SLEEP PROBLEMS

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Chapter 81

SLEEP PROBLEMS

INSOMNIA

Interrogation, Chapter 40

Insomnia includes difficulty in falling or staying asleep.

EXCESSIVE DREAMING

Interrogation, Chapter 40

Liver-Fire

Excessive dreaming, nightmares, restless sleep, headache, red face, dizziness, tinnitus, irritability, propensity to outbursts of anger, thirst, bitter taste, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse.

Heart-Fire

Excessive dreaming, restless sleep, mental restlessness, a feeling of agitation, insomnia, palpitations, thirst, mouth and tongue ulcers, a feeling of heat, red face, bitter taste, Red tongue with redder tip and yellow coating, Overflowing-Rapid pulse.

Phlegm-Fire harassing the Heart

Excessive dreaming, restless sleep, insomnia, waking up from nightmares, mental restlessness, agitation, mental confusion, palpitations, thirst, red face, a feeling of oppression of the chest, dark urine, expectoration of phlegm, bitter taste, insomnia, Red tongue with redder swollen tip and a Heart crack with a sticky yellow coating inside it, Slippery-Rapid or Slippery-Overflowing-Rapid pulse.

Phlegm-Fire in the Stomach

Excessive dreaming, restless sleep, insomnia, mental restlessness, burning epigastric pain, thirst without a desire to drink, bleeding gums, dry stools, dry mouth, mouth ulcers, sour regurgitation, nausea, vomiting soon after eating, excessive hunger, foul breath, a feeling of heat, a feeling of oppression of the chest and epigastrium, mucus in the stools, expectoration of phlegm, Red tongue with a sticky yellow coating and a Stomach crack with a rough, sticky yellow coating inside it, Slippery-Rapid and slightly Overflowing pulse.

Heart-Yin deficiency with Empty-Heat

Dream-disturbed sleep with dreams that are not too agitated, poor memory, anxiety, tendency to be easily startled, mental restlessness, uneasiness, ‘feeling hot and bothered’, palpitations, dry mouth and throat, thirst with a desire to sip fluids, a feeling of heat in the evening, malar flush, night sweating, five-palm heat, Red tongue redder on the tip with no coating, Floating-Empty and Rapid pulse.

Liver-Yin deficiency with Empty-Heat

Dream-disturbed sleep, insomnia, depression, a feeling of aimlessness, dizziness, numbness of the limbs, blurred vision, ‘floaters’ in the eyes, dry eyes, diminished night vision, scanty menstruation or amenorrhoea, dull-pale complexion without ‘spirit’ but with red cheekbones, muscular weakness, cramps, withered and brittle nails, very dry hair and skin, a feeling of heat in the evening, night sweating, five-palm heat, thirst with a desire to sip fluids, Red tongue without coating, Floating-Empty and slightly Rapid pulse.

Heart- and Kidney-Yin deficiency with Empty-Heat

Dream-disturbed sleep, palpitations, mental restlessness, insomnia, anxiety, poor memory, dizziness, tinnitus, deafness, backache, nocturnal emissions with dreams, a feeling of heat in the evening, night sweating, five-palm heat, scanty dark urine, dry stools, Red tongue with redder tip without coating and midline Heart crack, Floating-Empty and Rapid pulse, or Deep-Weak pulse on both Rear positions and relatively Overflowing on both Front positions.

Heart and Gall-Bladder deficiency

Excessive dreaming, waking up easily from dreaming, absentmindedness, emotional instability, anxiety and palpitations.

Box 81.1 is a list of dreams and the patterns that cause them, according to the ‘Simple Questions’ and ‘Spiritual Axis’.

