Acupuncture Coupled With Chinese Herbs In A Perimenopausal Patient With Insomnia | 104624
Journal of Traditional Medicine & Clinical Naturopathy
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Insomnia, a common complaint, can be caused by underlying diseases, functional disorders, psychological distress or certain
medications. While taking pills may be helpful, there has been some concern about potential side effects. Insomnia was a
phenomenon of chaos and disharmony in the human body based on Traditional Chinese Medicine (TCM) principles and its
pattern identification could be divided into 10 types. The 49-year-old female outpatient presented with a 3-month history of
insomnia, abdominal distension, constipation and gastric discomfort after meals. Symptoms in addition to the complaints
aforementioned included hot flashes, increased anxiety and chest distress. Based on her symptoms and signs, the TCM
patterns of her insomnia were both Liver-qi stagnation transforming into fire and hyperactivity of fire due to yin deficiency.
Consequently, we conducted acupuncture and herbal therapy dependent on the points of TCM. Several acupoints, including
Yánglíngquán (GB34), Y?nlíngquán (SP9) and S?ny?nji?o (SP6) were chosen for acupuncture treatment and we properly mixed
equal amount of Chinese herbal powder, comprising Yi Gan San, Nu Ke Bai Zi Ren Wan, Shao Yao Gan Cao Tang, Guey Jy,
Mu Li, and Long Gu as herbal therapy. Treatment efficacy was assessed by her self-report measures of Pittsburg Sleep Quality
Index and quality of life in which her symptoms showed obvious improvement. According to this case, the combined treatment
modality can alleviate menopause symptoms and reduce the frequency of insomnia. As a result, acupuncture and Chinese
herbal medicine may be appropriate and effective for treating insomnia in perimenopausal women.
Hsiu-Ting Huang has graduated from China Medical University in Taiwan with her Bachelor’s degree of Medicine and currently works as a Resident in Department of Integrated Chinese and Western Medicine at Chung Shan Medical University Hospital in Taiwan. Her specialist field is in internal medicine and she is dedicated towards integration of Chinese medicine and Western medicine to treat the health and well-being of patients.