Miraculous Effects of Yang's Therapy of “Xing Pi Kai Qiao Decoction” (Activating the Spleen-qi and Inducing Resuscitation)

What is somnolence?

   Somnolence and narcolepsy share the similar symptoms of feeling sleepy at anytime or anywhere no matter day or night; when talking with others, having classes or attending a lecture, he/she may begin to gape suddenly, lie down or lower his/her head and fall asleep; when having meals, he/she may even fall asleep while throwing the bowl down onto the ground; when riding a bicycle, due to the feeling of sleepy, he/she may put down his/her bicycle, lie down and fall asleep or even fall asleep without getting off the bicycle and fall into the canal. About 5% of these patients are accompanied with sleep paralysis, i.e. inability to move or speak but with clear consciousness, often accompanied with anxiety, impatience, attempt to cry out and move his/her body but also could not manage to do so. If he/she is touched by someone at this time, his/her sleep paralysis will disappear immediately, which is named as “beiyahuzi” (nabbed by a tiny fox) among the folk people. Some patients may also experience the co-morbidity of hypnagogic hallucination, i.e. before falling asleep, he/she could see non-existent things or hear unreal sound, with clear contents and pictures; some may see savage birds and beasts which would induce the sense of horror. Moreover, some patients are also accompanied with headache, diplopia and poor concentration with varying degrees. Such a disease has been considered by some folk people as the result of being bothered by evils, so they go to pray for deities rather than go to see doctors.

    Adolescents, middle-aged or the elderly people could suffer from somnolence. For students, somnolence may affect their studies or even make them drop out of school; for the adolescents and middle-aged people, somnolence may affect their work and even cause errors or accidents; and for the elderly, somnolence may induce the sudden worsening of cardio-cerebral vascular diseases. It is estimated that, the incidence of traffic accident in somnolent patients is 16 folds higher than that of the healthy people, especially when somnolence occurs while the patient is driving, the risk of serious traffic accidents is extremely high. Thus, somnolence is worthy of much attention.

TCM Cognition on Somnolence

    Currently, there is no favorable treatment for somnolence in the western medicine. Psychotherapy combined with low-dosage psychotropic drugs is most commonly applied. In the light of TCM theories as well as the principle of treatment based on the syndrome differentiation, our clinic uses pure traditional Chinese medicines to treat somnolence with great efficacy in over a hundred cases.

    Treatment for both somnolence and narcolepsy is similar, due to their similar TCM pathogenesis i.e. transportation and conversion failure of the qi of middle-jiao, which refers to the Qi of spleen and stomach. It is believed by TCM that spleen disorder would result in the feeling of sleepy.

 Since “Yang” governs activity while “Ying” governs quiescence, somnolence and narcolepsy may occur when Yang is deficient while Ying is excessive. It is recorded in the “Miraculous Pivot.

   Cold and Febrile Disease” that the excess of Yang would result in insomnia while the excess of Ying would result in somnolence, which indicates that the pathogenesis of somnolence is mainly due to the excess of Ying and deficiency of Yang. It is stated in the “Treatise on the Spleen and Stomach. on the Lung-induced Deficiency of Spleen and Stomach” that, the deficiency of spleen and stomach would induce listlessness and somnolence. It is also recorded in the “Experience of Dan xi. Pathogenic Dampness in Middle-jiao” that, the spleen and stomach dysfunction due to dampness would lead to fatigue, exhaustion, listlessness and somnolence. Somnolence can also result from the deficiency of both Yang and nutrient blood in people just recovered from diseases or the elderly people.

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