There are many reasons for insomnia. Mental factors such as mental tension, excitement, depression, fear, anxiety and boredom can often cause insomnia; Social and environmental factors such as excessive work and study pressure, environmental changes, noise, light and air pollution are another important reason; Bad habits such as overeating at dinner, drinking tea and coffee before going to bed can also lead to insomnia.
3) prevention and health care of insomnia
Mainly should do the following aspects:
① A light diet rich in protein and vitamins is appropriate.
(2) Take part in Qigong, Tai Ji Chuan and other sports that emphasize mental exercise, so as to improve the ability of nerve regulation.
③ Regular life, regular bedtime, full dinner, and no stimulating drinks such as tea and coffee before going to bed.
④ Keith Downing, lecithin and other health foods have a good effect on regulating nerve function, which is helpful to improve sleep.
33. Etiological symptoms
Insomnia refers to the lack of sleep time, or the lack of deep and unfamiliar sleep, which can be divided into the following three types:
(1) Early insomnia: it is difficult to fall asleep, and it is difficult to fall asleep after midnight, which is mostly caused by mental stress, anxiety and fear.
(2) Intermittent insomnia: it is restless sleep, easy to wake up, often have nightmares, and indigestion in middle-aged people often occurs.
(3) Endpoint insomnia: It is not difficult to fall asleep, but the time is not long, and I can't fall asleep after waking up in the middle of the night. This kind of insomnia is more common in elderly patients with hypertension, arteriosclerosis and depression.
Because of insomnia, the brain excitability is enhanced, which leads to difficulty in falling asleep, shallow sleep, easy to wake up, and waking up early in dreams. The patient has insufficient sleep at night, listlessness during the day, inattention and poor appetite. Some people have tinnitus, forgetfulness, shaking hands, heavy brain swelling and easy to get angry. Insomnia can also cause psychological changes, and patients feel a heavy physical and mental burden. There are many reasons why Chinese medicine calls it insomnia, such as "upset stomach" and "tired and sleepless". It is related to imbalance of liver, spleen and kidney and deficiency of yin and blood. Neurasthenia is more common.
Matters needing attention in self-treatment
(1) Self-treatment of insomnia cannot rely on drugs. Attention should be paid to eliminating the causes of insomnia, striving for psychological balance, and improving physical fitness combined with physical therapy, and the effect will be better.
(2) Moderate work and rest to change bad living habits. Quit smoking and drinking and avoid spicy food, such as coffee and strong tea. Don't eat too much for dinner.
(3) Choose some foods that are helpful for nerve function. Such as river fish, marine fish, oysters, shrimp, loach, pork liver, pork loin, walnuts, peanuts, apples, mushrooms, peas, broad beans, milk and so on.
(4) Stop using your brain half an hour before going to bed and listen to soft and beautiful music in a quiet environment. People who have difficulty sleeping can also do some loose activities such as going out for a walk.
(5) Wash your feet with warm water of 40℃-50℃ before going to bed, and then rub your feet for a while. Rub your feet to keep warm in winter.
(6) Avoid using hot tonics, such as velvet antler, ginseng and aconite.
(7) Take part in gardening activities, such as planting flowers and grass, to cultivate Zhi Tao's temperament, eliminate tension and anxiety, and make his mind tend to be balanced.
(& lt！ -EZCODE expression START 8)-& gt；; & lt！ -EZCODE expression END-& gt；; Drinking a glass of milk or eating some sweets before going to bed is helpful to improve the quality of sleep.
(9) Facing the sun in the morning, exercising for about half an hour helps to regulate the body clock.
Autonomic therapy
First, Chinese patent medicine self-therapy
(1) Diazepam, 2.5-5mg, taken before going to bed.
(2) Go to sleep quickly, 0. 1-0.2g, and take it before going to bed. (suitable for people who can't sleep easily).
(3) Buzhong Yiqi Pill, 9g each time, 2-3 times a day, swallowed with warm water. It is used for patients with qi deficiency, mental fatigue, tooth marks on the tongue and loss of appetite.
