Kaufman: Treatment for insomnia
Insomnia is one of the most common medical complaints—more than one-third of adults have insomnia at one time or another, while 10 to15 per cent suffer from chronic insomnia.
With insomnia, a person usually awakes feeling unrefreshed, feeling over-fatigued and having a hard time concentrating during the day.
This lack of sleep can sap energy levels and moods, as well as health, work performance, and quality of life. Insomnia can cause daytime fatigue or sleepiness, as well as irritability, depression or anxiety, a loss in concentration and focus on tasks, increased errors or accidents, tension headaches and gastro-intestinal problems. It is a problem that takes a huge toll on a person’s health and well-being.
From a Western medical perspective, insomnia can be caused by stress, anxiety, or depression, medications, caffeine, nicotine, or alcohol, eating too much late in the evening, work schedule, changes in your environment or routine, poor sleep habits, and a variety of underlying medical conditions. Insomnia can also be a result of aging or changes in health or lifestyle. Treatment may include making changes to sleeping habits, relaxation techniques, light therapy, behavioural therapy, and in difficult cases, medications.
In Chinese medicine, insomnia covers a number of different sleep-related problems such as an inability to fall asleep easily, waking up during the night, sleeping restlessly, waking up early in the morning, and dream-disturbed sleep.
As with Western medicine, the amount and quality of sleep depend on the state of the mind. Because the organ most closely related to the mind is the heart, it is often affected in cases of insomnia.
If the heart is healthy, the mind will be grounded and sleep will be sound; if the heart is deficient or if it is being affected by other internal pathogenic factors in the body, the mind becomes agitated and sleep is affected.
There are seven major factors that lead to insomnia in Chinese medicine: overexertion and worry, overwork (both mental and physical and working long hours without adequate rest), anger-related emotions (including frustration, resentment, and irritation), constitutional weakness that leads to timid character, irregular diet, childbirth, and internal heat in the body.
The most important differentiation for insomnia is whether it is due to excess or deficiency. Once this differentiation is made, there are a number of different patterns that lead to insomnia: 4 excess-type patterns and 5 deficiency-type patterns.
It is this very specific diagnosis that makes Chinese medicine so effective for insomnia. Treatment will focus on improving quality of sleep but also accompanying symptoms according to the type of insomnia.