Management of poor heart condition and insomnia

Written by Li Hai Wen
Cardiology
Updated on September 08, 2024
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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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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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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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Does anxiety disorder cause insomnia?

Patients with anxiety disorders may experience symptoms of insomnia, primarily due to high sympathetic nervous excitement and hyperfunction of skeletal muscles. Therefore, patients may exhibit high alertness, difficulties falling asleep, frequent awakenings during sleep, or inability to fall back asleep after waking up. In such cases, clinically, anti-anxiety medications with sedative and hypnotic effects, such as benzodiazepine anti-anxiety drugs, or antidepressants with sedative effects, can be effectively used. Moreover, if anxiety disorder patients can self-adjust, such as through exercise, they may also improve their sleep conditions to some extent.

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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.)

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What are the causes of insomnia?

Insomnia refers to difficulty in falling asleep or waking up early, which affects work the next day. There are many causes of insomnia, such as environmental factors, some medications, and some diseases, such as chronic diseases, which may cause insomnia in patients. It is also somewhat related to the patient's personality. From the perspective of traditional Chinese medicine, the main reasons for insomnia include the following: The first is Yin deficiency and excessive fire. The heart is associated with fire and the kidneys with water. If the heart's fire is too strong and the kidney's water is insufficient, it can cause insomnia. Additionally, patients with damp-heat conditions can also experience insomnia because too much damp-heat can disturb the mind and lead to insomnia. Moreover, some patients have excessive liver and gallbladder fire and a quick temper, which can also lead to insomnia. Another group of patients has both heart and spleen deficiencies; if both the heart and spleen are deficient in blood, it can result in insufficient nourishment for the mind's blood, ultimately leading to insomnia. Thus, patients with both heart and spleen deficiencies can suffer from insomnia.