Insomnia refers to inability to have normal sleep, marked by difficulty to sleep, or easiness to wake up, or inability to sleep after waking up, or shallow sleep, keep-ing awake all night. Insomnia often occurs together with headache, dizziness, palpitation and amnesia. It is usually caused by anxiety, overstrain, emotional upsets, weak-ness and prolonged duration of illness as well as improper diet that lead to dysfunction of the heart, liver, spleen and kidney as well as insufficiency of blood. Insomnia is mainly seen in neurosis in modern medicine.
Treatment
Prescription: Shenmen ( HT 7 ) and Sanyinjiao (SP 6).
Modification: For exuberance of heart and liver fire: Fengchi (GB 20), Jianshi (PC 5), Laogong (PC 8) and Xingjian (LR 2) are added; for phlegm-fire disturbing the heart, Fengchi (GB 20), Neiguan (PC 6), Zusanli (ST 36), Fenglong (ST 40) and Lidui (ST 45) are added; for qi stagnation and blood stasis, Geshu (BL 17), Jueyinshu (BL 14), Neiguan (PC 6) and Taichong (LR 3) are add-ed; for asthenia of both the heart and spleen, Baihui (GV 20), Xinshu (BL 15), Pishu (BL 20) and Zusanli (ST 36) are added; for disharmony between the heart and kidney, Xinshu (BL 15), Shenshu (BL 23) and Taixi (KI 3) are added.
Performance. Each time 3-5 acupoints are selected. For exuberant liver-fire and heart-fire, phlegm-heat attac-king the heart, qi stagnation and blood stasis, reducing techniques are used; for asthenia of both the heart and the spleen, reinforcing techniques should be used with moxi-bustion applied to Back-Shu acupoints; for disharmony be-tween the heart and the kidney, twirling-rotating tech-niques for reducing purpose are used for needling Shen-men (HT 7), reinforcing techniques are used for needling other acupoints.
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