BOX 81.1 Dreams and their significance

• flying: Emptiness in the Lower Burner ¹

• falling: Fullness in the Lower Burner ²

• floods and fear: Excess of Yin ³

• fire: Excess of Yang ⁴

• killing and destruction: Yin and Yang both in Excess ⁵

• giving away things: Excess condition ⁶

• receiving things: Deficiency condition ⁷

• being angry: Liver in Excess ⁸

• crying, weeping: Lungs in Excess ⁹

• crowds: roundworms in the intestines ¹⁰

• attack and destruction: tapeworms in the intestines ¹¹

• fires: Heart deficiency ¹²

• volcanic eruptions (if the dream takes place in summer): Heart deficiency ¹³

• laughing: Heart in Excess ¹⁴

• mountains, fire and smoke: Heart deficiency ¹⁵

• very fragrant mushrooms: Liver deficiency ¹⁶

• lying under a tree being unable to get up (if the dream takes place in spring): Liver deficiency ¹⁷

• forests on mountains: Liver deficiency ¹⁸

• white objects or bloody killings: Lung deficiency ¹⁹

• battles and war (dream taking place in the autumn): Lung deficiency ²⁰

• worry, fear, crying, flying: Lungs in Excess ²¹

• flying and seeing strange objects made of gold or iron: Lung deficiency ²²

• being hungry: Spleen deficiency ²³

• building a house (dream taking place in late summer): Spleen deficiency ²⁴

• singing and feeling very heavy: Spleen in Excess ²⁵

• abysses in mountains and marshes: Spleen deficiency ²⁶

• swimming after a shipwreck: Kidney deficiency ²⁷

• plunging into water and being scared (dream taking place in winter): Kidney deficiency ²⁸

• spine being detached from the body: Kidneys in Excess (i.e. Dampness in Kidneys)²⁹

• being immersed in water: Kidney deficiency ³⁰

• having a large meal: Stomach deficiency ³¹

• large cities: Small Intestine deficiency ³²

• open fields: Large Intestine deficiency ³³

• fights, trials, suicide: Gall-Bladder deficiency ³⁴

• voyages: Bladder deficiency ³⁵

• crossing the sea and being scared: Excess of Yin ³⁶

SOMNOLENCE

Interrogation, Chapter 44

Spleen-Yang deficiency with Dampness

Somnolence especially after a meal, tiredness, a feeling of heaviness and muzziness of the head, a feeling of heaviness of the limbs, poor appetite, epigastric fullness, sticky taste, absence of thirst, loose stools, a feeling of cold, cold limbs, Pale and wet tongue with sticky coating, Soggy pulse.

This is the most common cause of somnolence.

Spleen-Qi deficiency with Phlegm

Somnolence, poor memory, slight depression, mental confusion, a feeling of heaviness and muzziness of the head, a feeling of oppression of the chest, dizziness, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, tendency to obesity, Pale-Swollen tongue with sticky coating, Slippery-Weak pulse.

Spleen- and Heart-Qi deficiency

Somnolence, poor memory, slight depression, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, palpitations, shortness of breath on exertion, Pale tongue, Empty pulse.

Kidney-Yang deficiency

Somnolence, poor memory, lower backache, cold knees, a feeling of cold, bright-white complexion, weak knees, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse.

Clinical note

• I use Du-20 Baihui for somnolence.

SLEEP TALKING

Heart-Fire

Talking or shouting in one’s sleep, restless sleep, dream-disturbed sleep with dreams of laughing and fires, insomnia, palpitations, thirst, mouth and tongue ulcers, mental restlessness, a feeling of agitation, a feeling of heat, red face, bitter taste, Red tongue with redder tip and yellow coating, Overflowing-Rapid pulse.

Heart-Yin deficiency with Empty-Heat

Talking in one’s sleep, waking up during the night, dream-disturbed sleep with dreams of laughing and fires, palpitations, insomnia, poor memory, anxiety, mental restlessness, dry mouth and throat, a feeling of heat in the evening, malar flush, night sweating, five-palm heat, Red tongue with redder tip and without coating, Floating-Empty and Rapid pulse.

Liver-Yin deficiency

Talking in one’s sleep, excessive dreaming, a feeling of floating just before falling asleep, insomnia, dizziness, blurred vision, floaters, night sweating, dry eyes, dry hair, dry nails, tongue without coating, Floating-Empty pulse.

