Insomnia

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Written by Liu Shi Xiang
Neurology
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What should I do about insomnia and frequent dreams? What are the methods to treat insomnia and frequent dreams?

The methods for treating insomnia and frequent dreaming mainly include the following: Firstly, patients should try adjusting their lifestyle and diet to treat insomnia and frequent dreaming. For instance, patients can drink a small amount of milk, honey water, or herbal tea before bed. They can also listen to some slow rhythm light music before sleeping, which helps to relax nerves and muscles, promoting sleep. Patients can also soak their feet in hot water and massage their temples before bed. These physical treatments can also help improve sleep. Most patients generally see an improvement in their insomnia and dreaming after adjusting their diet and lifestyle. If these adjustments still leave the patient suffering from insomnia and frequent dreaming, they can use a small amount of sedative and sleep-inducing medications to improve sleep. Common drugs include zopiclone, eszopiclone, and zolpidem. Furthermore, psychotherapy can also help to some extent in improving the situation of insomnia and frequent dreaming.

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Written by Zhang Hui
Neurology
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What to do about anxiety and insomnia?

If the patient experiences anxiety and insomnia, the following treatment methods are recommended: The first method is to engage in more sports training. During the day, one can participate in aerobic exercises such as jogging or playing sports with others, including basketball and table tennis. Physical activity helps stabilize the mind and improve emotional health, and it is effective in combating anxiety and treating insomnia. The second method involves increasing communication with others. Research has shown that more communication can significantly alleviate anxiety. Thirdly, if necessary, one can take some sedative hypnotic drugs, such as benzodiazepines or some newer types of non-benzodiazepine hypnotics. Fourth, if the anxiety is significant, under the advice of a psychiatrist, one can take serotonin reuptake inhibitors to counteract the anxiety. (Please consult a professional physician for specific medications.)

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Written by Liu Shi Xiang
Neurology
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How to treat insomnia caused by excessive brain excitement?

If the issue is short-term brain excitement and insomnia, treatment should involve interventions in lifestyle and adjustments in sleeping habits. Firstly, the patient needs to establish a regular routine, going to bed and getting up at fixed times. Secondly, before bedtime, it is advisable to avoid consuming stimulant drinks like strong tea, coffee, alcohol, and also to refrain from engaging in excessive physical activities within two hours before sleep. If the condition of brain excitement and insomnia persists for an extended period, it might be necessary to use sedative-hypnotic medications to alleviate symptoms. Commonly used sedative-hypnotic drugs in clinical settings include zopiclone, eszopiclone, estazolam, melatonin, among others. Through these treatments, symptoms of insomnia in most patients can be improved. If the symptoms continue unabated, it may be necessary to consider whether the patient might also be suffering from anxiety or depressive disorders affecting their sleep. In such cases, an evaluation with the Hamilton Anxiety and Depression Scale can be conducted to determine. If such conditions are present, treatment with anti-anxiety and anti-depression medications, such as citalopram, may be administered.

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Written by Yuan Chun Yun
Geriatrics
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What to do about insomnia?

Interventions for insomnia mainly include pharmacological treatment and non-pharmacological treatment. For patients with acute insomnia, it is advisable to use pharmacological treatment early. For patients with subacute or chronic insomnia, whether primary or secondary, psychological behavior therapy should be used in conjunction with pharmacological treatment. The essence of psychological behavior therapy is to change the patient's belief system and enhance their self-efficacy, thereby improving symptoms of insomnia. To achieve this goal, the involvement of professional physicians is often necessary. Psychological behavior therapy is effective for both primary and secondary insomnia in adults, and typically includes sleep hygiene education, stimulus control therapy, sleep restriction therapy, cognitive therapy, and relaxation therapy. These methods may be used alone or in combination for the treatment of primary or secondary insomnia in adults.

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Written by Zhang Yue Mei
Cardiology
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What should I do if I have a rapid heartbeat and insomnia?

