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 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 Feng Ying Shuai
Traditional Chinese Medicine
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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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Written by Pang Ji Cheng
Psychiatry and Psychology
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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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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 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.