Insomnia: Symptoms, Causes, and Traditional Chinese Medicine Solutions - Traditional Chinese Medicine

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Insomnia at night


Hello, doctor.
In the past, I used to stay up until 1 or 2 AM and wake up at 6 or 7 AM to take care of some things, then continue to nap until 8 or 9 AM.
However, no matter how I slept, I would have vivid dreams, and waking up made me feel even more tired.
Now, I feel more alert in the evenings and don't really want to sleep.
I'm worried that I might have insomnia, so I try to go to bed around 11 PM.
Once I lie down, I lose consciousness and don't hear the clock or my heartbeat, and I don't dream until I wake up at 6 or 7 AM.
Personally, I feel like I didn't sleep much, but my energy is average.
After doing a few things, I nap again until 8 or 9 AM, and then I start having vivid dreams again, which makes me feel even more tired.
Am I experiencing insomnia? Thank you.

Niming, 30~39 year old female. Ask Date: 2019/10/20

Dr. Yan Sumei reply Traditional Chinese Medicine


Anonymous user: Hello! Going to bed at 11 PM and waking up at 6 or 7 AM means you are sleeping well.
After waking up, if you go back to sleep until 8 or 9 AM (when you start dreaming), you may be in the rapid eye movement (REM) phase of the sleep cycle.
Waking up during this time usually allows you to be aware that you are dreaming.
Wishing you peace and health! Best regards, Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2019/10/20

More Info


Insomnia is a common issue that affects many individuals, and it can manifest in various ways, including difficulty falling asleep, staying asleep, or waking up too early and not being able to return to sleep. Your description suggests that you may be experiencing a form of insomnia, particularly if you feel fatigued despite spending a significant amount of time in bed.

Symptoms of Insomnia
From what you've shared, it seems you are experiencing several symptoms associated with insomnia:
1. Difficulty Sleeping: You mentioned that you often stay awake until late at night, which can disrupt your natural sleep cycle.

2. Excessive Dreaming: Waking up feeling tired and having vivid dreams can indicate that your sleep quality is poor, even if you are spending enough time in bed.

3. Daytime Fatigue: Feeling tired after waking up, despite having slept for several hours, is a common symptom of insomnia.


Causes of Insomnia
There are numerous potential causes of insomnia, including:
- Stress and Anxiety: Life pressures, such as work or academic responsibilities, can lead to heightened anxiety, making it difficult to relax and fall asleep.

- Sleep Environment: Noise, light, and an uncomfortable sleeping environment can significantly impact your ability to sleep well.

- Lifestyle Choices: Irregular sleep schedules, excessive screen time before bed, or consumption of caffeine or heavy meals close to bedtime can also contribute to insomnia.

- Health Conditions: Underlying medical issues, such as anxiety disorders, depression, or chronic pain, can interfere with sleep.


Traditional Chinese Medicine (TCM) Solutions
In Traditional Chinese Medicine, insomnia is often viewed through the lens of imbalances in the body's energy (Qi). TCM practitioners may recommend various treatments, including herbal remedies, acupuncture, and lifestyle adjustments. Here are some common TCM approaches to managing insomnia:
1. Herbal Remedies: Formulas such as Suan Zao Ren Tang (Sour Jujube Decoction) or Tian Wang Bu Xin Dan (Heavenly Emperor's Heart-Supplementing Pill) are often used to nourish the heart and calm the mind. These remedies can help alleviate anxiety and promote restful sleep.

2. Acupuncture: This practice involves inserting thin needles into specific points on the body to help balance energy flow. Acupuncture can be effective in reducing stress and anxiety, which may improve sleep quality.

3. Dietary Adjustments: TCM emphasizes the importance of a balanced diet. Foods that nourish the heart and calm the mind, such as walnuts, jujubes, and lotus seeds, may be beneficial.

4. Lifestyle Changes: TCM practitioners often recommend establishing a regular sleep schedule, creating a calming bedtime routine, and ensuring a comfortable sleep environment.


Conclusion
Based on your description, it seems you may be experiencing a form of insomnia, particularly characterized by excessive dreaming and daytime fatigue. While TCM offers various approaches to address insomnia, it is essential to consider a holistic view of your lifestyle, stress levels, and overall health. If your symptoms persist, it may be beneficial to consult with a healthcare professional who can provide a comprehensive evaluation and tailored treatment plan. Additionally, incorporating relaxation techniques, such as mindfulness or gentle yoga, may help alleviate some of the stress contributing to your sleep difficulties. Remember, achieving restful sleep is crucial for overall well-being, so addressing these issues sooner rather than later is advisable.

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