Severe insomnia is actually very simple

Insomnia seems to be a simple thing, but in fact it seriously affects the quality of our lives. Insomnia patients will be in a poor mental state the next day, have dark circles under their eyes, have low work efficiency, and have no energy to do anything. Good sleeping habits are the prerequisite for a good sleep. Take a hot bath before going to bed, listen to soothing music, and keep your mood relaxed. If you are really suffering from severe insomnia, you can take some drugs to treat insomnia under the guidance of a doctor.

There are many causes of insomnia, but they can be roughly divided into three categories:

Emergency conditions or environmental changes (environment, work, diet, family) disrupt people's normal life or biological laws.

The human body suffers from mental or physical diseases.

Inappropriate drug influence (addiction).

Insomnia is generally classified as transient, short-term or long-term insomnia:

Transient insomnia is often related to sudden events, such as sudden blows or stimulation, or changes in living environment due to going out or traveling.

Short-term insomnia is related to the stressful state caused by the external environment (work, study, exams) and generally lasts for 2 to 3 weeks.

Long-term insomnia is often caused by mental disorders, such as severe depression, schizophrenia or drug addiction, and lasts longer.

How to choose hypnotic drugs for insomniacs

1. Estazolam (Sulopenia) is often used for those who have difficulty falling asleep. It has a quick onset of action, a long duration of action, maintains close to physiological sleep, and has no discomfort after waking up. Nitrazepam (nitrazepam) also acts quickly, reaching a peak in plasma after 2 hours. Although diazepam (Valium) is safer, it has a significant muscle relaxant effect. After waking up, you may sometimes feel weakness in your lower limbs and fall easily.

2 For those with anxiety, frequent night awakenings or early awakenings, flurazepam (flurazepam) can be used. It has a quick onset of action, a long duration of action, is close to physiological sleep, and does not cause discomfort after waking up; or quazepam or triazolam can be used.

3. For insomnia caused by mental tension, emotional fear or muscle pain, you can choose chlormetholone (Fenalu), take 0.2g before going to bed; for insomnia caused by autonomic dysfunction, endocrine balance disorders and mental and nervous disorders, you can choose oryzanol, 20mg at a time, 3 times a day, but it needs to be taken continuously for several days to several months.

4 For patients with melancholic early awakening insomnia, when commonly used sleeping pills are ineffective, the antidepressants amitriptyline and doxepin can be used in combination.

5. For elderly insomniacs, 10% chloral hydrate solution is still a safe and effective medicine. It takes effect quickly, has no accumulation effect, and there is no obvious hangover after waking up. However, it is more irritating to the gastrointestinal mucosa.

6. For those who do not respond to common sleeping pills, anti-allergic drugs such as diphenhydramine and iprodipine (phenergan) may also be effective.

7. To improve the initial sleep (difficulty falling asleep) and maintain sleep quality (awakening at night or awakening too early in the morning), you can take zolpidem (Sinos) or levozopiclone. As a new type of hypnotic, it has few adverse reactions, especially no sedation and hangover, and its advantages surpass those of previous types of drugs.

How to choose Chinese patent medicine for insomniacs

Traditional Chinese medicine calls insomnia "the inability to sleep at night", which is divided into the positive syndromes of liver depression transforming into fire, and internal disturbance of phlegm and heat, and the negative syndromes of yin deficiency and excessive fire, deficiency of both the heart and spleen, and deficiency of the heart and gallbladder qi.

There are many Chinese patent medicines to choose from, but it is best to use them according to the symptoms:

For insomnia caused by deficiency of heart blood (manifested as insomnia, dizziness, palpitations, frequent dreams, forgetfulness, pale complexion or yellow tongue coating, pale lips and tongue, etc.), you can choose Yangxue Anshen Pills (tablets, syrup), which can nourish yin and blood, calm the heart and nerves. Take 6g of water pills at a time and 5 tablets at a time, both 3 times a day. Or choose Naolejing Oral Liquid (syrup) to nourish the heart and brain, and calm the nerves. Take 30ml orally at a time, 3 times a day, and reduce the dosage for children. Or choose Compound Jujube Seed Capsules and Yening Syrup.

For insomnia caused by Yin deficiency and hyperactivity of fire (manifested as insomnia, frequent dreams, thirst, night sweats, forgetfulness, red cheeks and tongue, etc.), you can choose Zaoren Anshen Granules (powder), which can nourish the heart and liver, calm the mind and improve intelligence. Take 5g orally once before going to bed, washed down with boiled water; or you can choose Shenshuaikang Capsules, 5 capsules at a time, twice a day.

For insomnia caused by liver depression and fire transformation syndrome, you can use sour jujube seed mixture and Xiegan Anshen Jiu.

For insomnia caused by phlegm-heat internal disturbance, you can choose Lunshi Guntanjiu.

The syndrome of Yin deficiency and excess of fire can be treated with Chinese jujube seed mixture, Anshen Jiannao liquid, Shenshuaikang capsules, etc.

For the syndrome of deficiency of qi in the heart and gallbladder, you can use Shui'an Capsule and Doukou Wuwei Powder.