Sudden Insomnia: Exploring Traditional Chinese Medicine Solutions - Traditional Chinese Medicine

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Sudden difficulty falling asleep?


Hello Doctor: I have recently experienced sudden insomnia for a week.
Whenever I lie down, I feel very alert, making it difficult to fall asleep even after lying down for a long time.
As a result, I wake up in the morning with a headache and a strong desire to sleep.
I usually see a Traditional Chinese Medicine practitioner for menstrual pain, so I asked the doctor for medication to help with my insomnia.
The doctor prescribed the following medications: Danggui Shaoyao San concentrated powder, Wenkang Decoction concentrated granules, Jujube concentrated granules, Cuscuta concentrated granules, Xianhecao concentrated granules, and Jiawei Xiaoyao San concentrated powder.
After taking them for two days, I still cannot sleep.
I have also tried mindfulness breathing, but it did not help either.
I would like to ask if I need to see a Western medicine doctor for this.
Is this considered acute insomnia? Would acupuncture be beneficial? Thank you.

Nina, 20~29 year old female. Ask Date: 2023/05/07

Dr. Gao Peiyi reply Traditional Chinese Medicine


Hello, Q1: Do I need to see a Western doctor for this? A1: Not yet.
Q2: Does this count as acute insomnia? A2: Yes.
Q3: Would acupuncture help a bit? A3: It can provide some relief, but the effects of traditional Chinese medicine can be slow.
If multiple issues are being addressed simultaneously, it may be less effective, so a focused treatment approach is necessary.

Reply Date: 2023/05/07

More Info


Sudden insomnia can be a distressing experience, especially when it disrupts your daily life and leads to symptoms like headaches and fatigue. Based on your description, it appears that you have been experiencing acute insomnia for about a week, characterized by difficulty falling asleep despite feeling mentally alert when lying down. You have also tried various Traditional Chinese Medicine (TCM) remedies, including herbal formulas, but have not found relief.
To address your questions, let's break down the situation:
1. Do you need to see a Western medicine doctor?
At this stage, it may not be necessary to consult a Western medical doctor unless your insomnia persists or worsens, or if you experience additional concerning symptoms. Acute insomnia can often be managed with lifestyle changes, relaxation techniques, and TCM approaches. However, if you find that your insomnia continues beyond a few weeks or if it significantly impacts your daily functioning, it would be wise to seek a comprehensive evaluation from a healthcare professional. They can rule out any underlying medical conditions, such as sleep apnea, anxiety disorders, or hormonal imbalances, that may be contributing to your symptoms.

2. Is this considered acute insomnia?
Yes, your situation qualifies as acute insomnia, which is typically defined as difficulty sleeping that lasts for less than three months. Acute insomnia can be triggered by stress, changes in routine, or other environmental factors. Since you mentioned that you have been experiencing this for about a week, it fits the criteria for acute insomnia.

3. Will acupuncture help?
Acupuncture may provide some relief for insomnia. TCM views insomnia as a disharmony in the body, often related to imbalances in the heart, liver, and kidney systems. Acupuncture can help restore balance by promoting relaxation, reducing stress, and improving overall energy flow (Qi) in the body. Many patients report improved sleep quality and reduced anxiety after acupuncture treatments. However, the effectiveness can vary from person to person, and it may be beneficial to combine acupuncture with herbal remedies for a more comprehensive approach.

In addition to TCM treatments, consider implementing some lifestyle changes that can enhance your sleep quality:
- Sleep Hygiene: Establish a consistent sleep schedule by going to bed and waking up at the same time every day. Create a relaxing bedtime routine to signal your body that it’s time to wind down.

- Limit Stimulants: Reduce or eliminate caffeine and nicotine intake, especially in the hours leading up to bedtime.
- Create a Sleep-Conducive Environment: Ensure your sleeping area is dark, quiet, and cool. Consider using earplugs or an eye mask if necessary.

- Mindfulness and Relaxation Techniques: While you mentioned that mindfulness breathing did not help, you might want to explore other relaxation techniques such as progressive muscle relaxation, guided imagery, or gentle yoga before bed.

- Physical Activity: Regular exercise can promote better sleep, but try to avoid vigorous workouts close to bedtime.

- Dietary Considerations: Avoid heavy meals and alcohol before bed, as they can disrupt sleep.

In conclusion, while TCM offers various approaches to managing insomnia, including herbal remedies and acupuncture, it is essential to consider a holistic approach that includes lifestyle modifications. If your symptoms persist, seeking further evaluation from a healthcare professional may be necessary to ensure there are no underlying issues contributing to your insomnia.

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