Liver-Yin deficiency with Empty-Heat

Gall-Bladder Heat

Talking in one’s sleep, dizziness, tinnitus, bitter taste, dry throat, irritability, red face and ears, hypochondrial fullness, tongue with unilateral or bilateral yellow coating, Wiry pulse.

Stomach-Heat

Talking in one’s sleep, restless sleep, burning epigastric pain, thirst, sour regurgitation, nausea, excessive hunger, foul breath, a feeling of heat, Red tongue with a yellow coating, Overflowing-Rapid pulse.

Heart-Blood deficiency

Talking in one’s sleep, palpitations, dizziness, insomnia, poor memory, anxiety, dull-pale complexion, Pale tongue, Choppy or Fine pulse.

SLEEP WALKING

Liver-Yin deficiency

Sleep walking, excessive dreaming, a feeling of floating just before falling asleep, insomnia, dizziness, blurred vision, floaters, dry eyes, night sweating, dry hair, dry nails, tongue without coating, Floating-Empty pulse.

Liver-Yin deficiency with Empty-Heat

Sleep walking, excessive dreaming, a feeling of floating just before falling asleep, insomnia, dizziness, blurred vision, floaters, night sweating, dry eyes, dry hair, dry nails, five-palm heat, Red tongue without coating, Floating-Empty and Rapid pulse.

Liver-Blood stasis

Sleep walking, excessive dreaming, mental restlessness, abdominal pain, painful periods, Purple tongue, Firm pulse.

SNORING

Hearing, Chapter 53; Symptoms and Signs, Chapter 83

Phlegm-Heat in the Lungs

Loud snoring, dry throat, thirst with no desire to drink, barking cough with profuse, sticky yellow or green sputum, shortness of breath, wheezing, a feeling of oppression of the chest, a feeling of heat, thirst, Red and Swollen tongue with a sticky yellow coating, Slippery-Rapid pulse.

Damp-Phlegm in the Lungs

Soft snoring, a feeling of oppression of the chest, cough with expectoration of sticky sputum, a feeling of heaviness, thirst with no desire to drink, Swollen tongue with sticky coating, Slippery pulse.

Dry-Phlegm in the Lungs

High-pitched snoring, dry cough with occasional, difficult expectoration of scanty sputum, thirst with no desire to drink, dry mouth and throat, Swollen tongue with sticky, dry coating, Slippery pulse.

Phlegm in the Lungs with Lung- and Spleen-Qi deficiency

Soft snoring, a feeling of oppression of the chest, a feeling of heaviness, weak voice, tendency to catch colds, poor appetite, loose stools, tiredness, Pale tongue with teeth marks, Soggy pulse.

NOTES

1. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979:102 First published c. 100BC

2. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 102.

3. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 102.

4. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 102.

5. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 102.

6. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 102.

7. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 102.

8. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 102.

9. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 102.

10. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 102.

11. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 103.

12. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 569.

13. The Yellow Emperor’s Classic of Internal Medicine – Simple Questions (Huang Di Nei Jing Su Wen ). People’s Health Publishing House: Beijing, 1979; 569.

14. Spiritual Axis (Ling Shu Jing ). People’s Health Publishing House: Beijing, 1981:84 First published c. 100BC

15. Spiritual Axis (Ling Shu Jing ). People’s Health Publishing House: Beijing, 1981; 84.

16. Simple Questions, p. 569.

17. Simple Questions, p. 569.

18. Spiritual Axis, p. 85

19. Simple Questions, p. 569.

20. Simple Questions, p. 569.

21. Spiritual Axis, p. 85

22. Simple Questions, p. 85.

23. Simple Questions, p. 569.

24. Simple Questions, p. 569.

25. Spiritual Axis, p. 85

26. Spiritual Axis, p. 85

27. Simple Questions, p. 569.

28. Simple Questions, p. 569.

29. Spiritual Axis, p. 85

30. Spiritual Axis, p. 85

31. Spiritual Axis, p. 85

32. Spiritual Axis, p. 85

33. Spiritual Axis, p. 85

34. Spiritual Axis, p. 85

35. Spiritual Axis, p. 85

36. Spiritual Axis, p. 85

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