Class 9 - Insomnia, Somnolence, Memory Flashcards
IN TCM, what is Insomnia?
Instability or agitation of Shen
Not adequately anchored (Blo/Yin Xu)
Overstimulation by Heat
Shen Locked in
What is Shen?
Rooted in Essence and Qi, Heart; Most rarefied density of Qi
What is Hun?
Ethereal Soul controls dreaming andis rooted in LV BLO and Yin
Sleepwalking
What is Zhi?
Will Power
controls memory and sleep – KD
What is best sleeping position?
Lie on right side, legs sl bent, right arm bent and resting on front fo the pillow, and left arm resting on left thigh
What is Insomnia etiology for Worry Anger Overwork GB Timid Irregular Diet Childbirth Residual Heat Excessive sexual activity
W - HT Fire Anger - LV Qi, Heat, Fire Overwork - HT Blo, SP Qi Xu GB Timid - Personality Type Irreg Diet - ST disharmony Childbirth - LV Yin, BLo, Jing Xu REsid Heat - PHL Heat Excessive Sexual Activity - KD Xu, Jing Xu
Insomnia Dx of Sleep
Diff. FALLING asleep =
DIF STAYING asleep =
Waking Early =
Waking Freq, often feeling hot =
REpeated waking aroudn 2-4 AM, worseHeat, Fire =
Chronic Insomnia, feverishness at night but no sweating =
Diff. FALLING asleep = BLO Xu
DIF STAYING asleep = Yin Xu
Waking Early = HT and GB Xu
Waking Freq, often feeling hot = Yin def.
REpeated waking aroudn 2-4 AM, worse when Stressed- LV Qi Stag, Heat, Fire
Chronic Insomnia, feverishness at night but no sweating = Blo Stag
Dx of Dreams? Wandering of Shen and Hun: Wild Dream, Sleepwalk? Xs Dream? Frigthening Dreams? Restless Dreams? Waking with Palps, panic attacks?
Wild Dreams = Hun Involvement Sleepwalk = Hun Xs Dreams = Blo or Yin xu Frightening Dreams = HT and GB xu Restless dreams = PHL-Heat affecting ST and HT Waking with Palps = HT and KD Yin xu
Insomnia DX - Sleeping poisitons Inability to sleep supine position = Sleeping supine with arms outstretched = Sleeping prone position = Sleeping only on one side =
Supine - Excess
Supine with arms out - Heat
Prone - Xu often of ST
Only on One Side - Xu of Qi/Blo on that side or Xs on opposite side
What organs are involved with Insomnia?
Yin Organs are injured
Essence has no residence, and not quiet
What is Somnolence?
Sleepy, Drowsy
What causes Somnolence?
SP Qi Xu
What are 5 Dx of Somnolence?
Dampness Obstructing the Brain - dampness
Phlegm Misting the Brain - dizziness, blurred vision
Spleen Xu
KD Yang Xu
Blood Stagnation - injury/trauma
What are contributors of Poor Memory? (4)
Spleen - Yi (memory/concentration)
KD - Zhi (brain)
HT - Shen (Long Term memory, past events)
Jing - Marrow (recording memories - grey matter)
What are 4 patterns of Poor memory?
SP Qi Xu
KD Essence Xu
HT xu
Blood and Phlegm Stagnation
