Heir to the well-known old Chinese medicine experience Xu Jian of Shanghai Traditional Chinese Medicine Hospital talks about insomnia
Sleep belongs to the proportion of “living and living”.
Sleep is to adjust the sleep method according to the yin and yang changes of the human body, so as to ensure the quality of sleep and restore fatigue.
About 1/3 of a person’s life is spent in sleep. Therefore, sleep is very important for everyone. Mastering the laws and methods of sleep is of extraordinary significance to humans.
Sleep doctrine Chinese medicine uses a dialectical perspective to view sleep. It explains the sleep process through changes in yin and yang, movement of camps, and mental activity, forming a unique sleep theory.
Yin-Yang Doctrine There are changes in Yin-Yang in the natural world, and the human body will follow the growth and decline of Yin-Yang to form corresponding laws.
“Su Wen · Yin Yang Ying Xiang Da Lun” said: “The yin and yang, the way of heaven and earth, the rule of all things, the parents of change, the beginning of life and death, the house of gods.
“So what exactly is yin and yang?
To put it simply, daytime is yang, and nighttime is yin. Therefore, the human body also produces the alternation of 寤 and 寐, 寤 is yang, and 寐 is yin.
The article “Lingshu · Interrogation” states: “Yang Qi is exhausted, but Yin Qi is full of eyes, and Yin Qi is exhausted, while Yang Qi is full, it is mean.
“This sentence means that at night, yin and yang are weak, and people should rest and sleep. On the contrary, during the day, people should come out and do activities.
There is an old saying in China, “Working at sunrise and dying at sunset” is to warn people to comply with the law in order to have health.
The theory of Weiqi operation is the theory of yin and yang. The theory of Weiqi operation thinks that Weiqi runs on the Yang Jing and wakes up, and it runs on the Yin Jing and the five internal organs to cause sleep.
“Lingshu · Weiqixing” states: “Weiqi is in the body for one day, one night and fifty weeks, day in the sun for twenty-five weeks, and night in the yin for twenty five weeks.
During the day, Wei Qi travels in Yang, and the human Yang Qi is full of yin and qi, so you should get up for daily activities. At night, you travel in the yin.
The doctrine of sleep The doctrine of sleep states that a person’s sleep and wakefulness need to be dominated by God’s activities.
The god here is not what we call daily, it is only the human spirit, consciousness, and thinking activities.
The article “Lingshu · Xike” said: “He who has the heart, the lord of the five internal organs, and the house of the spirit.
The mind is the master of the gods, and the whole body coordinates the five internal organs and the six organs. The human body’s thinking activities and spiritual consciousness are all presided over by the mind.
Zhang Jingyue said: “Gaiyu was born of yin, and God is his master.
God is restless, God is restless.
“So sleep is dominated by the mind, and God’s activities have a certain regularity, it will change the yin and yang in the natural world.
The theory of TCM about sleep is composed of the above three theories.
The theory of yin and yang is the basis of all theories, and it is the basic principle of sleep and wakefulness; the theory of health-enhancing qi is a more specific explanation of the theory of yin and yang, revealing the essence of sleep;Sleeping human life activity form.
The role of sleep The human body needs sleep. Without proper sleep, normal life activities cannot be maintained.
The meaning of sleep on the human body is difficult to replace in any other way, and its role can be summarized as follows: 1.
When fatigue sleep is eliminated, the body’s energy and spirit will stay in the five internal organs, qi and blood will be adjusted, the body temperature and heart rate will decrease, the metabolic rate will be reduced, and physical strength will slowly recover.
Protecting the brain During sleep, the brain will reduce the amount of oxygen consumed, which will help the brain cells to store energy and restore energy.
If you do n’t get enough sleep, the human body is prone to irritability, malaise, or distracted attention. Those who suffer from chronic insomnia are likely to cause neurological diseases.
Enhanced immunity When the human body processes sleep fillings, it will produce more antibodies, speed up the repair of various tissues and organs in the body, and increase the body’s resistance.
For some diseases, sleep can be used directly as a treatment.
Promoting developmental sleep is closely related to children’s growth and development. Children have higher levels of growth hormones during sleep, thereby promoting children’s height growth.
5, is conducive to beauty sleep, capillary circulation increases and accelerates skin regeneration, so sleep is the basic guarantee for skin beauty.
Factors affecting sleep Adequate sleep is the foundation of human health, but how long does a person need to sleep?
Everyone’s sleep time will vary according to age, gender, physique, personality, environmental factors, etc.
Age Factors Generally, the human body sleeps less and the number of sleeps decreases with age.
Babies sleep the longest and have more times, which is determined by the law of human growth and development.
People have passed the childhood period and entered the middle-aged and young people stage. Generally, they can stay for 7-8 hours a day.
When people reach old age, qi, blood, yin and yang are both lost, and “the qi is weak while the qi is internally cut”, so there is a phenomenon of “not being fine at day and not at night”.
However, Shaoyan is also a taboo for the elderly. “Ancient and Modern Jia Yan” believes that the elderly should “pillow when they feel sleepy”, that is, once they have sleepiness, go to bed immediately.
Constitution and Personality Factors The Neijing said: “This person has a large stomach and wet (astringent) skin, but he has no problem with dividing meat.
If the stomach is large, the gas will stay for a long time, and if the skin is wet, it will be indistinguishable.
If his qi is not fine, he will be stunned, so he is more prone.
Its stomach is small, the skin is smooth and slow, the meat is divided into benefits, and the qi stays in the yang for a long time, so it is less stingy.
“This sentence indicates that a person’s sleep is associated with body shape.
People who are fatter and often feel cold have longer sleep times.
