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Tong-Chien Wu1Yan-Mi Zheng2Yu-Hsien Peng1*
1Department of Integrated Chinese and Western Medicine, Chung Shan Medical University
Hospital, Taichung, Taiwan
2JingXin Chinese Medicine Clinic, Taichung, Taiwan
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The 64 years old female patient who is obese figure with hypertension, diabetes,and Hyperlipidemia history, had transient ischemic attack in November 2014 and ischemic stroke in April 2015 with treatment. She had received rehabilitation therapy after the onset of the stroke since April 2015, but her family noticed she would be agitated and depressed in the afternoon with poor appetite, difficulty falling asleep, restless and light sleep, aggravated forgetfulness. Diagnosed with sundown syndrome by western medicine but the effect of the anti-depressant and sleeping pills were limited, while the sleep condition has been no better, she consulted Traditional Chinese Medicine in July, 2015. Her four examinations results included dark and gloomy complexion, lassitude, indifferent, bad breath, distended abdomen, red tongue with purple spots and teeth marks, red spots on the tip of the tongue, yellow and thick coating on the center and the root of the tongue. Pulses were left cun floating and rapid, left guan wiry and rapid, left chi thin and rapid；right cun and guan slippery, chi thin. Diagnosed as the pattern of phlegm heat disturbing
heart, and phlegm and stasis obstructing collaterals, the therapeutic principles were clearing heat and dissolving phlegm, nourishing the heart and tranquilizing the spirit, improving blood circulation and unclogging the collaterals. Prescribed with modified Bai-Hu-Jia-Shen-Tang, Er-Chen-Tang, Ge-Gen-Huang-Qin Huang-Lian-Tang, and some herbs tranquilizing the spirit and cooling blood and improving the blood circulation, her symptoms have been gradually improved.
【Keywords】Sundown Syndrome; sleeping difficulty; light sleep; phlegm heat disturbing heart; phlegm and stasis obstructing collaterals
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251.7 中醫辨證施治落日症候群之失眠病例報告
