How to treat neurotic insomnia

Written by Zhang Hui
Neurology
Updated on September 04, 2024
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The patient exhibits symptoms of neurasthenia, including insomnia. The following treatment plan is recommended: First, it is crucial to adjust psychologically. It is advised that the patient maintains a joyful mood, avoids significant mental stress, and refrains from overthinking. Engaging in some aerobic exercise during the day and interacting with others can help relieve stress, which is vital for alleviating insomnia at night. Second, it is important to develop very healthy sleeping habits. Prior to sleeping, avoid intense activities, as well as consuming coffee or tea, and refrain from using mobile phones or watching TV. Head to the bedroom to sleep only when feeling sleepy. Third, medication may be necessary at times. Generally, classic benzodiazepine sedative-hypnotic drugs can be used. (Please use medication under the guidance of a doctor)

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Written by Zhang Shu Kun
Traditional Chinese Medicine
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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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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 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 Di Zhi Yong
Cardiology
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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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Cardiology
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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)