Insomnia

Introduction Insomnia usually refers to a subjective experience in which the patient's sleep time and or quality is unsatisfactory and affects daytime social function, including difficulty falling asleep, frequent awakening, and/or early morning wake up. It can cause symptoms such as fatigue, anxiety, general malaise, listlessness, slow response, headache, and inability to concentrate. Its greatest impact is mental, which can lead to schizophrenia. Common clinical types are: primary sleep disorders, secondary sleep disorders, and pseudo insomnia.

Cause

1, environmental reasons: a common sudden change in the sleeping environment.

2, individual factors: bad habits, such as drinking tea before going to bed, drinking coffee, smoking and so on.

3, physical reasons: In a broad sense, any body discomfort can lead to insomnia.

4, mental factors: including the excitement caused by a particular event, anxiety and opportunity to suffer from insomnia.

5. The withdrawal response of sleeping pills or alcoholics.

an examination

Related inspection

Polysomnography to check cerebrospinal fluid sodium cerebrospinal fluid lead

1. It is difficult to fall asleep.

2, can not sleep well, sleep time is reduced.

3, wake up early, can not fall asleep after waking up.

4, often wake up from nightmares, self-satisfaction all night is a nightmare.

5. After the sleep, the energy did not recover.

6, the onset time can be long or short, the short can be improved in a few days, the elderly are difficult to recover for several days.

7, easy to be awakened, some sensitive to sound, and some sensitive to light.

8, many insomnia people like to think about it.

9, long-term insomnia can lead to neurasthenia and depression, and the symptoms of neurasthenia patients will increase insomnia.

Differential diagnosis

A: Liver stagnation and fire: Most of them are born of irritability and irritability. They are characterized by less sputum, irritable irritability, red eyes and bitterness, dry stools, red tongue and yellow coating, and pulse strings. Fang is based on Longdan Xiegan Decoction.

Two: The performance is not sloppy, heavy, chest tightness, upset, suffocating, swallowing acid, not thinking about diet, yellow greasy moss, slippery pulse. The party is based on Wendan soup.

Three: yin deficiency and fire: more due to physical deficiency, excessive desire, nocturnal emission, so that kidney yin exhaustion, heart fire alone, manifested as upset, five upset hot, deaf and forgetful red tongue, pulse breakdown. The party is based on cinnabar Anshen Pills and Erzhi Pills.

Four: heart and spleen deficiency: due to the age of physical weakness, fatigue or long illness, after a serious illness, causing qi deficiency and blood loss, manifested as more dreams easy to wake up, dizziness, dizziness, fatigue, face yellow, Shaohua, pale tongue, weak pulse . Fang is based on Guipi Decoction.

Five: guilty qi deficiency: due to sudden shock, or heard loud noises, witnessing foreign bodies, or risk-taking, manifested as nightmares, night owls, timid, timid, and easily stunned. The party is based on the god of peace.

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