Which is the most reliable method to treat insomnia?

  A sheep, two sheep, three sheep …… can not sleep! Western medicine, Chinese medicine in turn, as usual, sleep is not good, a long period of insomnia is equal to chronic suicide! Treatment of insomnia in the end which method is the most reliable?   Insomnia suffering, trying various methods, but not much effect? From today, you may want to try transcranial magnetic stimulation (TMS)! As an emerging brain science technology approved by FDA for the treatment of depression and migraine, it has been widely used in the field of psychiatric and neurological rehabilitation, and has achieved remarkable results and gained the recognition of the majority of patients.  How can transcranial magnetic stimulation effectively treat insomnia?  The main mechanism of rTMS for treating insomnia is to generate magnetic field induced current locally in the cerebral cortex, which is transmitted to the thalamus and its surrounding brain tissues via the subcortical fibers, restoring the disordered neuronal electrical activity in the region to a normal state of synchronous oscillation, thus restoring sleep.  The secondary current induced by the exogenous magnetic field not only changes the bioelectrical activity of the brain, but also causes the expression of immediate genes such as c-fos and the release of neurotransmitters and certain peptides such as 5-hydroxytryptamine, norepinephrine, acetylcholine, etc., thus achieving the regulation of human physiological and psychological activities, improving patients’ excessive dreaming, early awakening, difficulty in falling asleep, etc., and also relieving It can also relieve the patient’s dizziness, reduced concentration and emotional irritability during the daytime due to insomnia. Generally speaking, TMS treatment can be effective in 1 course of treatment.  In 2013, a hospital published the research results of TMS for insomnia treatment in the journal CELL BIOCHEM BIOPHYS. 120 patients with chronic insomnia were divided into TMS treatment group, medication group, and psycho-psychotherapy group, stimulation site: right dorsolateral prefrontal area, stimulation intensity: 80% MT, stimulation frequency: 1Hz, stimulation time: 30s, stimulation interval: 2s The total number of pulses: 1800, treatment time: 30 min, duration of treatment: 2 weeks. At the end of the treatment, the TMS treatment group showed significantly better improvement in the third stage of sleep and REM stage than the other two groups; compared with the other two groups, the TMS treatment group could better improve the release of HPA and HPT axis hormones.  Transcranial magnetic stimulation for insomnia is better than Valium Many insomnia patients choose to take sleeping pills to achieve the effect of sedation and sleep. However, long-term use may cause drug dependence, affect the central nervous system, and can cause drowsiness and respiratory depression, which is especially dangerous for the elderly and people with respiratory problems! Withdrawal may also occur after discontinuation, causing worsening sleep disorders and increasing anxiety. Transcranial Magnetic Stimulation (TMS) is a painless, non-invasive, green treatment with better efficacy compared to Valium medication for insomnia with increased deep sleep time and normalization of sleep structure in patients.  Twenty healthy individuals were treated as normal group, and 60 patients with sleep disorders were divided into Valium drug group and transcranial magnetic stimulation group, 30 patients each. The transcranial magnetic stimulation group was treated with transcranial magnetic stimulation for 14 d. The changes of sleep process and sleep structure in both groups were detected by polysomnography before and after the treatment. The normal group did not receive any treatment, and only one polysomnography was done when the group was selected for enrollment, and the efficacy of the two groups was compared. The results showed that the sleep time, sleep latency, wake-up time and sleep efficiency of patients in both groups improved after treatment compared with those before treatment (P0.05), and the deep sleep time increased and the sleep structure normalized in the transcranial magnetic stimulation group compared with the tranquilizer drug group after treatment. Conclusion Repeated transcranial magnetic stimulation has significant efficacy in the treatment of sleep disorders.  The best efficacy of low-frequency stimulation of the right DLPFC in the treatment of primary insomnia may be attributed to the fact that rTMS produced local induction currents in the Brodmann 6 area, the cortical area corresponding to the dorsolateral prefrontal area, and the induction currents were transmitted to the thalamus and its surrounding tissues through the abundant downstream contact fibers in this area, which restored the disordered neuronal electrical activity in these areas to normal and produced corresponding biochemical changes. This restores the electrical activity of the disturbed neurons in these areas to normal and produces corresponding biochemical changes, thus correcting insomnia. The dorsolateral prefrontal area corresponds to Brodmann area 6, which includes the premotor area and the supplementary motor area, and is an important cortical center of the extrapyramidal system, sending a wide range of downstream fibers to the thalamus and basal ganglia.  Warm tip: Insomnia is a syndrome caused by multiple factors. It is divided into primary insomnia and secondary insomnia, how to carry out effective treatment, but also need to be professionally diagnosed by doctors, to develop a personalized treatment plan! Only when you sleep well, you can get better health and embrace a better life.