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.

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Written by Zhang Yue Mei
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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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What are the reasons for insomnia, hand tremors, and palpitations?

If a patient frequently experiences insomnia, trembling hands, and palpitations, it is possible that these symptoms are caused by myocardial ischemia. It is recommended that the patient actively undergo treatment using medications that dilate blood vessels and improve circulation, and firstly, coronary heart disease should be ruled out. If a person has long-term sleep disorders, they can also develop a certain level of anxiety, which in turn can lead to insufficient coronary artery blood supply and thus myocardial ischemia. This condition can also manifest as palpitations and trembling hands. Another scenario is hypoglycemia. If blood sugar levels are too low, symptoms such as palpitations, chest tightness, and trembling hands can occur, typically at night. For such cases, it is also necessary to promptly monitor the patient's heart rate, blood pressure, and pulse changes, and the diet should primarily consist of high-quality protein.

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Written by Zhang Shu Kun
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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 Cai Li E
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How to regulate rapid heartbeat and insomnia?

If increased heart rate and insomnia are not due to cardiovascular disease, pulmonary disease, or thyroid disease, consider a diagnosis of cardiovascular neurosis. Patients with cardiovascular neurosis often present with numerous and variable complaints, lacking an intrinsic connection between symptoms. Common symptoms include palpitations, a heightened sense of heartbeat, chest tightness, labored breathing, a frequent feeling of insufficient air requiring opening windows or needing oxygen, accompanied by insomnia, vivid dreams, anxiety, loss of appetite, dizziness, tinnitus, sweating, cold hands and feet, and trembling hands. Treatment primarily involves psychotherapy, with medication as a secondary approach. Patients are encouraged to adjust their attitudes, organize their schedules properly, and engage in cultural, tourism, and sports activities. In cases of severe insomnia, the cautious use of drugs like midazolam or zopiclone may be considered. (The use of medications should be under the guidance of a physician)

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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.)