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 Liu Yong
Traditional Chinese Medicine
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Can Qi deficiency cause insomnia?

Qi deficiency can cause insomnia. Symptoms of qi deficiency include loss of appetite, nausea, dizziness, tinnitus, insomnia, frequent dreaming, abdominal bloating, and diarrhea, leading to a decreased immune response and reduced resistance in the body. It is possible to take some Chinese herbal medicines that replenish qi and blood, such as ginseng, astragalus, and schisandra. (Medication should be taken according to medical advice.) It is important to maintain a light diet, keep a cheerful mood, and avoid spicy and highly stimulating foods. Consuming chicken, beef, and pork to supplement qi and blood can be beneficial. Try to avoid getting frustrated.

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Written by Liu Shi Xiang
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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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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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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.