(4) Longdan Xiegan Pill, 9g each time, 2-3 times a day, swallowed with warm water. Used for patients with thick and greasy tongue coating, vexation and irritability, and Huang Chi urine.
(5) Hushi Guntan Pill, 2g each time, 3 times a day, swallowed with warm water. Suitable for people who like greasy food, wine and sugar, endogenous damp heat, thick yellow tongue coating, hard stool, chest tightness, MUBI and dreaminess.
(6) Anshen Buxin Pills, each time 15 capsules, three times a day, swallowed with warm water.
(7) Yangxue Anshen syrup, 65438+ 0-2 spoonfuls each time, three times a day.
Second, the prescription of self-therapy
(1) Rhizoma Polygonati 30g, Rhizoma Polygonati Odorati 30g, Semen Cassiae 9g, Rhizoma Chuanxiong 3g, daily 1 post, decocted in water twice.
(2) The same amount of Ziziphus Spinosae Semen and Salvia Miltiorrhiza Radix are ground into powder, 6g each time, twice a day (afternoon and evening/kloc-0 each time), and swallowed with warm water.
(3) 30 grams of mulberry (mulberry fruit, cooked is better), decoction. Used for the elderly with insomnia and hard stool.
(4) 30 grams of fresh flowers and leaves, fried twice, daily 1 post.
Third, diet self-therapy.
(1) Lotus seed meat 30g (without the core) and longan meat 5g, which can be eaten by baking snacks or cooking porridge.
(2) Pork heart 1, jujube 10, cooked with seasoning.
(3) 2 egg yolks, 6 grams of Rhizoma Chuanxiong, Scutellariae Radix 10g, Radix Paeoniae Alba 12g, Radix Rehmanniae 30g, and Colla Corii Asini 10g (plus), and decocted twice a day with paste1g..
(4) Decoct 30g of red dates (torn), 60g of Huai Mai and Radix Glycyrrhizae Preparata 10g in water twice, daily 1 post.
(5) Eight green onions, 15 dates and 5g sugar. Boil 2 bowls of water into 1 bowl, and take 1 time before going to bed. This prescription is used to treat neurasthenia and insomnia. Burn your feet with hot water before going to bed, soak for a while, and then heat them when the water is cold. Taking this prescription at the same time is more effective.
(6) Chop 150g scallion (white) and put it into a small dish. Put the saucer on the pillow before going to bed, and you can sleep peacefully. This prescription is used to treat neurasthenia and insomnia, and has the effect of calming the heart and calming the nerves.
(7) 7 green onions and 20 jujubes. Decoct with water. This prescription is used to treat insomnia caused by fatigue and has the effect of nourishing the heart and calming the nerves.
Fourth, external governance and autonomy.
(1) Umbilical application method: evenly mix equal amounts of pearl powder, salvia miltiorrhiza powder and sulfur powder, then apply a proper amount of sesame oil to the navel, cover it with plastic film tape, and replace it in 3-5 days.
(2) Acupoint massage: Take Yongquan, Taixi and Insomnia, and press the acupoints with your fingers for 3-5 minutes each. If you wash your feet with warm water, the effect will be better.
Taixi point: located at the midpoint between the posterior edge of the medial malleolus and achilles tendon. Insomnia acupoint: located at the connecting line between medial malleolus and lateral malleolus, at the midpoint of sole. Yongquan point: it is located in the depression at the forefoot 1/3.
dreaminess
Everyone dreams. But most people soon forget their dreams after waking up, leaving only some feelings at most. Those who still remember the dream clearly after waking up can only sleep badly or dream more.
Why do insomniacs always say MUBI?
