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Internal Medicine > Insomnia > Flashcards

Insomnia Flashcards

1
Q

What is the difference between mild and severe insomnia?

A

Mild refers to those who can’t fall asleep or sleep is not sound, severe are those who can’t sleep at all.

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2
Q

What are the six patterns of insomnia?

A

Deficiency of SP and HT, deficiency of yin and hyperactivity of yang, internal disturbance of phlegm heat, up-rising of LV-fire, hyperactivity of HT-fire, and qi deficiency of HT-GB.

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3
Q

Which pattern includes difficulty in getting into sleep, easy to wake up, palpitation, poor memory, fatigue, spontaneous sweating, pale complexion, poor appetite, loose stools, pale tongue, white coating, thready and weak pulse?

A

Deficiency of SP and HT.

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4
Q

What is the tx principle for deficiency of SP and HT?

A

To nourish heart and invigorate spleen.

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5
Q

What is the herbal prescription for deficiency of SP and HT?

A

Gui pi tang.

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6
Q

What are some points for deficiency of SP and HT?

A

HT-7, SP-6, An Mian, UB-20, 15, moxa SP-1.

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7
Q

Which pattern includes poor sleep, restlessness, easy to wake up, dizziness, tinnitus, dryness in the mouth, hot sensation in the five centers, soreness in the lower back, seminal emission, red tongue, less coating, thready and rapid pulse?

A

Deficiency of yin and hyperactive yang.

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8
Q

What is the tx principle for deficiency of yin and hyperactive yang?

A

To nourish yin, descend and clear fire.

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9
Q

What is the herbal prescription for deficiency of yin and hyperactive yang?

A

Liu wei di huang wan and huang lian e jiao tang.

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10
Q

What are some points for deficiency of yin and hyperactive yang?

A

HT-7, Sp-6, An Mian, UB-15, 23, K-3 (HT/KI def.).

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11
Q

Which pattern includes poor sleep with lots of nightmares, heaviness in the head, lots of sputum, chest stuffiness, poor appetite, belching, nausea, restlessness, bitter taste in the mouth, red tongue, yellow greasy coating, slippery and wiry pulse?

A

Internal disturbance of phlegm heat.

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12
Q

What is the herbal prescription for internal disturbance of phlegm heat?

A

Wen dan tang.

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13
Q

What is the tx principle for internal disturbance of phlegm heat?

A

To clear heat, eliminate phlegm and tranquilize mind.

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14
Q

Which pattern includes poor sleep, irritability, poor appetite, thirst, redness in the eyes, dark urine, constipation, red tongue, yellow coating, slippery and rapid pulse?

A

Up-rising of LV-fire.

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15
Q

What is the tx principle for up-rising of LV-fire?

A

Clear LV fire and tranquilize the mind.

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16
Q

What is the herbal prescription for up-rising of LV-fire?

A

Long dan xie gan tang.

17
Q

What are some points for up-rising of LV-fire?

A

Ht-7, Sp-6, An Mian, UB-18,19, GB-12.

18
Q

Which pattern includes irritability, restlessness, thirst, dark and scanty urine, sores in tongue and mouth, red tongue tip, thin yellow coating, rapid pulse?

A

Hyperactivity of HT-fire.

19
Q

What is the tx principle for hyperactivity of HT-fire?

A

To clear HT-fire and tranquilize the mind.

20
Q

What is the herbal prescription for hyperactivity of HT-fire?

A

Zhu sha an shen wan.

21
Q

Which pattern includes restlessness, dream disturbed sleep, easy to wake up, timid, palpitation, easy to get frightened, shortness of breath, spontaneous sweating, fatigue, pale tongue, wiry and thready pulse?

A

Qi deficiency of HT-GB.

22
Q

What is the tx principle for qi deficiency of HT-GB?

A

To nourish qi, tranquilize and calm the mind.

23
Q

What is the herbal prescription for qi deficiency of HT-GB?

A

Suan zao ren tang.

24
Q

What are the ingredients in gui pi tang?

A

Bai zhu, dang gui, fu shen, huang qi, long yan rou, mu Xiang, ren shen, suan zao ren, yuan zhi, and zhi gan cao.

25
Q

What are the ingredients in liu wei di huang wan?

A

Fu ling, mu dan pi, shan yao, shan zhu yu, shu di, ze xie.

26
Q

What is a derivative of liu wei di huang wan for LV?

A

Qi ju di huang wan.

27
Q

What is a derivative of liu wei di huang wan to tonify yin and clear deficiency heat?

A

Zhi bai di huang wan.

28
Q

What are the ingredients in wen dan tang?

A

Chen pi, fu ling, zhi ban xia, zhi gan cao, zhi shi, zhu ru.

29
Q

What are the ingredients in suan zao ren tang?

A

Chuan xiong, fu ling, gan cao, suan zao ren, zhi mu.

Internal Medicine (21 decks)

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