Insomnia is a group of symptoms characterized by frequent failure to obtain normal sleep. The main manifestation of insomnia is the lack of sleep duration and depth, which can take various forms, such as difficulty in falling asleep, early awakening, waking up easily during sleep, difficulty in falling asleep again after waking up, decreased sleep quality (manifested by excessive dreaming), significantly reduced sleep duration, or even sleepless nights. The incidence of insomnia is very high in the population, and most epidemiological surveys abroad show that about 33% of people have sleep disorders every year, and 17% of people have severe insomnia. It often affects people’s normal work, life and study, and long-term insomnia seriously affects people’s health and can lead to a variety of physical and mental diseases. The causes of insomnia and non-pharmacological treatment are discussed below. 1.Common causes of insomnia Common causes of insomnia in Chinese medicine are called “sleeplessness”, “sleeplessness”, “sleeplessness”, “sleeplessness and palpitations “According to Chinese medicine, there are many causes of insomnia. Thinking and laboring, internal injury to the heart and spleen, Yang not crossing Yin, heart and kidney not crossing, Yin deficiency and fire, liver and Yang disturbance, heart and gallbladder Qi deficiency and stomach disharmony can all affect the heart and mind and cause sleeplessness. Although there are many causes of sleeplessness, they are always related to the deficiency of heart, spleen, liver, kidney and yin, and their pathological changes are always the result of yang and yin deficiency and loss of intercourse between yin and yang. Common causes in Western medicine Western medicine believes that insomnia is caused by long-term overstressed brain work, strong ideological and emotional fluctuations, but also due to pain, night sweats, cough, wheezing, nocturnal urination, vomiting and diarrhea, abnormal movements of leg syndrome, irregular working hours, frequent shift work sleep patterns that cannot be restored, environmental disturbances or taking excitatory drinks or drugs, which cause mutual imbalance between excitation and inhibition of the cerebral cortex, resulting in The brain function is disturbed. 2, non-pharmaceutical treatment of insomnia Insomnia diet treatment medicine is better than food, insomnia food therapy formula if used properly, will have a certain hypnotic effect. (1) Yuan Zhi Zao Ren porridge: 15 g of Yuan Zhi, 10 g of fried jujube seeds, 75 g of round-grained rice, clean round-grained rice, put it into the appropriate amount of water pot, add the cleaned Yuan Zhi, jujube seeds, boil it over high heat and shift to low heat to make porridge, which can be eaten as a night meal. This porridge has the effect of tranquilizing the heart and mind, strengthening the brain and educating the mind, and can treat palpitations, insomnia, forgetfulness and other diseases caused by blood deficiency in the elderly. (2) quail and wolfberry porridge: 10 quail eggs, wolfberry 15g, walnut 15g, the quail eggs steamed and shelled, wolfberry soaked for a few minutes, walnut fried and crushed, add the appropriate amount of rice slow cooked into porridge. It has the effect of nourishing Yin and replenishing blood, nourishing the heart and calming the mind. Suitable for insomnia in the heart and spleen deficiency. (3) Double kernel porridge: 10g of sour date kernel, 10g of cypress kernel, 10 red dates, appropriate amount of rice, add water to make porridge and drink on an empty stomach. It has the effect of nourishing the spleen and nourishing the heart, strengthening the stomach and benefiting the qi. It is suitable for insomnia caused by deficiency of both heart and spleen. (4) Wu Wei Zi Honey Drink: 30g of Wu Wei Zi, 20g of honey, wash Wu Wei Zi, add appropriate amount of water and boil with high fire, change to low fire and decoct for 20 minutes, remove the residue and take the juice, add honey after the juice turns warm, stir well and take in several times. It has the effect of tranquilizing the mind and nourishing yin and moistening the intestines. It is suitable for insomnia of the liver and kidney yin deficiency type, and is especially suitable for those with palpitations. (5) eat more fruits and vegetables containing fiber: such as peaches, apples, walnuts, lychees, corn, dried bamboo shoots, celery, lotus root, etc., is conducive to clearing the intestines, the small intestine and the heart phase, intestine clear heart fire is not exuberant; at the same time, eat some food to nourish the heart and calm the mind, such as mulberry, longan meat, jujube, silver fungus, fungus, lily, lotus seeds, milk, honey, etc. are helpful to sleep. Acupuncture and moxibustion, massage therapy 1, acupuncture points: the main points: Baihui, four Shenchong, Shenmen, Sanyinjiao, sleeping. (1) Liver stagnation and fire: