Common outpatient insomnia questions I. What is it about me that causes insomnia? Insomnia has many causes, often multiple factors. However, except for 20% which are due to certain organ pathologies in the body, jet lag, etc., most insomnia is related to psychosomatic factors. Therefore, physicians first rule out organic diseases, such as hypertension, heart disease, and respiratory diseases, and actively treat the original disease. Then it is necessary to consider non-organic problems, spiritual and psychological reasons. Second, there are several kinds of sleeping pills? There are three types of potency, distinguished by the time of onset of action. 1, short-acting; 2, medium school; 3, long-acting; 4, do not forget that the characteristics of Chinese medicine hospital is Chinese herbal medicine for insomnia. Third, sleeping pills chosen for difficulty in falling asleep? Short-acting sleeping pills. For example, Sinox, Zopiclone, etc. The drug of choice for jet lag? Same as difficulty sleeping, short-acting sleeping pills. Note that after all the sleep work is done, prepare to take the medication and go to sleep. The next day the side effects are minimal. Fourth, the problem of melatonin? Nowadays, there is a lot of external communication and many people have melatonin, a health supplement, to help them sleep. Melatonin is a hormone secreted by the body, which decreases with age. Melatonin can be taken for a short period of time. However, exogenous melatonin should not be taken too much, for too long, it will affect the release of its own melatonin. And take a long time, the effect will also become worse. Five, the harm of sleeping pills? The most important thing is to weigh the pros and cons. The drug itself of liver and kidney toxicity. Addiction dependence, etc. Sixth, the point of attention? The main thing is not to take and take drugs indiscriminately. 1, increase the amount of drugs on their own, the short-term effect can be, but soon the effect is poor. Constantly increase the amount by themselves, even taking to dozens of tablets. Doctor treatment is tricky, leading to persistent insomnia. If you need to adjust the dose, under the guidance of a doctor; 2. Drinking alcohol can cause the effects and side effects of sleeping pills to enhance, and even lead to death, so generally alcohol and sleeping pills are not taken at the same time. Seven, can I take sleeping pills? 1, different sleeping pill mechanism is not the same, some sleeping pills currently have little damage to the structure of insomnia, can be taken under the guidance. For short-term insomnia, do insomnia awareness first. Have a correct understanding of insomnia. Some patients will also use it as early as possible and get well. Eight, the principle of taking sleeping pills: on-demand, intermittent medication. On-demand, one is the condition requires, do not hard discard, then take, do not worry about drug side effects and force the pain of insomnia, resulting in a series of other problems later, such as decreased resistance, blood pressure and blood sugar instability, etc.; second, if insomnia has improved, then reduce or even stop the use of sleeping pills. Intermittent medication means not to use the same sleeping pill continuously for a long time to avoid sleeping pill tolerance, dependence, etc. Regular adjustment of medication and dosage is needed under the guidance of a doctor. Minimize side effects. IX. My outpatient Chinese medicine for insomnia? I was once consulted: What herbal medicine is used to treat insomnia? This needs to be clinically tailored to each patient. The common ones are liver fire disturbing the heart, phlegm-heat interlocking, deficiency of heart and spleen, deficiency of qi and blood, deficiency of kidney qi, etc. We may choose Zhuangyao San, Wenzhi Tang, Sijunzi Tang, Siwu Tang, Erxian Tang, etc. Usually, we also commonly use Gui Zhi Gan Cao Long Bone Oyster Soup, and sometimes if the identification of qi and blood, yin and yang is not obvious, we also use Sour Date Soup. In short, the prescriptions and medicines are selected according to the different conditions of the patients. X. What is the goal of treatment? Through the overall adjustment of Chinese medicine, the patient can achieve the balance of yin and yang, so as to get a better sleep, ensure the mental outlook during the day, and live and work better. There are many successful cases of patients in my clinic now. Some of them have been suffering from insomnia for many years, and some of them have gone from sleepless nights to even 7 or 8 hours of sleep after the treatment of TCM, while some of them have improved the quality of sleep and significantly improved their ability to live and work during the day, and are energized; many of them have reduced their dependence on western sleeping pills.