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What
is it?
TRADITIONAL CHINESE MEDICINE, (TCM).
Sleep is a natural yet delicate process requiring an harmonious and coordinated
integration of mind, body and spirit. Insomnia typically reflects some
degree of imbalance existing in one or all three categories of mind, body
and spirit.
The imbalance may be greater in one area compared to another, but all
three components must be investigated to properly diagnose and treat the
insomnia. Other contributing factors to insomnia are diet, stress, drugs
and certain environmental conditions.
TRADITIONAL
WESTERN MEDICINE (TWM)
Insomnia is an interruption of the normal sleep cycles resulting in an
inadequate quantity or quality of sleep. During normal sleep the body
goes through different stages identified by a certain brain wave pattern
which can be recorded. A certain amount of time is spent in each stage
in order for normal sleep to occur.
Many factors
must be assessed in order to determine the cause of a sleep disturbance.
A large percentage of sleeplessness is temporary in nature and will resolve
spontaneously. Many more are situational and correct when the situational
factors are changed or the patient adjusts to the new situation. Other
inciting factors are organic and entail, at times, lengthy investigations
to determine the cause.
Medications,
alcohol, drugs and coffee cause significant disruptions in the stages
of sleep. Over a period of time the disruption to the sleep cycles can
produce symptoms due to the poor quality of sleep, even when the total
number of hours sleeping are normal.
Examples of insomnia: inability to fall asleep; reawaken frequently; sleep
too little. Factors contributing to insomnia: sleep apnea; restless leg
syndrome; menopause; kidney disease; heart problems and so on.
WHAT ARE THE SYMPTOMS?
TRADITIONAL CHINESE MEDICINE (TCM)
Insomnia is characterized by the pattern with which the normal sleep cycle
is disrupted. Each pattern has different diagnostic implications and treatment
needs. For instance, whether your ability to fall asleep is impaired,
whether you reawaken during the night and whether or not you awaken too
early are all critical to identifying your pattern of insomnia. Another
symptom equally important is the time a sleep disturbance occurs ie.,
if you consistently awake at 1:00 am each night. Identifying these patterns
leads to the a treatment appropriate for each pattern.
TRADITIONAL WESTERN MEDICINE (TWM)
Insomnia is a subjective feeling that the amount of sleep obtained is
insufficient to meet normal daily requirements. The patient may feel a
variety of both physical and emotional effects as a result of the sleep
deprivation. Among these symptoms are: sleepiness; loss of appetite; poor
concentration; emotional lability; lack of stamina; breathing difficulties;
dream disturbances and so on.
HOW
IS IT TREATED?
TRADITIONAL CHINESE MEDICINE (TCM)
Chinese medicine is very successful treating insomnia. Its use of acupuncture
and herbal therapy is safe, effective and will not adversely disrupt the
normal sleep pattern. The insomnia pattern is identified along the guidelines
of Chinese medicine.
Treatment consists of correcting the root cause of the insomnia with a
combination of acupuncture, herbs, diet evaluation and meditation practices.
Because the insomnia is a symptom reflecting an underlying core imbalance,
the treatment must focus on and correct this core imbalance if the treatment
is to be successful.
Frequently insomnia is the first symptom we are aware of that actually
represents a more deep seated problem. Early diagnosis and intervention
at this stage often helps prevent a more complicated problem from developing.
TRADITIONAL WESTERN MEDICINE (TWM)
Treatment is usually begun with a sleeping pill. These drugs are intended
for short term intervention only, usually several days, and only when
absolutely necessary. The reason short term treatment is advised is due
to the high potential addiction and because they significantly impair
the natural stages of sleep. For more severe or chronic insomnia combination
drug therapy is tried, possibly combined with biofeedback or hypnosis.
Severe cases require a thorough workup to rule out an organic cause and
may require overnight sleep laboratory evaluation. Any organic problem,
heart or kidney disease, will then be treated as indicated.
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