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Tcm int med insomnia
| Question | Answer |
|---|---|
| Difficulty falling asleep but once asleep stays asleep? | Blood deficiency |
| Waking frequently during the night often feeling hot | Yin deficiency |
| Repeated waking around 2-4am, worse when stressed | Liver qi stagnation, stagnation heat or fire |
| Lots of wild dreaming, sleeping walking, talking during sleep | Possible involvement of the hun |
| Recurrent frightening dreams that cause waking | Heart and gall bladder deficiency |
| Waking with palpations and panic attacks | Heart and kidney yin deficiency |
| Chronic insomnia with feverishness at night but no sweating | Blood stagnation |
| Acute insomnia with heat can be caused by | Worry, emotional trauma. Heart Fire |
| Acute insomnia without heat can be caused by | Hemorrhage (Qi and Blood deficiency), shock (heart and kidney not communicating), anger and frustration (liver qi stagnation) |
| Chronic insomnia with heat can be caused by | Phlegm fire, blood deficiency with hot blood, heart and kidney yin deficiency, liver qi stagnation with heat, liver and kidney yin deficiency, and sometimes Heart and gall bladder deficiency. |
| Chronic insomnia without heat can be caused by? | Liver qi stagnation, heart and spleen deficiency, and heart qi deficiency (which can lead to heart and gall bladder deficiency) |
| Insomnia excess patterns | Liver qi stagnation (qi stagnation with stagnant heat and liver fire), heart fire, stomach disharmony, phlegm heat, stagnant blood |
| Insomnia deficient patterns | Heart and spleen deficiency, heart and kidney yin deficiency, heart and gall bladder deficiency, liver yin and blood deficiency. |
| Point prescription for insomnia due to liver qi stagnation | Liv 3, pc 6, bl 18, bl 15, gb 20, ht 7, an mian, yin tang |
| insomnia, frequent waking w/nightmares, restlessness, agitation, anxiety, palpitations, thirst with a desire for cold fluids, bitter taste, mouth&tongue ulcers, red complexion, concentrated/painful urination. T:red with a redder tip&yellow coat P:full&rap | Heart fire |
| difficulty falling asleep, insomnia, dream disturbed sleep, waking in the early hours of the morning (typically between 2 and 4 am), worse when stressed, depression, irritability, moodiness, frontal or temporal headaches, shoulder and neck tension, te | Liver Qi stagnation, stagnant heat or fire |
| insomnia with fullness, discomfort, gurgling, bloating or a blocked feeling in the epigastric region, relieved by belching or vomiting, acid reflux, nausea, indeterminate gnawing hunger, bad breath, belching, loose, foul smelling stools or constipatio | Stomach disharmony |
| Acu points for heart fire | Ht 7,8,9, pc 8, bl 15, sp 6, kid 6, yin tong, an mien |
| Treatment principle for insomnia due to stomach disharmony | Relieve food stagnation and harmonize the stomach |
| Acu points for insomnia due to stomach disharmony | Ren 12, st 25, st 40, pc 6, st 43,44,45, sp 1, st 34, gb 34 |
| insomnia or fitful sleep with much dreaming, or waking in the early hours of the morning (typically around 4am), unable to fall back to sleep, palpitations with anxiety and nervousness, irritability and restlessness, dizziness and vertigo, heavy or woo | Phlegm heat |
| Treatment principal for insomnia due to phlegm heat | Clear heat and transform phlegm, harmonize the stomach and calm the shen |
| Acu points for insomnia due to phlegm heat | Du.20, Ren.12, St.25, Sp. 1,St.40, St.36, PC.6, St.43, St.45, With Stomach discomfort, add St.34 With dizziness, add GB.43 With anxiety, add Du.19 and Du.24 |
| persistent insomnia with much dreaming and restlessness, irritablity, short temper, depression, mood swings, low grade fever at night, fixed sharp pains, particularly in the head and upper body, dry scaly skin, broken vessels or spider naevi on the face, | Blood stagnation |
| Treatment principle for insomnia due to blood stagnation | Invigorate the circulation of Blood, regulate qi Eliminate stagnant Blood, calm the shen |
| Acu points for insomnia due to blood stagnation | Bl.17, Sp.6, LI.4, an mian, Bl.15, Sp.10, yin tang, Ht.7 ⢠with trauma add ah shi points of pain on the head ⢠with depression combine LI.4 and Liv.3 |
| insomnia, with particular difficulty falling asleep (and switching off the mind) and dream disturbed sleep, palpitations, with or without anxiety, anxiety, phobias, panic attacks, forgetfulness, poor memory, poor concentration, postural dizziness, lig | Heart blood and spleen qi deficiency |
| Treatment principle for insomnia due to heart blood and spleen deficiency | Strengthen and nourish the Heart and Spleen Tonify qi and Blood, calm the shen |
| Acu points for insomnia due to heart blood and spleen qi deficiency | Sp.6, Ht.7, St.36, Bl.15, PC.6, Bl.17, Bl20, Du.19, an mian, yin tang ⢠with forgetfulness, add Du.20 and Bl52 ⢠with much dreaming add Bl.42⢠with bruising or heavy periods add Sp.10 and Sp.1⢠with palpitations add Ht.5⢠with dizziness add Du. |
| insomnia, with frequent waking, or waking feeling hot or sweaty ⢠restlessness, agitation, panic attacks ⢠palpitations ⢠sensation of heat in the palms and soles ('five hearts hot') ⢠night sweats ⢠dry mouth and throat ⢠dizziness, ti | Heart and kidney yin deficiency |
| Treatment principle for insomnia due to heart and kidney yin deficiency | Nourish Heart and Kidney yin, Clear Heat, calm the shen |
| Acu point prescription for insomnia due to heart and kidney yin deficiency | PC.8, PC.7, Kid.3, Ht.7, Liv.3, Bl.15, Bl.14, Bl.23, an mian, yin tang, Sp.6⢠with dizziness, add Du.20⢠with tinnitus, add SI.19 and SJ.3 ⢠with arrhythmias, add Ht.5 |
| insomnia or frequent waking, often early in the morning, unable to fall back to sleep; the patient is easily frightened and starded, and easily unsetded by seemingly trivial events ⢠anxiety and palpitations ⢠shortness of breath ⢠lethargy, | Heart and Gall Bladder qi deficiency |
| Treatment principle for heart and Gall Bladder qi deficiency | Strengthen qi and alleviate fearfulness Calm the shen and mind |
| Acu point prescription for Heart and Gall Bladder qi deficiency | Du.20, PC.7, Ht.7, GB.40, Bl.7, St.36, Bl.23, Bl.52, Bl.47, an mian, yin tang |
| insomnia with difficulty falling asleep or frequent waking, much dreaming and fitful sleep; there may be talking during sleep or, in severe cases, sleep walking ⢠irritability, quick temper ⢠forgetfulness ⢠waking with a dry throat or thirst â | Liver blood and Yin deficiency |
| Treatment principle for liver blood and Yin deficiency | Soothe the Liver and nourish yin Blood, Calm the hun (and shen) and clear Heat |
| Acu point prescription for insomnia due to liver blood and yin deficiency | Liv.3, Bl.18, Bl.15, Bl.17, Bl.23, PC.6, GB.20, Ht.7, an mian, yin tang ⢠with liver Heat add Liv.2 |
Created by:
Jkellycal
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