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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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 Zhang Shu Kun
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How to deal with excessive sweating, frequent dreams, and insomnia?

In cases of excessive sweating, frequent dreams, and insomnia, there are generally two scenarios to consider. One is caused by the deficiency of both the heart and spleen. In this condition, sweating is usually more excessive, as it can intensify after activities or meals and may also be accompanied by symptoms such as irritability and insomnia. The other scenario is due to kidney yin deficiency, where insufficient yin leads to excessive yang, resulting in insomnia, many dreams, and night sweats. In this type of sweating, it is generally profuse during sleep, but stops upon waking. This may also be accompanied by symptoms such as lower back soreness and tinnitus. It is recommended to ensure adequate rest regularly, avoid excessive fatigue, and not to be under too much stress.

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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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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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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.