Insomnia mainly refers to a clinical disease in which frequent and continuous sleep start and/or maintenance difficulties, resulting in an individual's inability to meet the sleep time or quality, and the presence of impaired function during daytime awakening.

Insomnia mainly refers to a clinical disease in which frequent and continuous sleep start and/or maintenance difficulties, resulting in an individual's inability to meet the sleep time or quality, and the presence of impaired function during daytime awakening.

Insomnia belongs to the category of " insomnia " in traditional Chinese medicine. It generally refers to a condition that is often characterized by insomnia caused by yang failure to enter yin. In mild cases, it is difficult to sleep. Although it is easy to wake up, it may not be able to sleep again after waking up, or it may be awake at times. In severe cases, it may not be able to sleep all night.

1. Non-drug treatment methods for insomnia, patients are more likely to receive

(1) Causes and pathogenesis of insomnia in traditional Chinese medicine

There are ancient doctors who believe that the causes of insomnia are nothing more than external evil qi, internal trauma, diet and rest, golden sores, and physical weakness after illness. The cause of the disease is caused by internal and external infection. The pathological process of external infection invasion caused by external evil to invade the mind and invade the mind. Internal injuries are mainly , heart and spleen deficiency, , heart and gallbladder qi deficiency, heart and blood stasis, phlegm and heat internal disturbance, among which internal injuries are the most important pathogenic factors.

The main causes and pathogenesis of insomnia are mainly due to dysfunction of the internal organs, deficiency of qi and blood, disorder of yin and yang, etc., resulting in the strong and yin and yang deficiency, the intermixation of yin and yang, and the yang does not enter yin. Among them, the internal organs closely connected to their disease are the heart and liver.

(2) Non-drug method for traditional Chinese medicine to treat chronic insomnia

① Acupuncture therapy: Acupuncture has the effects of strengthening the body and eliminating evil, regulating yin and yang, and unblocking meridians. A large number of studies have shown that this method has significant effect in treating insomnia symptoms and has been widely used in clinical practice.

Sleep induced by acupuncture treatment is a natural sleep state. It is not forced to inhibit the excitability of brain cells by drugs. The length of sleep will not be affected by the half-life of the drug. The physiological rhythm of sleep will not be disrupted, nor will there be adverse reactions caused by drug residues. It has good clinical application value.

However, acupuncture is harmful and cannot tolerate it in some patients. At the same time, there is a risk of secondary infection. In addition, acupuncture treatment requires personnel who have received long-term professional training to be effective.

② Massage therapy: Massage therapy can unblock meridians, harmonize yin and yang, strengthen the body and eliminate evil. It is a safe, effective and without adverse reactions. It can not only be used for treatment of bruises and injuries and chronic pain, but also effectively improve the quality of patients' sleep. It is increasingly accepted and recognized by people in the treatment of insomnia.

Traditional Chinese medicine massage method has many advantages such as low pain, no drug addiction and adverse reactions, and low economic costs, and is easy to be accepted by patients.

③Moxibustion: Moxibustion is one of the external treatment methods of traditional Chinese medicine. The principle is to make moxa sticks or moxa columns with moxa velvet as the main material, ignite it and burn the acupoints. By stimulating the activity of meridian qi , the physiological function of the human body is adjusted, thus achieving a treatment method to prevent and treat diseases.

Studies have shown that the mechanism of moxibustion in treating insomnia is to apply moxibustion to syndrome differentiation of insomnia, play a role in clearing meridians and adjusting the functions of internal organs, and restore balance to the sleep-wake cycle.

④ Cupping: Cupping refers to a traditional Chinese medicine external treatment method that uses firepower to eliminate the air in the cup, cylinder or cup to generate negative pressure, so that it can adsorb the body surface and cause blood stasis. It has the effect of diagnosing, preventing and treating diseases.

cupping can produce benign stimulation to the body. It can be transmitted to central nervous system through the reflex pathway of skin receptors and vascular receptors, producing a two-way regulatory effect of nerve excitation and inhibition, prompting nervous system to restore balance, making people feel relaxed, and the condition improves or recovers. Cupping therapy has no adverse reactions from drugs, is safe and effective, and is not prone to recurrence, but improper operation can cause skin bleeding or infection in the patient.

