Insomnia is called sleeplessness in Chinese medicine and neurasthenia in Western medicine, and it is the most common condition among sleep disorders. Insomnia refers to the disorder of the internal organs, deficiency of qi and blood, and imbalance of yin and yang, resulting in the inability to obtain normal sleep. In mild cases, it is difficult to sleep or wake up easily, and it is difficult to sleep after waking up, and in severe cases, it is difficult to sleep all night, often accompanied by headache, dizziness, palpitation, forgetfulness and dreaminess.
I. Causes.
1.Insomnia caused by psychological factors
Psychological factors are the main cause of insomnia. Not only people with psychological disorders are often accompanied by insomnia, even normal people in emotional distress, psychological stress can also cause insomnia.
Depression and anxiety about excessive health concerns are common psychological characteristics of chronic insomniacs. About 90% of all depressed people have insomnia, and the real cause of 70% of insomnia may be depression.
Insomniacs tend to overestimate the time to fall asleep, and the time to sleep is estimated too short, these people themselves have greater psychological pressure on insomnia, often “the more afraid of insomnia, the more insomnia”, bad implication is often an important cause of insomnia until insomnia persists.
2.Insomnia caused by environmental factors
Sudden changes in the sleep environment (such as business trips), noisy sounds, too bright lights, room temperature too hot and too cold, too much humidity, uncomfortable beds, too crowded rooms, etc. can affect sleep. In addition, drinking tea and coffee before going to bed can also affect sleep.
3.Insomnia caused by disease and drug factors
Pain, dyspnea, asthma, frequent cough, palpitations, gastrocnemius spasm, etc. can affect sleep. Insomnia can also occur after taking central excitatory drugs, or suddenly stopping after taking sedative sleeping pills for a long time.
Second, the pathogenesis.
Sleep is dominated by the heart and the mind. If the mind is at ease, sleep will come, but if the mind is not at ease, sleep will not come. However, the God’s peace needs to rely on the full nourishment of yin and blood, the Wei Qi is full and harmonious, the liver Qi regulates, the heart and kidney to maintain the coordination of qi, blood, yin and yang, so that yin and yang cross, sleep normally: 1.
1, liver depression and fire type
Emotion and will is too extreme, the liver does not regulate the reach, qi depression does not relax and turn into fire, fire on the inflammation, disturbing the mind and insomnia.
2.Phlegm-heat internal disturbance type
Poor diet or thought and tiredness, injury to the spleen and stomach, the spleen and stomach is not healthy, resulting in phlegm and turbidity, depression and heat, disturbing the heart and mind, insomnia.
3.Yin deficiency and fire type
Congenital deficiency, physical weakness, or excessive intercourse, or a long illness, resulting in kidney yin depletion, can not be on the heart to restrain the heart fire, the heart fire alone against, God can not rest and insomnia.
4. Heart and spleen deficiency type
Thinking and straining, straining the heart and spleen, deficiency of blood, and loss of nourishment of the heart and mind; or deficiency of the body after illness, deficiency of blood after childbirth, and deficiency of blood in old age, resulting in deficiency of heart blood, loss of nourishment of the heart, and restlessness of the heart and mind. Causes insomnia.
5.Heart deficiency and timidity type
Heart and gall bladder deficiency, or violent fright, resulting in restlessness of the heart and mind, resulting in restless sleep at night.
3. Diagnostic points
1.Clinical manifestations
The lighter ones have difficulty in sleeping or wake up easily after waking up, while the heavier ones have difficulty in sleeping all night, often accompanied by headache, dizziness, palpitation, forgetfulness and dreaminess.
2, daytime fatigue, head swelling, dizziness and other symptoms are caused by sleep disorders dry together.
3.Sleep disorder is almost the only symptom, other symptoms are secondary to insomnia, including difficulty in falling asleep, poor sleep, easy to wake up, dreamy, early awakening, difficult to go back to sleep after waking up, feeling uncomfortable after waking up, fatigue or daytime sleepiness.
The above sleep disorders occur at least three times a week and last for more than a month; insomnia causes significant distress, or decreases the efficiency of mental activities, or hinders social functions.
Fourth, the identification of the classification.
1.Liver depression and fire type
Heart agitation unable to sleep, irritability, chest tightness and hypochondriac pain, headache, red face, red eyes and bitter mouth, constipation and yellow urine, red tongue, yellow fur, and stringy pulse.
2.Phlegm-heat internal disturbance type
Sleep restlessness, heart agitation and chagrin, chest congestion and epigastric gangrene, bitterness and phlegm in the mouth, dizziness, red tongue, yellow and greasy coating, slippery or smooth pulse.
3.Yin deficiency and fire type
Restlessness of the heart, or waking up when sleeping, heat in the heart of the hands and feet, dizziness and tinnitus, palpitations and forgetfulness, red cheek and hot flush, dry mouth with little fluid, red tongue with little coating and fine pulse.
4. Heart and spleen deficiency type
Dreamy and easy to wake up, or hazy and insubstantial, palpitations and forgetfulness, dizziness and dizziness, fatigue, less facial color, light tongue with thin coating, weak pulse.
5.Heart deficiency and timidity type
Sleeping at night, palpitations and timidity, with a pale tongue, thin coating and a thin pulse.
V. Ear acupuncture treatment points
Main acupuncture points: Shen Men, subcortical, sympathetic, heart; supporting acupuncture points: liver and ear tip for liver stagnation and fire; spleen, stomach and San Jiao for phlegm-heat internal disturbance; liver and kidney for yin deficiency and fire; spleen for heart and spleen deficiency; gall bladder for heart deficiency and timidity.
Formula meaning: Shen Men has calming and tranquilizing effect; subcortical has regulating function of cerebral cortex; sympathetic has regulating function of vegetative nerves; Heart has calming and tranquilizing effect and clearing heart fire.