insomnia Flashcards Preview

Internal Therapeutics 2 > insomnia > Flashcards

Flashcards in insomnia Deck (33)
Loading flashcards...
0
Q

etiology:

A

1) overthink/illness/elderly—>SPxu—>blood xu—> malnourish mind
2) constitution (HT/GB xu)—\
3) fright (abnormal HT Qi)—-> disturbance of mind
4) congenital/sex/illness—>yin xu—>HT fire flare up—\
5) emotions—>LIV Qi stg—> LIV fire———–>disturb mind by heat
6) diet—> food stg—> PH-heat——————-/

1
Q

definition:

A

sleep quality and quantity consistently reduced

2
Q

kinds of insomnia:

A

1) difficult falling asleep
2) wake up early
3) light sleeper (wake frequently)
4) dream disturbed sleep
5) cant sleep at all

3
Q

western diseases:

A

anxiety, depression, chronic pain, menopause, neurosis, withdrawal (alcohol, drugs, caffeine), medication, asthma

4
Q

Patterns:

A

1) hyperactivity of HT fire
2) upward disturbance of LIV-fire
3) disturbance of HT by PH-heat
4) dysfunction of ST
5) HT/SP xu
6) Yin xu with empty fire
7) HT/GB Qi xu

5
Q

irritability, dizziness, distending headache, bitter taste, dream disturbed sleep, red eyes, tinnitus, constipation, yellow urine

A

Upward disturbance of LIV fire

6
Q

upward disturbance of LIV fire T/P

A
T= red, yellow coat
P= wiry, rapid
7
Q

suffocation and fullness in chest and epigastrium, belching, abdominal pain, belching with odour and acid regurgitation, diarrhea

A

Dysfunction of ST

8
Q

Dysfunction of ST T/P

A
T= red, thick sticky coat
P= slippery
9
Q

restlessness, dry mouth, scanty yellow urine, sore on tongue and lips

A

Hyperactivity of HT fire

10
Q

Hyperactivity of HT fire T/P

A

T=red tip, thin yellow coat

P= flooding, rapid

11
Q

palpitations, restlessness, sore/weak lumbar/knees, dizziness, tinnitus, poor memory, nocturnal emission

A

Yin xu with empty fire

12
Q

Yin xu with empty fire T/P

A
T= red, little coat
P= thready, rapid
13
Q

timidity, palpitations, easily frightened, lassitude, SOB, clear urine

A

HT/GB Qi xu

14
Q

HT/GB Qi xu T/P

A
T= pale
P= wiry, thready
15
Q

suffocation in the chest, restlessness, nausea, belching, heaviness of head, blurred vision

A

Disturbance of HT by PH-heat

16
Q

Disturbance of HT by PH-heat T/P

A
T= red, yellow sticky coat
P= slippery, rapid
17
Q

dream-disturbed sleep, poor memory, lassitude, poor appetite, sallow complexion, abdominal distension, loose stool

A

HT/SP xu

18
Q

HT/SP xu T/P

A
T= pale
P= thready
19
Q

basic points:

A

HT-7, SP-6, anmian

20
Q

UB-20, UB-15, SP-1

A

HT/SP xu

21
Q

UB-15, UB-23, K-3

A

Yin xu with empty fire

22
Q

PC-5, GB-40, UB-19

A

HT/GB Qi xu

23
Q

HT-8, UB-15

A

hyperactivity of HT fire

24
Q

UB-18, UB-19, GB-12, LIV-2

A

upward disturbance of liver fire

25
Q

RN-12, ST-36, ST-44, LIV-2

A

disturbance of HT by PH-heat

26
Q

UB-21, ST-36, RN-12, PC-6

A

Dysfunction of the ST

27
Q

POT

A

*1) calm mind

xu: tonify/nourish xu
shi: reduce/transform shi

28
Q

best time to treat:

A

2 hours before bed

or afternoon evening

29
Q

organs involved:

A
  • HT

also: LIV, GB, SP, ST, KID

30
Q

differentiate:

A

XU SHI
malnourish mind disturbance mind
pale/sallow complexion hot upper body
listlessness irritability, anger
palpitations dry mouth/throat
poor memory bitter taste
no desire to speak scanty yellow urine
constipation

31
Q

alternative remedies:

A

1) auricular (subcortex, shenmen, sympathetic, endocrine, HT, SP, LIV, KID)
2) moxa DU-20 (stubborn insomnia, every night 20min)
3) plumblossom (upper neck, back-DU/UB, tender spots, knots)
4) Qi gong
5) herbs

32
Q

education:

A

1) counselling, psychology
2) reg. exercise
3) avoid smoking/alcohol
4) no drinking/eating before bed
5) no electronics before bed