Insomnia Case

[Aaron]

Male 30’s. Main complaint – insomnia. Gets to sleep easily but wakes about 4-5am and can’t get back to sleep. Wakes with ringing in ears and a burnt taste on his tongue. Only has insomnia on workdays. Not on weekends. Vivid dreams.No thirst. Some bloating and flatulence. No abdominal pain. Bowels tend to loose. No obvious heat or cold sensitivities.Pulses – left guan and chi = mid wiryright cun = rollup.right guan = mid wiry, mildly slipperyI’ve tried variations of XXTs + LGZGT + LG, ML and also XCHT +LGZGT + LG, ML. and also (i was running out of ideas) XCHT +SZRT. No improvement.Any advice appreciated.

[Esther van Dorst]

Aaron Alan Chesterton, do you do raw herbs or granules? Just curious. What is shaoyang in here?

[Aaron]

Hi Esther. I use granules. I’ve treated him for a month and a half. It’s a pulse I’d normally give a XXT. I figured that waking at that time was a Shaoyang symptom. I figured the ringing in the ears could be Shaoyang too.Anyway – it didn’t work so i think i was wrong. Maybe I should try a JZT +LGML instead?

[hamishbrown]

Maybe try GZJNT plus FL at 24 or ZWT plus ML comes to mind as it could be water stuck in the middle rather than a glomus. What’s the left cun doing?

[Author]

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