It is often said that "I didn't have a good rest last night and had a dream all night" and "I was in MUBI at night and didn't fall asleep at all". So it seems that I really feel a little depressed and lack of energy when I study and work on this day, as if dreaming really delayed my rest. According to the traditional concept, some doctors also admit that dreaminess is a sign that the brain has never rested or has a bad rest. In fact, this old concept is wrong. Dreaming and recalling dreams are not indicators of poor sleep, nor can we say that dreaming means poor sleep. As mentioned earlier, dreams are a common physiological phenomenon. Dream or not, have 4 to 5 dreams every night. It is an exaggeration to say that you dream all night, and it is unrealistic to say that you don't dream, not to mention that MUBI dreams less. Some people at home and abroad have made physiological tests on insomnia, dreaming all night or MUBI's chronic insomnia, and carried out EEG tracing and research with various physiological instruments. It is proved by objective records that these patients who complain of "MUBI" and "dreaming all night" have the same sleep cycle as normal people, and the proportion and actual time of their fast-wave sleep period with dreams have not been significantly shortened or prolonged. "Dreaming all night" and "MUBI" have the same experience. Others give psychological tests to such patients, believing that this experience has something to do with personality. No matter from the universal law of human sleep or from the results of experimental research, dream feeling and insomnia may not be necessarily related. Whether or not you have a dream feeling and the degree of it can't be used as an objective indicator of insomnia.
In that case, why do people always associate dreaming with insomnia? As we have said many times before, dreams are inevitable physiological phenomena and active physiological processes during fast wave sleep, which are manifested in the forms of performance components, perceptual memory activities and unconventional associations. Dream feeling refers to the memory of some plots in the dream after waking up, or just the impression of having a dream, and even the content of the dream is difficult to explain clearly. People who complain about insomnia and dreamless dreams should refer to the feeling of dreams, which is related to emotional factors and personality characteristics. For example, introverts pay more attention to their inner feelings, sleep lightly and are easy to wake up or wake up, and often recall vivid dreams; People who are depressed and anxious are easy to wake up from their dreams, so they feel dreamy and sleep uneasily. The researchers also found that MUBI is closely related to the degree of waking up during sleep, and people who report themselves in MUBI on weekdays are more likely to wake up during sleep. In the sleep experiment, as long as the volume of 20 decibels is enough to wake them up, and their dream memory is also very high. Clinically, people who often see sudden dreaminess are often related to being hurt by seven emotions, being in a bad mood and sleeping uneasily, so insomnia is often accompanied by dreaminess.
Clinical observation and experimental results prove that the chief complaint of insomnia, especially long-term insomnia, is unreliable. Many scholars have studied the patients who complained of insomnia and found that insomnia is related to psychological disorders. They often overestimate the sleep latency and underestimate the actual sleep time. During the experimental test, the description of sleep parameters by insomnia patients is inconsistent with the objective records, either exaggerated or narrowed. Most experts believe that the experience of insomnia is related to mood and personality.
Why do many insomniacs complain about "dreaming all night or MUBI"? Some people think it is related to the following factors through investigation and analysis:
(1) Little is known about the knowledge of sleep and the relationship between sleep and dreaminess: many people don't know the alternation of sleep cycles, the position of dreams in sleep, physiological functions and the difference between dreams and dreaminess, and they don't know that dreams or dreaminess have no side effects. The unscientific interpretation of dreams by old traditional concepts and feudal superstitions has caused people to be afraid of dreams, which has led many people to blindly fall into fear of dreams.
(2) It is related to people's emotional state: many people lack understanding of emotional disorder, do not know that emotional disorder is a disease, and often ignore the emotional disorder itself and pay too much attention to symptoms such as insomnia, dreaminess and pain related to emotional disorder. I don't know how to adjust and improve my mood, but I just exaggerate my less objective experience.
(3) paying too much attention to one's own health and dreams leads to the enhancement of dreams; On the other hand, the increased sense of dreams aggravates the fear of health and insomnia, and even forms a vicious circle.
(4) Some people wake up in the fast wave sleep period or wake up immediately after the fast wave sleep period, which leads to the increase of dream memory.
(5) Differences in individual functional states: Different individuals have different dreams, even if the same individual has different functional states in different periods, the degree of dreams is not the same. Therefore, some people have a strong sense of dreams for a while (MUBI), while others have a weak sense of dreams (fewer dreams).
