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Flashcards in insomnia Deck (33):
0

definition:

sleep quality and quantity consistently reduced

1

etiology:

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-------------------/

2

kinds of insomnia:

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

3

western diseases:

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

4

Patterns:

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

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

Upward disturbance of LIV fire

6

upward disturbance of LIV fire T/P

T= red, yellow coat
P= wiry, rapid

7

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

Dysfunction of ST

8

Dysfunction of ST T/P

T= red, thick sticky coat
P= slippery

9

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

Hyperactivity of HT fire

10

Hyperactivity of HT fire T/P

T=red tip, thin yellow coat
P= flooding, rapid

11

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

Yin xu with empty fire

12

Yin xu with empty fire T/P

T= red, little coat
P= thready, rapid

13

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

HT/GB Qi xu

14

HT/GB Qi xu T/P

T= pale
P= wiry, thready

15

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

Disturbance of HT by PH-heat

16

Disturbance of HT by PH-heat T/P

T= red, yellow sticky coat
P= slippery, rapid

17

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

HT/SP xu

18

HT/SP xu T/P

T= pale
P= thready

19

basic points:

HT-7, SP-6, anmian

20

UB-20, UB-15, SP-1

HT/SP xu

21

UB-15, UB-23, K-3

Yin xu with empty fire

22

PC-5, GB-40, UB-19

HT/GB Qi xu

23

HT-8, UB-15

hyperactivity of HT fire

24

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

upward disturbance of liver fire

25

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

disturbance of HT by PH-heat

26

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

Dysfunction of the ST

27

POT

*1) calm mind

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

28

best time to treat:

2 hours before bed

(or afternoon evening)

29

organs involved:

*HT
also: LIV, GB, SP, ST, KID

30

differentiate:

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

alternative remedies:

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

education:

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