The China Sleep Research Association recently announced that the incidence of insomnia among Chinese adults is as high as 38.2%, and it is a problem that people cannot sleep at night, wake up easily at night, and cannot wake up in the morning. Insomnia plagues many people and affects their physical and mental health, work efficiency, quality of life, and can even cause many diseases. The common causes of insomnia are mainly related to mental, age, physical condition and disease. Many patients with cardiovascular disease often suffer from insomnia, but through Chinese medicine, the use of Chinese herbs can help treat heart disease and help sleep. Want to know how this is done? Talk to your patient friends today about the relationship between insomnia and arrhythmias. Cardiovascular patients are often seen clinically with insomnia and at a very high rate. What is the reason for this? Chinese medicine considers the patient as a complete whole, and only 15% of arrhythmias are really caused by heart disease, while 85% are due to systemic abnormalities. This means that there are many causes of arrhythmias, one of which is sleep. When cardiovascular patients come in with arrhythmias, a significant number of patients have insomnia when we follow up with their medical history. Insomnia is a predisposing factor for arrhythmias. It may be strange to know how insomnia is related to arrhythmia, but we will briefly explain the reason for this. As early as two thousand years ago, Chinese medicine has said that the heart is the master of blood and the master of the mind. The ancients believed that people’s mental consciousness activities depend on the heart blood, the nourishment of the heart yin, the heart qi heart yang powerful. The concept of Chinese medicine is that people have both the heart of flesh and blood, which is the physical heart we usually talk about; and the heart of the divine, which is related to human thinking and emotions. Sleep is closely related to both. Therefore, insomnia is also a systemic problem in TCM. The insomnia factors that are directly related to the heart according to TCM are probably the following. Worry and anxiety, irritation to the heart and liver fire: This is the type of insomnia with the highest incidence rate nowadays. The high intensity and fast pace of modern society. Patients of different age levels have different psychological problems. The manifestation is the difficulty in falling asleep, easy to wake up in the middle of the night, long-term tightness in the chest area, throat obstruction, and even numbness in the limbs, tremors, palpitations are obvious when frightened, suspicion of this disease and that disease, bad mood, some people are easy to lose their temper, some people are depressed and thoughtful. When these symptoms of palpitations, panic and insomnia occur, Chinese medicine believes that the heart is the master of the gods and the gods are disturbed by the fire evil. Modern medical examination of cardiovascular function are normal, Western medicine has a disease called cardiac phytonadic dysfunction. In severe cases, the patient cannot maintain normal work. I once treated a patient, because business is not smooth to make emotional anxiety, sleepless nights, even after sleeping for 2-3 hours, a period of insomnia, palpitations, panic attacks, premature beats appear, took sedative and sleeping Western medicine, after a period of time or back to the original situation, come to see a Chinese doctor, liver fire is very strong, with Chinese medicine to clear the liver and fire to calm the mind, insomnia slowly improve. Excessive fatigue: This type of patients often have excessive fatigue. Excessive fatigue includes overwork in work life; or prolonged overthinking; surgical damage to vital energy; or prolonged spleen deficiency and loose stools. A patient came to see a doctor for arrhythmia, because he had surgery and was not recovering well, he had arrhythmia, and the effect of taking cardioplegia was not good, so he came to see a Chinese medicine doctor. I found that this patient also had fatigue, especially after activity, poor facial color, no luster and even cold hands and feet, thin stools, several times a day, palpitations and panic, and other chronic injuries. Chinese medicine practitioners have special prescriptions for the treatment of this type of insomnia. After two months of treatment, the premature beats were gone and the insomnia was cured. Yin and blood deficiency: These patients are thin due to their endowment, or too much thinking depletes Yin and blood. Chronic illnesses cause long-term depletion and loss of nourishment of the heart body, which also leads to insomnia and heartburn. If the tongue is very red in color and there is no tongue moss on it, or there are many small cracks, this is highly suggestive of a deficiency of Yin and Blood. This kind of situation is not solved by taking anti-arrhythmics or sleeping pills. A patient who mistakenly took aphrodisiacs had a heartbeat of more than 100 times per minute, insomnia, excitement at night, and a reddish tongue with no tongue moss at all, which I cured with Chinese herbal medicine to nourish Yin and Blood and calm the mind and restore the pulse. In conclusion, insomnia is a systemic problem and it can be an aggravating factor for cardiac arrhythmia.