What to do about insomnia?

Written by Yuan Chun Yun
Geriatrics
Updated on September 24, 2024
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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.

Other Voices

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Written by Qiu Xin Hui
Traditional Chinese Medicine
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How to treat insomnia due to insufficient Qi and blood?

When physical symptoms of qi and blood deficiency and signs of insomnia appear, patients are likely to exhibit symptoms such as fatigue, breathlessness, spontaneous sweating, and pale complexion. At this time, it is necessary to promptly regulate the body. You can eat more foods or medicines that replenish qi and nourish the blood. It is recommended to use Astragalus, Codonopsis, Angelica Sinensis, and Goji berries to simmer a pigeon soup, and also add some calming herbs such as lotus seeds and lily. Among these, Astragalus and Codonopsis help replenish qi; Angelica Sinensis and Goji berries nourish the yin and enrich the blood; pigeon meat itself is rich in nutrients and has benefits such as warming yang, strengthening the kidneys, enhancing qi, and nourishing the blood. Combined together, these can effectively improve the symptoms of insomnia caused by qi and blood deficiency. (Note: Use of specific medications should be under the guidance of a doctor.)

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Written by Li Hai Wen
Cardiology
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Management of poor heart condition and insomnia

If you have heart issues and are experiencing insomnia, you can consider the following adjustments: First, appropriate medication adjustments, such as under the guidance of traditional Chinese medicine, combining pulse-taking and tongue examination to determine the body's constitution, proper use of traditional Chinese herbs like sour jujube kernels, goji berries, poria, licorice, jujube, chrysanthemum, and honeysuckle to make porridge can to some extent improve sleep issues. Second, maintain good lifestyle habits, like keeping a positive mood, avoiding staying up late, developing the habit of sleeping regularly, and avoiding overeating, especially at dinner. If necessary, take Western medicine to improve sleep, such as eszopiclone, under the direction of a doctor.

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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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Can excessive dampness cause insomnia?

If excessive dampness is present, it can generally cause insomnia and other adverse reactions, such as numbness throughout the body, general weakness, memory decline, and poor gastrointestinal digestion, which can all lead to symptoms. Therefore, it is first necessary to help expel the dampness to achieve effective improvement. For instance, regularly consuming foods like Chinese yam, barley, dates, and red beans can greatly aid in expelling dampness and improving symptoms. It is also important to engage in regular physical activities, which can help expel dampness. Additionally, methods like steam sauna, warm water foot baths, and cupping can also help expel dampness and alleviate symptoms.

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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.