Insomnia as a phenomenon exists objectively, and dreams as a common physiological phenomenon are by no means redundant. We admit the existence of insomnia, but we can't think that insomnia and dreaming are necessarily related.
How does Chinese medicine recognize the relationship between dreaminess and insomnia?
Traditional Chinese medicine believes that the root cause of dreaminess is the internal changes of the body. "Fang Suwen's Theory of Rise and Fall" said: "It is fascinating to be dumbfounded because of lack of gas." The so-called qi deficiency means that the qi is insufficient, and the yang fails to keep the yin and the god is unprepared, so it is a dream. This is also one of the reasons. However, emotional damage, visceral injury, loss of essence, make you uneasy and dreamy; Yin and blood deficiency can not nourish the mind, hide the liver and soul, limit the fire, and make the mind wander and dream more; Phlegm heat interferes with the liver and gallbladder, so the soul is restless and dreamy; Overwork, fire and water are not good, heart and kidney are not harmonious, people are uneasy and dream more; A dishonest diet makes the soil dull, restless and dreamy. The appearance of dreaminess leads to restless sleep and changeable dreams.
How does Chinese medicine treat dreaminess syndrome?
Dreaming more refers to waking up from sleep and consciously dreaming different dreams, often accompanied by dizziness and fatigue. Chinese medicine often uses the following two methods to treat dreaminess syndrome.
(1) Syndrome Differentiation and Treatment
(1) mental deficiency
Symptoms: dreaminess, insomnia, mental fatigue, lethargy, shortness of breath or crying, trance, pale tongue, thin white fur and thready pulse.
Treatment: nourishing blood and benefiting qi, calming the heart and calming the nerves.
Prescription: Shenxiang Powder.
Medicine: 9g of Ginseng, 9 g of Radix Astragali, Poria, 2 g of Atractylodis Rhizoma, 0/2 g of Rhizoma Dioscoreae, 6g of Lotus seed, Amomum villosum, Aquilaria Resinatum, Sandalwood and Glycyrrhiza uralensis.
② Deficiency of heart blood
Symptoms: palpitation and restlessness, insomnia and dreaminess, forgetfulness, dizziness, pale face, pale tongue and thready pulse.
Treatment: nourishing blood and calming the nerves.
Prescription: Siwutang plus Rongshadan.
Medicine: Radix Rehmanniae Preparata, Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Chuanxiong each 12g, Cornu Cervi Pantotrichum and Cinnabaris each 6g, Semen Ziziphi Spinosae 18g.
③ Deficiency of heart yin
Symptoms: palpitation, insomnia, dreaminess, fever, dry throat and tongue, red tongue with little body fluid and rapid pulse.
Treatment: nourishing yin, nourishing the heart and calming the nerves.
Prescription: Yiqi anshen decoction.
Drugs: Angelica sinensis, Poria, Ophiopogon japonicus, Radix Rehmanniae 12g, Coptidis Rhizoma, Cortex et Radix Polygalae, Bamboo Leaves, Ginseng Radix, Radix Astragali, Radix Aristolochiae and plumula Nelumbinis 6g each, Semen Ziziphi Spinosae 18g, and Cinnabaris 3g.
④ separation of heart and kidney
Symptoms: upset, insomnia, dreaminess, nocturnal emission, backache and leg weakness, hot flashes and night sweats, red tongue without coating, and rapid pulse.
Treatment: communicate with heart and kidney.
Prescription: Huanglian Ejiao Decoction.
Medicine: 9 grams of Rhizoma Coptidis, 9 grams of Scutellariae Radix, 9 grams of Radix Paeoniae Alba, 9 grams of Colla Corii Asini, 65438 0 pieces of black-bone chicken and 65438 02 grams of keel.
⑤ Qi deficiency of heart and gallbladder
Symptoms: restlessness, timidity, dreaminess, chest tightness and shortness of breath, pale tongue, thin white fur, thready and weak pulse.
Treatment: nourishing the heart and benefiting qi, treating each other with sincerity and being calm.
