[Sleep Disorders]Symptoms of Sleep Disorders Diagnosis and Treatment of Sleep Disorders
Manifestations of Sleep Disorders
1. Abnormal amount of sleep
It can include two categories: one is excessive increase in the amount of sleep, such as lethargy or lethargy caused by various encephalopathy, endocrine disorders, and metabolic abnormalities, And narcolepsy caused by brain lesions, which is characterized by frequent short (usually less than 15 minutes) irresistible sleep attacks, often accompanied by falls, sleep paralysis, and hallucinations before falling asleep. . The other type is insomnia with insufficient sleep. The sleep time is less than 5 hours all night, and it is manifested as difficulty falling asleep, light sleep, easy waking up or waking up early. Insomnia can be caused by external environmental factors (too much light in the room, too much noise around, night shift, traveling by car or boat, just arriving in an unfamiliar place), physical factors (pain, itching, severe cough, drinking strong tea or coffee before going to bed, frequent nocturia or diarrhea, etc.) or psychological factors (anxiety, fear, excessive thinking or excitement). Some diseases are also often accompanied by insomnia, such as neurasthenia, anxiety, depression and so on.
2. Paroxysmal abnormalities in sleep
Refers to some abnormal behaviors during sleep, such as sleepwalking, sleepwalking (sleep talk), night terrors (sudden agitation during sleep, screaming, rapid heartbeat, rapid breathing, sweating, disorientation, or hallucinations), nightmares (nightmares), teeth grinding, involuntary laughing, involuntary muscle or limb throbbing, etc. These episodes of abnormal behavior do not appear during the whole night of sleep, but mostly during certain sleep periods. For example, sleepwalking and night terrors mostly occur in the late phase of normal sleep; sleep-talking is more common in the middle, or even early phase of normal sleep; teeth grinding, involuntary laughing, and muscle or limb throbbing are more common in the early phase of normal sleep; Nightmares often appear during paradoxical sleep.
Diagnosis and Treatment of Sleep Disorders
1. Treating from the Five Zang-organs
Some scholars believe that insomnia is a The etiology and pathogenesis of the disease are mainly manifested in the liver, spleen and five viscera, and the disease syndrome of the five viscera is considered. He advocates the holistic view of ‘all five internal organs have insomnia’, treats from the liver, takes into account other internal organs, and differentiates the syndrome and treatment system.
2. Treating Treatment from Spiritual Emotions
Spiritual emotions are closely related to insomnia, so insomnia can be divided into worry type, suspicious type, Tension type and depression type, respectively use the methods of clearing heat and purging fire, soothing the liver and reducing the inverse, nourishing yin and clearing heat, regulating qi and relieving depression, clearing the heart and calming the mind, and reconciling the liver and spleen.
3. Treatment from circadian rhythm
Human sleep is a physiological activity with circadian rhythm, and insomnia is this normal sleep- Consequences of arousal rhythm disturbances. Following this rule, it is proposed to treat insomnia by ‘taking measures according to the time’.
4. Treating from the Heart-Kidney Intersection
All insomnia is caused by ‘fire that does not return to its roots’, and all treatment plans eventually need to return When it comes to the problem of ‘returning the fire to the root and the heart and kidneys’, insomnia is divided into five types: liver-qi stagnation type, kidney-essence deficiency type, heart-fire exuberant type, meridian stasis type, and phlegm-damp blocking type.
5. Treating from the liver and spleen
Many causes and pathogenesis of insomnia are related to liver and spleen disorders. The methods and prescriptions of traditional Chinese medicine for insomnia The choice should be based on syndrome differentiation and treatment, focusing on regulating the liver and spleen.