Experiencing a rapid heart rate can cause panic, restlessness, and severely affect sleep. After an electrocardiogram examination, if the rapid heart rate is not caused by organic heart disease, medications to control the heart rate can be used under a doctor’s guidance, or choose sedative and calming traditional Chinese medicines or Western medicines to stabilize the nerves, slow the heart rate, and promote sleep. If the rapid heart rate is due to organic heart disease, treatment of the underlying disease is necessary under a doctor's guidance, along with the use of medications to control the heart rate, to ensure the quality of sleep.

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Written by Liu Yong
Traditional Chinese Medicine
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Can Qi deficiency cause insomnia?

Qi deficiency can cause insomnia. Symptoms of qi deficiency include loss of appetite, nausea, dizziness, tinnitus, insomnia, frequent dreaming, abdominal bloating, and diarrhea, leading to a decreased immune response and reduced resistance in the body. It is possible to take some Chinese herbal medicines that replenish qi and blood, such as ginseng, astragalus, and schisandra. (Medication should be taken according to medical advice.) It is important to maintain a light diet, keep a cheerful mood, and avoid spicy and highly stimulating foods. Consuming chicken, beef, and pork to supplement qi and blood can be beneficial. Try to avoid getting frustrated.

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Written by Zhang Hui
Neurology
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How to treat anxiety and insomnia?

The patient is experiencing anxiety and insomnia, and the following treatment methods are recommended. Firstly, it is crucial for the patient to pay attention to psychological adjustment, maintain a pleasant mood, keep a good mindset, and communicate more with others, which can achieve very good effects. Secondly, it is essential to develop one's hobbies, engage in more outdoor sports, which can divert one's attention, significantly reduce anxiety, and also improve insomnia. Thirdly, long-term anxiety and insomnia can have adverse effects on the body. It is possible to take benzodiazepine drugs, which help with sleep and can also counteract anxiety, and should be taken under a doctor's advice. Finally, if the patient's anxiety is very pronounced, it is necessary to see a psychologist for treatment and take some anti-anxiety medication.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Where to massage for insomnia and excessive dreaming?

Insomnia and frequent dreaming are common symptoms in the clinical setting. If the condition is not very severe, we can regulate our organ functions and alleviate the symptoms by massaging certain acupoints. Specific situations must be analyzed in detail. Here are some commonly used basic acupoints. For example, the Neiguan acupoint located above the pericardium muscle is frequently used and can reduce the incidence of insomnia and frequent dreaming. Additionally, the Shenmen and Tongli acupoints on the heart muscle can be massaged; moving upward, we can massage the deeper veins and the Zhaohai acupoint, as well as the Yinlingquan. Of course, clinically, depending on the different symptoms, we may also choose acupoints discerningly. For instance, if insomnia and frequent dreams are caused by poor digestion or an upset stomach, we can massage the Zhongwan acupoint to adjust the condition.

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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How to deal with insomnia and frequent dreams due to qi deficiency?

For insomnia and frequent dreaming caused by qi deficiency, it is crucial to pay more attention to rest and maintain sufficient sleep, avoiding staying up late. You can soak your feet in warm water before sleeping, as this process can accelerate the metabolism in the body and promote blood circulation, which can effectively improve the symptoms of insomnia and frequent dreaming, and also relieve some symptoms caused by qi deficiency. Alternatively, acupuncture under the guidance of a qualified physician can also achieve good relief, or you can eat more qi-nourishing foods in your daily diet.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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What to eat for insomnia

Insomnia is a relatively common clinical condition, so it is important to avoid spicy and greasy foods in the diet, and consume fresh vegetables and fruits rich in vitamins. Additionally, when insomnia becomes severe, benzodiazepine sedative-hypnotic drugs or short-acting sedatives can be taken to help patients enter sleep quickly. Furthermore, during insomnia, it is also important to notice if the patient has any other psychiatric symptoms. If there are accompanying psychiatric symptoms, sedative-hypnotic, anti-anxiety, antidepressant, or antipsychotic drugs can be taken to improve the patient's sleep condition. (Note: The above drugs should be used under the guidance of a doctor.)