A insônia é um estado mórbido caracterizado pela incapacidade de dormir. A condição pode variar em gravidade e se manifestar como dificuldade em adormecer, acordar facilmente após adormecer, adormecer em grau superficial ou intermitente ou com pesadelos, ou incapacidade de dormir em grau superficial ou intermitente ou com pesadelos, ou incapacidade de dormir para a noite inteira ou várias noites. Clinicamente, a insônia pode ocorrer individualmente ou ser acompanhadas as manifestações de dor de cabeça, tonturas, palpitações, amnésia, etc.
Etiologia e Patogênese
A insônia pode resultar de distúrbios emocionais, consumo excessivo de bebidas alcoolicas, debilidade ou doença de longa duração. Sua patogênese pode ser resumida como: (1) os danos do coração e do baço; (2) desequilíbrios funcionais do coração e do rins; (3) a estagnação do qi transformando-se em fogo; (4)ascensão do yang do fígado devido a deficiência do Yin e hiperatividade do Fogo; (5) deficiência de qi do coração e da vesícula biliar devido ao medo; (6) umidade-calor devido ao acúmulo de alimentos e (7) o distúrbio do Qi estômago resultando na desarranjo do coração e da mente.
Síndrome de Diferenciação e Princípios terapêuticos
A. Síndrome de diferenciação
(a) Identificação das características de insônia: Em geral, todo o caso, com dificuldade em adormecer mostra a presença de fogo. Um sono superficial geralmente significa a coexistência de fogo e astenia. Acordar facilmente após adormecer ou dificuldade em dormir a noite inteira é geralmente atribuído a uma síndrome astênica, particularmente a deficiência de coração e baço.
(b) Diferenciação entre astenia e síndromes agudas: Um caso de longa data geralmente se manifesta como uma síndrome de astenia decorrente de insuficiência de yin e sangue e envolvendo o coração, baço, fígado e rins, e os tipos mais comuns são o sangue e o qi bem como a deficiência de yin e hiperatividade fogo. Enquanto um novo caso afetados freqüentemente se manifesta como uma síndrome aguda atribuída a um ataque do interior de incêndio e que envolve o coração, baço, fígado e estômago, e a fleuma-calor formado pela retenção dos alimentos, bem como a estagnação do Qi do fígado transformando-se em fogo são os tipos mais comuns.
Princípios terapêuticos
O tratamento consiste em eliminar a umidade-calor, tonificando o Baço-Pâncreas, Pacificar o Fígado e conter a ascensão do Yang e tonificar o Rim, especialmente sua porção YIN, equilibrando a relação fogo (XIN)-água (SHEN).
Insomnia is a morbid condition characterized by the inability to sleep. The condition can range in severity and manifest as difficulty falling asleep, waking up after falling asleep easily, sleep-grade superficial or intermittent or nightmares, or inability to sleep in grade superficial or intermittent or nightmares, or inability to sleep for the night or more nights. Clinically, insomnia may occur individually or be accompanied by manifestations of headache, dizziness, palpitations, amnesia, etc..
Etiology and Pathogenesis
Insomnia can result from emotional disturbances, excessive consumption of alcoholic beverages, weakness or illness of long duration. Its pathogenesis can be summarized as: (1) the damage of the heart and spleen, (2) functional imbalances of the heart and kidneys, (3) the qi stagnation turning into fire (4) rise of liver yang due to deficiency of Yin and hyperactivity of fire, (5) qi deficiency of the heart and gall bladder due to fear, (6) damp heat due to the accumulation of food and (7) the Qi stomach disorder resulting in breakdown of heart and mind.
Syndrome Differentiation and Therapeutic Principles
A. Syndrome differentiation
(a) Identification of the characteristics of insomnia: In general, any event, with difficulty falling asleep shows the presence of fire. A sleep surface usually mean the coexistence of fire and asthenia. Easily awake after falling asleep or difficulty sleeping through the night is generally attributed to an asthenic syndrome, particularly the deficiency of heart and spleen.
(b) Differentiation between asthenia and syndromes: A long-running case usually manifests as a syndrome resulting from chronic asthenia of yin and blood and involving the heart, spleen, liver and kidneys, and the most common types are the blood and qi and yin deficiency and hyperactivity fire. While a new case affected often manifests as an acute syndrome attributed to an attack from inside and fire involving the heart, spleen, liver and stomach and phlegm-heat formed for the withholding of food as well as the stagnation of liver Qi becoming fire are the most common types.
Therapeutic Principles
The treatment is to eliminate damp heat, tonifying the Spleen, pacify the Liver and contain the rise of Yang and tonify the kidneys, especially their portion YIN, balancing the relationship between fire (XIN)-water (SHEN).
Insomnia is a morbid condition characterized by the inability to sleep. The condition can range in severity and manifest as difficulty falling asleep, waking up after falling asleep easily, sleep-grade superficial or intermittent or nightmares, or inability to sleep in grade superficial or intermittent or nightmares, or inability to sleep for the night or more nights. Clinically, insomnia may occur individually or be accompanied by manifestations of headache, dizziness, palpitations, amnesia, etc..
Etiology and Pathogenesis
Insomnia can result from emotional disturbances, excessive consumption of alcoholic beverages, weakness or illness of long duration. Its pathogenesis can be summarized as: (1) the damage of the heart and spleen, (2) functional imbalances of the heart and kidneys, (3) the qi stagnation turning into fire (4) rise of liver yang due to deficiency of Yin and hyperactivity of fire, (5) qi deficiency of the heart and gall bladder due to fear, (6) damp heat due to the accumulation of food and (7) the Qi stomach disorder resulting in breakdown of heart and mind.
Syndrome Differentiation and Therapeutic Principles
A. Syndrome differentiation
(a) Identification of the characteristics of insomnia: In general, any event, with difficulty falling asleep shows the presence of fire. A sleep surface usually mean the coexistence of fire and asthenia. Easily awake after falling asleep or difficulty sleeping through the night is generally attributed to an asthenic syndrome, particularly the deficiency of heart and spleen.
(b) Differentiation between asthenia and syndromes: A long-running case usually manifests as a syndrome resulting from chronic asthenia of yin and blood and involving the heart, spleen, liver and kidneys, and the most common types are the blood and qi and yin deficiency and hyperactivity fire. While a new case affected often manifests as an acute syndrome attributed to an attack from inside and fire involving the heart, spleen, liver and stomach and phlegm-heat formed for the withholding of food as well as the stagnation of liver Qi becoming fire are the most common types.
Therapeutic Principles
The treatment is to eliminate damp heat, tonifying the Spleen, pacify the Liver and contain the rise of Yang and tonify the kidneys, especially their portion YIN, balancing the relationship between fire (XIN)-water (SHEN).
Olá,acho tambem bem relevante como parte do Diagnostico saber qual é horario geralmente acometido pela insônia ,para diagnosticar aonde ocorre a predominancia das sindromes presentes.
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