh
Taipei Tzu Chi Hospital, Taiwan
Title: A Case Report of Traditional Chinese Medicine In Treating Persistent Insomnia Disorder of Heart Yang Deficiency Pattern
Biography
Biography: Po-Chun Hsieh
Abstract
Introduction
Generally, western medicine treat patients with insomnia disorder in inhibiting or releasing way. But in the concept of Yin-Yang in Traditional Chinese Medicine(TCM), it’s not always effective to the Yang Deficiency patients, especially the Heart Yang Deficiency ones. We consider that being frightened could leads to Heart Yang Deficiency and Spirit-Restless Pattern in TCM.
Material and Methods
This case is a 64-year-old woman, suffered from domestic violence intermittently in 2015 and then divorced. After that, insomnia disorder, palpitation, empty feeling in chest, panic and anxiety was noted. Also, she dreamed about being hit accompanied with somniloquy and waving arms every night for about a year. There’s also weak pulse in cun position of both wrist pulse. Those symptoms and pulse findings are the same features as the Heart Yang Deficiency. Therefore, we treated her by warming Heart Yang and settling the Spirit formula (extract powder of Guizhi-Gancao-Longgu-Muli Decoctionæ¡‚æžç”˜è‰é¾éª¨ç‰¡è £æ¹¯) 2.6gm four times a day since 2017/1/5.
Result
After the first week receiving the formula, there’s still dreamful sleep, but the palpitation partially relieved. After the second week, dream alleviated with only somniloquy left. Palpitation, empty feeling in chest and panic also relieved obviously. There was no significant side effect during or after the treatment.
Conclusion
We suggest that warm Heart Yang and settling the Spirit formula (Guizhi-Gancao-Longgu-Muli Decoctionæ¡‚æžç”˜è‰é¾éª¨ç‰¡è £æ¹¯) is an effective and safe treatment for the Heart Yang Deficiency patients.