Experience of MA Shuran in Treating Insomnia of Kidney Yang Deficiency Type
CHEN Bocheng
DENG Xian
LAN Yuying
QIN Lilan
MA Shuran
Abstract：Experience of MA Shuran in treating insomnia of kidney yang deficiency type was summarized.According to MA,poor living habits such as consuming cold and failing to avoid cold foods and failing to avoid exposure to cold and dampness are the causes of insomnia of kidney yang deficiency type.In clinic,syndrome differentiation should be based on the core disease mechanism of insomnia of kidney yang deficiency type,that is,kidney yang deficiency leads to disharmony of yin and yang in kidney,and obstruction of blood vessels and meridians.Sini Decoction(四逆汤)is employed as the fundamental prescription for warming kidneys and dispersing cold.Guided by the wholistic concept,the prescriptions is modified based on syndrome differentiation:for patients with floating deficiency yang,descending herbs are added;for those with mixed excessive fire,clearing and dispersing herbs are added;in case both yin and yang are deficient,supplementing,balancing and regulating yin and yang in the kidney is applied;and when internal water-dampness is excessive,Lingzhu Decoction(苓术汤)is added to eliminate water and dampness separately.In clinical practice,bitter herbs could clear and lower heart fire to consolidate kidney so as to pro-tect the source of life,and warming liver wood could consolidate and lower lung metal qi to facilitate the circulation of qi and blood,and tranquilizing herbs of large dosage is applied to treat the branch syndrome.One verified case is provided for reference.
Keywords：kidney-yang deficiencySini Decoctioninsomniawarming kidney and dispelling coldMA Shuransyndrome differentiation and modification
Publication Date：2025-02-04
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：5( 213-217 )