2. If the patient cannot receive non-drug treatment, or the non-drug treatment is not effective, drug treatment can be considered

Currently, most people mainly treat insomnia, but Western medicine is dependent and addictive, and there are many adverse reactions. If there is no guidance from the doctor, it is not recommended to purchase and take it yourself.

At this time, Chinese patent medicines that do not contain Western medicine ingredients have special advantages. For example, Yongzitang Tianma Xingnao Capsule, consisting of Tianma , Dilong, Acorus granulum , Yuanzhi , Rehmannia tang , Cistanche tang , Cistanche tang , and Cistanche tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang tang hang tang tang hang tang hang tang hang tang hang hang tang hang hang tang hang hang hang hang hang hang hang hang hang hang hang hang hang hang hang hang hang hang hang There are few studies on the mechanism of the effect of traditional Chinese medicine on insomnia, mainly focusing on improving symptoms.

• The effects of each medicinal smell are as follows:

1. Gastrodia elata: vent wind and stop spasms, calm liver yang, dispel wind and unblock meridians. It is used in children with convulsions, epilepsy and convulsions, tetanus , headache and dizziness, hand and foot absent, limb numbness, and rheumatism.

2. Dilong: clears heat and calms the symptoms, unblocks the meridians, relieves asthma, and promotes diuresis. It is used for high fever, convulsions, joint pain, limb numbness, hemiplegia, lung heat asthma, cough, edema, urinary deficiency.

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3, Acorus granulated: opens orifices to relieve phlegm, wakes up the spirit and improves intelligence, and transforms dampness and increases appetite. It is used for dizziness, epilepsy, forgetfulness, insomnia, tinnitus, deafness, abdominal distension and not hungry, and diarrhea caused by silence.

4. Yuanzhi: calms the mind and improves intelligence, transports the heart and kidneys, eliminates phlegm, and reduces swelling. Used for insomnia and dreams caused by heart and kidney failure , forgetfulness, palpitations, trance, coughing up phlegm, sores and swelling and toxic, and swelling and painful breasts.

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5, cooked Rehmannia: replenishes blood and nourishes yin, and nourishes essence and fills marrow. Used for blood deficiency, palpitations, , , irregular menstruation, , membranaceus, hysteresis, , liver and kidney yin deficiency, , waist and knees, bone steaming, hot flashes, night sweats, nocturnal emission, internal heat and thirst, dizziness, , tinnitus, , premature white hair and beard.

6. Cistanche deserticola: replenishes kidney yang, nourishes essence and blood, moistens the intestines and relieves bowel movements. Used for . It is used for . It has deficiency of kidney yang, deficiency of essence and blood, impotence and infertility, soreness and weakness of the waist and knees, weakness of muscles and bones, and dry intestines and constipation.

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day Maxing Nao Capsules can improve patients' traditional Chinese medicine syndrome, shorten the patient's sleep latency, improve the patient's sleep persistence, reduce the number of sleep wakes, improve the patient's sleep index, and improve the patient's sleep quality.

Occasional insomnia is normal. If long-term insomnia will affect daily routine, you can choose non-drug treatment or drug treatment under the guidance of a doctor.

Reference materials:
[1] Hu Linyuan, Chen Wei, Wei Mingqing, Fang Zhiyong, Qu Yun, Du Jumei, Chen Guanghui, Wang Yumei, Pan Pingkang, Li Feng, Lin Yaming. Random, double-blind, parallel controlled, multi-center clinical research on the treatment of insomnia (liver and kidney deficiency, liver wind disturbance syndrome) [J]. Journal of Tianjin University of Traditional Chinese Medicine, 2022, 41(02): 188-194.

[2] Lin Yaming, Chen Wei, Hu Linyuan, Duan Zhifang. Expert consensus on the clinical application of Tianma Xingnao Capsules for the treatment of vascular cognitive dysfunction and neurologic headache [J]. Journal of Chinese Traditional Chinese Medicine, 2021, 39(08): 255-258.

[3] Wu Youyan, Shan Xuejiao, Dou Xiangyun, Lu Yunhui. Research progress on non-pharmaceutical methods for traditional Chinese and Western medicine in the treatment of chronic insomnia [J]. World Journal of Sleep Medicine, 2021, 8(07):1288-1296.