insomnia

Question 0

etiology:

Answer 0

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——————-/

Question 1

definition:

Answer 1

sleep quality and quantity consistently reduced

Question 2

kinds of insomnia:

Answer 2

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

Question 3

western diseases:

Answer 3

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

Question 4

Patterns:

Answer 4

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

Question 5

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

Answer 5

Upward disturbance of LIV fire

Question 6

upward disturbance of LIV fire T/P

Answer 6

T= red, yellow coat
P= wiry, rapid

Question 7

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

Answer 7

Dysfunction of ST

Question 8

Dysfunction of ST T/P

Answer 8

T= red, thick sticky coat
P= slippery

Question 9

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

Answer 9

Hyperactivity of HT fire

Question 10

Hyperactivity of HT fire T/P

Answer 10

T=red tip, thin yellow coat

P= flooding, rapid

Question 11

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

Answer 11

Yin xu with empty fire

Question 12

Yin xu with empty fire T/P

Answer 12

T= red, little coat
P= thready, rapid

Question 13

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

Answer 13

HT/GB Qi xu

Question 14

HT/GB Qi xu T/P

Answer 14

T= pale
P= wiry, thready

Question 15

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

Answer 15

Disturbance of HT by PH-heat

Question 16

Disturbance of HT by PH-heat T/P

Answer 16

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

Question 17

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

Answer 17

HT/SP xu

Question 18

HT/SP xu T/P

Answer 18

T= pale
P= thready

Question 19

basic points:

Answer 19

HT-7, SP-6, anmian

Question 20

UB-20, UB-15, SP-1

Answer 20

HT/SP xu

Question 21

UB-15, UB-23, K-3

Answer 21

Yin xu with empty fire

Question 22

PC-5, GB-40, UB-19

Answer 22

HT/GB Qi xu

Question 23

HT-8, UB-15

Answer 23

hyperactivity of HT fire

Question 24

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

Answer 24

upward disturbance of liver fire

Question 25

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

Answer 25

disturbance of HT by PH-heat

Question 26

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

Answer 26

Dysfunction of the ST

Question 27

POT

Answer 27

*1) calm mind

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

Question 28

best time to treat:

Answer 28

2 hours before bed

or afternoon evening

Question 29

organs involved:

Answer 29

• HT

also: LIV, GB, SP, ST, KID

Question 30

differentiate:

Answer 30

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

Question 31

alternative remedies:

Answer 31

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

Question 32

education:

Answer 32

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