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Insomnia
Mild case: difficult to get to sleep and/or shallow
sleep. When wake, have trouble
returning to sleep.
Severe case: not sleep at all.
Western medicine – seen in neurosis, bulimia, stress,
and many other disorders.
TCM
1. Liver stagnation leads to Fire that attacks the
Heart/Spirit
2. Phlegm-Heat attacks the Heart/Spirit
3. Spleen deficiency due to attack from the Liver
4. Heart and/or Kidney Yin deficiency causing
hyperactive Heart Fire
5. Heart and Spleen deficiency (Qi and blood)
6. Heart and Gallbladder Qi deficiency caused by
sudden shock that attacks the spirit
Liver stagnation leads to Fire
emotional
upset, irritable, trouble getting to sleep, headache, red face and eyes,
constipation,
T-
red with yellow coat, P- wiry rapid
P/T
– purge Liver Fire, soothe Liver, calm mind
Acupuncture
– sedate, foot jueyin, hand shaoyin,
LR 2 & GB 43 (ying-spring), GB 20, HT 7
-
headache, red eyes – taiyang, LI 5
-
tinnitus – SJ 3, 17
Phlegm-Heat attack Heart
long term irregular diet, irritable
chest/heart/abdomen with fullness or bloating, cough yellow sticky Phlegm,
dizziness, blurred vision, bitter taste, T- red with yellow greasy coat,
P- slippery rapid
P/T – strengthen
Spleen to transform Phlegm, clear Heat, calm mind
Acupuncture –
foot yangming, hand shaoyin,
ST 44, SP 4 & ST 40 (Luo points), HT 7, PC 6
- constipation – ST 25, 37
Yin deficiency causing hyper Fire
light sleep (shallow,
irritable in heart region, 5 centre heat sensation, night sweats,
palpitations, dry signs, T- re with scanty coat, P- thin rapid
P/T – nourish Yin,
descend Fire
Acupuncture –
foot and hand shaoyin, *KI 3 & PC 7, BL 15
& HT 7
- dizziness – GB 20
- tinnitus – SJ 17, SI 19
- Kidney deficient signs – BL 23, 52
Heart and Spleen deficiency (Qi and Blood)
very
light sleep, lots of dreams, palpitations, poor memory, fatigue, poor
appetite, soft stools,
T-
pale, thin coat, P- thin weak
P/T
– nourish Qi and Blood, calm Heart/Spirit
Acupuncture
– tonify, foot taiyin, hand shaoyin,
BL 15 & 20, SP 6 & HT 7
-
lots of dreams – BL 42 (LU spirit points)
-
poor memory – BL 52 (KI spirit points), Du 20 (moxa
and needle)
Heart and Gallbladder Qi deficiency
may get to sleep, but have
lots of dreams, wake with anxiety/shock/fear, palpitations, could be
paranoia, timid/reserved person, hyperthyroid
P/T – nourish Heart
and Gallbladder
Acupuncture –
tonify, foot shaoyang, hand shaoyin,
BL 15 & 19, PC 7 & HT 7, GB 40
- fatigue – BL 20, ST 36
- tonify more – BL 43 (sweats)
Alternative treatment
methods
auricular – shenmen, subcortex,
sympathetic, HT, SP, KI
injection – An Mian (between GB 20 & SJ 17) with Dang Gui
7 star – along Du and
Bladder Jing, gentle stimulation (do not bleed,
only until skin turns pink)
meditation, exercise,
fresh air, have fun, Qigong, yoga, taiqi
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