Taichong, Fengchi, Yanglingquan, Shimen; (2) internal disturbance of phlegm and heat: Fenglong, Houxi, Shenhu, Daling, Lidu; (3) Yin deficiency and fire: Xin Yu, Kidney Yu, Zhaohai, Daling, Taixi, Taichong; (4) Heart and spleen deficiency: Xin Yu, Spleen Yu, Feosanli (moxibustion), Neiguan; (5) Heart deficiency and timidity: Xin Yu, Bile Yu, Daling, Qiuhui, Fengchi. According to the deficiency and reality of the disease, the corresponding tonic and diarrhea techniques are used, with the deficiency using the tonic method, the reality using the diarrhea method, and the deficiency mixed with the reality using the flat tonic and flat diarrhea method. Once a day, 10 days for a course of treatment, interval of 5 days for the next course of treatment. 2, auricular acupressure points Shen Men, subcortical, heart, brain. The following points are used: liver and gallbladder for liver stagnation and fire; spleen for phlegm-heat internal disturbance; kidney for yin deficiency and fire; spleen for heart and spleen deficiency; gallbladder for heart and gallbladder qi deficiency. Use adhesive tape to fix Wang Bu Liu Xing Zi at the above acupuncture points, and ask the patient to press the above acupuncture points with the fingers every day until there is local pain or swelling, or a feeling of heat, pain and numbness, or a feeling of radiating conduction along the meridian route, and press 4 to 5 times a day for 1 to 3 minutes each time to strengthen the stimulation and improve the therapeutic effect. Spring and summer can stay 1 to 2 days, autumn and winter can stay 3 to 4 days. 3.Massage Points: Main points: Heart Yu, Liver Yu, Spleen Yu, Stomach Yu, Kidney Yu, Gall Bladder Yu, Yin Tang, Tan Zhong, Shen Men, Neiguan. Supporting points: Life Gate, Tianshu, Feet Three Miles, Sanyinjiao, Qihai, Guan Yuan, etc. Operation: ①Patients take a recumbent position, the practitioner stands on one side, and pushes along the back and waist of the patient with palm pushing method from top to bottom along the Governor’s and Bladder meridians 10 times, and 10 times in parts. ② Rub the abdomen with one or both hands overlapping for 3 to 5 minutes; then apply the technique on the patient’s head, i.e., pushing the Hall of Yin to the Sun 5 to 10 times, pointing and rubbing the Hall of Yin to the Baihui 5 to 10 times, and pointing and rubbing the Fengchi and Fengfu for 1 minute each. 4.Chiropractic The patient lies prone and exposes the back of the spine. The practitioner uses the rolling method to apply the technique from top to bottom of the spine 3 to 5 times, taking the shoulder well points on both sides several times, then overlap the palms of both hands and press the bladder meridian on both sides 3 to 5 times from top to bottom with the palm roots, then press the points of sympathetic Yin Yu, Heart Yu, Liver Yu, Gall Bladder Yu, Spleen Yu, Kidney Yu, Qi Hai Yu and Guan Yuan Yu 3 to 5 times in turn, with each point pressing 1 time, followed by lightly stroking the bladder meridian with the palm of the hand once. Then use the empty fist or side palm from top to bottom rhythmic knocking shoulder back waist hip and other parts of the several times, gradually reduce the intensity, once a day, 10 days a course of treatment. 5, foot bath, 9g each of farmer’s dream, safflower, jujube, magnetic stone, dragon bone, peach kernel 15g each, water decoction 2 times, when the temperature is appropriate to dip both feet in the liquid, so that the liquid soaked feet, once a night before bed, each soak 30 minutes, half a month for a course of treatment. 6, pillow (1) white chrysanthemum dried, pounded into coarse powder, put into the pillow, made of pillow, for insomnia caused by hyperactivity of liver Yang. (2) dried lampblackberry, rolled into coarse powder with a crusher, put into the pillow, made of pillows, for insomnia caused by hyperactive heart fire. (3) The calamus is removed from the ashes, washed and dried, and crushed into coarse powder, put into the pillow heart, made into a pillow, for insomnia caused by phlegm turbidity disturbing the clear orifices. (4) Angelica sinensis, Gangsong, Astragalus, Paeonia lactiflora, Poria, Dried Dihuang, Pueraria Mirifica, Jujube were dried, grinded into coarse powder and mixed into the heart of the pillow to make a pillow for insomnia caused by deficiency of Qi and blood. (5) Chinese herbs such as angelica, red peony, safflower, wei ling xian, Xu Changqing, kudzu root, chrysanthemum and Chuan Cao Wu are made into pillows for insomnia caused by cervical spondylosis. Emotional therapy Insomnia is closely related to the seven emotions of the disease. According to the theory of “sadness is better than anger, anger is better than thought, thought is better than fear, fear is better than happiness, and happiness is better than sadness”, the interrelationship of emotions can be used to achieve the purpose of treatment in clinical practice.