Do you know why you can’t sleep at night? Is this a disease that needs to be treated with medication? And do you have some doubts while taking the medication? Valium is not a sleep drug. Poor sleep is mostly due to overactive brain cells. The normal situation is that most of the brain cells are resting at night, and only a small number of brain cells are working, “on duty”. But when you have insomnia, most of the brain cells are not resting and are working overnight. Therefore, fatigue occurs during the day. Why does this happen? It is because there is a problem with the substances (neurotransmitters) that regulate the activity of brain cells. The substances in the brain determine the consciousness, i.e., the thinking, emotion and personality of a person. Therefore, choose drugs according to the abnormalities of neurotransmitters in the brain, and do not choose sleeping pills at will. Otherwise, wake up more fatigued. Valium drugs, mainly for anxiety, depression and epilepsy, a common adverse effect is drowsiness, insomniacs generally take it as a sleep drug, which is wrong. In particular, do not eat early insomnia, and moreover do not advocate taking large doses, otherwise it is easy to dependence and drug resistance. Such drugs are also commonly used such as: diazepam, alprazolam, eszopiclone and clonidine. Do you need medication for insomnia? Medication for insomnia should be treated differently. The cause, duration, urgency and severity of insomnia are different, so the need for medication and the type of medication are also different. If insomnia is caused by short-term, sudden emotional changes, such as psychological problems or quarrels, you should not take medication. If you have poor sleep for a long time (difficulty in sleeping, easy to wake up in the middle of the night, early awakening, dreamy, sleepless overnight, etc.), and poor mental health and concentration during the day, which has affected your work and life, you should be systematically examined and targeted treatment should be carried out. There are brain atrophy, insufficient blood supply to the brain, caused by abnormalities of neurotransmitters in the brain, or caused by mental or psychological diseases, or caused by other somatic diseases such as tumors or vascular malformations in the brain. Different causes require different treatments! Last September, there was a very dark-skinned male patient, in his 40s, who I thought was an African, but spoke pure Xiangtan, Hunan. It turned out that he was from Xiangtan, and because he had not slept well for more than 20 years, he had become darker and darker, and his health was getting worse and worse. Through the examination, he was found to be suffering from severe kidney failure. After 1 week of dialysis treatment, he slept better naturally because the waste in his body was discharged and his melanin was normalized. This example is to remind readers that poor sleep is not a disease, it is just a symptom of other diseases. Just like “cough”, it is only a symptom of cold, laryngitis, pneumonia, tuberculosis and lung cancer. Therefore, insomnia should not be treated simply by taking sleeping pills, but by going to a regular hospital to seek consultation, examination and treatment from a specialist. You can’t just “choose a good sleeping pill” or use some “non-addictive Chinese medicine”, you have to find the real cause of insomnia. After the insomniacs get better from the treatment, many patients stop taking the medication on their own, which is very wrong. Because most of the insomnia phenomenon improved, but also need a small dose of drugs to maintain six months to two years, the longer the period of insomnia need to maintain drug therapy, some patients need a small dose of drugs for long-term maintenance. Patients with prolonged insomnia often have abnormalities of neurotransmitters in the brain, depressive tendencies, anxiety symptoms, but this is depression; they may also have personality changes caused by poor sleep. There are often such patients, I gave him a small dose of trazodone hydrochloride and sertraline and other treatment, the patient insomnia and related symptoms quickly improved, but the patient saw the drug instructions said that it is to cure depression, and not to cure insomnia, and worried about the negative effects of drugs, automatically stop the drug, soon insomnia relapse, and accompanied by somatic discomfort, headache, chest tightness, general discomfort, temper, etc.. In this way he had to start treatment from scratch again. In fact, clinically, the drugs are the same, but the doses used are different or the drugs are paired differently, it works differently. Regulating the changes of transmitters in the brain with small doses of antidepressants can treat insomnia caused by neurotransmitter disorders.