Selected: Pingbu Zhenxin Pill.
Drugs: Semen Ziziphi Spinosae and Sanguis Draxonis each 12g, Semen Plantaginis, Poria, Radix Ophiopogonis, Poria, Radix Asparagi, Radix Rehmanniae Preparata and Rhizoma Dioscoreae each 9g, Fructus Schisandrae Chinensis, Radix Polygalae and Radix Ginseng each 6g, Cortex Cinnamomi, Cinnabaris and Radix Glycyrrhizae each 3g.
⑥ Deficiency of both heart and spleen
Symptoms: palpitation, forgetfulness, insomnia, dreaminess, shortness of breath, fatigue, loss of appetite, abdominal distension, loose stool, pale tongue, white fur and thready pulse.
Treatment: tonify the heart and spleen.
Prescription: Guipi Decoction.
Medicine: 6 grams of Ginseng, 6 grams of Radix Polygalae and 6 grams of Radix Aucklandiae, 9 grams of Radix Astragali, 9 grams of Atractylodis Macrocephalae, 9 grams of Radix Angelicae Sinensis, 9 grams of Poria, 9 grams of Semen Ziziphi Spinosae and 3 grams of Radix Glycyrrhizae Preparata.
⑦ Phlegm-fire internal disturbance
Symptoms: dream disturbance, dizziness, palpitation, impatience and irritability, excessive phlegm, chest tightness, red tongue, yellow greasy fur and slippery pulse.
Treatment; Clearing heat and resolving phlegm.
Prescription: Rhizoma Coptidis can warm gallbladder and intestines.
Medicine: 6 grams of Coptidis Rhizoma, 9 grams of Pinellia ternata, Pericarpium Citri Tangerinae, 9 grams of Poria, Zhu Ru and Fructus Aurantii Immaturus, 3 grams of Glycyrrhiza uralensis, 3 grams of ginger, 5 jujubes, and 0/2 gram of mother-of-pearl.
(2) Dream interpretation and psychotherapy: see relevant regulations for its contents.
Can emotional stimulation also cause dreaminess? How to correct it?
As we have introduced in the relevant items, dreaming is essential for every normal person, and there are some benefits. So why do many people worry about dreaming? They think that dreaming affects the sleep effect and causes many uncomfortable symptoms during the day. Actually, it's not. If you ask these people carefully, you will find that they have all kinds of psychological factors. It is these psychological factors that affect the normal sleep at night and also cause other symptoms. They can also experience the pain caused by troubles through dreams. The content of some people's dreams has something to do with the reasons why they are unhappy. However, due to psychological factors, the increased sleep time is occupied by "dreamless sleep", but "dreamless sleep" has not increased, so the sleep depth has become shallow. This kind of sleep can't make the brain get enough rest and recovery, but it increases the stimulation. Objectively speaking, sleep is prolonged, but the effect is worse. When you wake up, you will feel tired and uneasy. Every time I wake up from a nightmare at night, I will subjectively think that I had a dream all night.
"Dreaming all night" to relieve symptoms; To improve the sleep effect, you can take some sleeping pills to reduce "dreamless sleep" and increase the depth of "dreamless sleep". However, this can only be used as a temporary symptomatic treatment, not a palliative. If you take drugs for a long time to deprive you of "dream sleep", you will also have "dream pressure". Once the drug is stopped, there will be a "rebound phenomenon". In this way, the content and time of dreaming will be significantly increased than before taking medicine, so that patients dare not stop taking medicine, fearing that stopping medicine will bring more pain. If you don't stop taking the medicine, you will be dependent on the medicine for a long time. Therefore, taking sleeping pills can only be used as an adjuvant treatment.
The fundamental method of treatment is to remove the psychological factors that lead to poor sleep. If patients face psychological difficulties through psychotherapy and specific guidance, adopt correct methods and attitudes, and gradually solve practical difficulties and contradictions, painful dreams will be reduced, sleep will return to normal, and many other symptoms will disappear. In short, the psychological factors of trouble are gone, and a series of reactions caused by it disappear.