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 Hui
Neurology
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How to treat neurotic insomnia

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 Cai Li E
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)

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Written by Li Xiao Jie
Internal Medicine
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What should women do about insomnia and frequent dreams?

For women with insomnia and frequent dreams, the specific age group should be considered. If the women are in menopause, it's related to a decrease in estrogen secretion. In such cases, hormone medications can be appropriately used, but it is necessary to visit the gynecology department for professional guidance from a doctor and not to blindly use hormone medications on one’s own. For younger women, it’s often caused by nervous exhaustion. Daily mental stress, or taking oral medications can address this issue, such as using Anshen Bunao liquid, Wuweizi granules, Bailemian, etc., which all have effective treatment results. Additionally, one can drink milk before bedtime, soak feet in hot water, listen to soothing music, etc., and try to avoid looking at phones or watching TV.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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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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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.)