Traditional Chinese medicine generally divides physique into nine types: calmness, qi deficiency, yang deficiency, yin deficiency, phlegm and dampness, damp heat, blood stasis, qi depression, and idiosyncrasy.Early and young, damp heat quality, blood stasis quality sleep time setting.
Environment, seasonal factors Seasonal changes and environmental changes are also an important factor affecting human sleep time.
Under normal circumstances, spring and summer are suitable for bedtime and early rise because of the short days and nights, while autumn is suitable for bedtime and early rises. After entering winter, the days are short and the nights are long and the weather is getting colder.
The human body also adjusts the sleep duration according to the changes in weather. On sunny days, people’s sleep time is relatively short, and the rainy weather is the opposite.
In addition, the length of sleep time is also related to many other factors, such as mental, nutrition, work environment and so on.
Chinese medicine adopts dialectics for insomnia, and adopts different treatment methods according to insomnia caused by different reasons.
Heart and spleen deficiency syndromes, traditional Chinese medicine guides the heart and spleen to nourish qi and spleen, and the medicine can replace the Chinese jujube kernel and Polygala.
The key to heart and kidney non-compliance is to nourish yin and lower fire, coordinate lifting and lowering, and communicate the heart and kidney to yin and yang. Cinnamon and Coptis, or Polygala and Shichangpu can be used.Loss of nutrition and lack of courage. You can choose ripe jujube and raw jujube kernels, or amethyst and purple oyster teeth. For the recipe, choose Guizhi Licorice Dragon Bone Oyster Soup or Zhongshen Anshen Recipe. Liver fire disturbs the heart card to relieve liver fire and calm the liver.Yang is the specification, and you can choose stone cassia and magnet, or jujube kernel and gardenia, and the recipe can nourish the water and clear the liver;, Cheng Fang choose Qingxin Anshen Fang or Acorus Yujin Decoction.
Sleeping position Sleeping position can be divided into three, supine, prone, and lateral lying, and lateral lying can be divided into left lying and right lying.
Human sleep posture directly affects the quality of sleep, so it is very important.
Ordinary people should lie on the right side of “Qian Jin Yao Fang · Dao Lin Yang Xing”, saying: “Knee down and lie on your side, it is good for your strength, and it is better than lying on your back.” This shows that people sleep on their side.
When the human body sleeps in a supine position, it can easily cause bad dreams and snoring.
“Shi” commandments said: “Lying is right”, it means that lying on the right side is more conducive to the human body.
In fact, both Chinese and Western medicine believe that the right side is the best sleeping position for the human body, because the right side minimizes the pressure on the heart and can reduce the burden on the heart.
And when lying on the right side, the outlets of the stomach and duodenum are both below, which is helpful for emptying the perfusion contents.
Pregnant women should be lying constant. Pregnant women are different from ordinary people. The best lying position is lower lying.
After the pregnant woman enters the middle and late stages, the fetus gradually enlarges, and the uterus expands. If you lie to the right, the displacement will press the abdominal inferior vena cava, which will affect the blood return and compress the ureter, which may cause symptoms such as hypertension pyelonephritis.Pregnant women are best placed vertically.
Infants and toddlers are not fully developed and cannot take the initiative to turn over, so a guardian is required to turn over from this.
Infants and young children are not allowed to lie on their stomachs because they may suffocate or deform their facial features.
It is also not allowed to lie supine for a long time. The head and skull of infants are completely developed. Long-term twisted or supine will cause deformation of the skull. Therefore, infants and young children often change their posture. It can be used, correct, and supine turns alternately.
”Thousands of Gold Recipes” proposes that “everyone sleeps without stepping on a high place for a long time to become kidney water.”
In other words, when the human body sleeps, it is necessary to avoid postures with feet high and head down. Long time ago, it was easy to cause kidney disease.
Sleep Taboos Conservative The ancients summarized their sleep experience as “ten sleep taboos”.
Avoid lying on your back.
That is, the human body cannot lie supine during sleep.
“I don’t get tired of sleep, I don’t feel tired.
“It is said that when people sleep, they should bend their knees sideways. In this way, the human spirit will gather and not disperse.
The ancients have clouds: sleep first, then sleep.
Only when the mind is stable can there be a way to truly sleep, and the mind can truly rest.
Avoid anger before going to bed.
Chinese medicine believes that “anger is angry”. In fact, if the human body changes its mood, especially anger, it will cause blood disorders.
Avoid sleeping before eating.
”Peng Zu’s theory of sexuality” said: “If you are full and you are lying, you will be injured.”
Do not eat too much before going to bed, do not over-age, and do not drink a lot of water, especially strong tea, coffee and other drinks.
Avoid sleeping and lying.
Chinese medicine believes that the sound comes from the lungs. If a person lays down and still speaks, it will hurt the lungs.
Avoid sleeping on the light.
When the human body sleeps, turn off the lights properly. If there is light, it will affect the human body’s sleep.
Avoid opening your mouth when you sleep.
Sun Simiao said: “Mu Xiu often learns to keep his mouth closed, and his mouth loses his breath.”
Modern medicine believes that it is not easy to inhale dust, flies, etc. while sleeping with your mouth open.
Avoid lying down at night.
Especially in winter, many people like to retract their heads into the quilt. This can easily cause people to breathe hardly, absorb too much carbon dioxide, which is not good for human health.
Avoid lying in the wind.
Chinese medicine believes that there are many flavors. When you sleep, your head is facing the air vent, which easily causes symptoms such as facial paralysis and hemiplegia.
Avoid sleeping and lying on the fire When your head is facing the fire, it is easy to make your throat thirsty and headaches.
There are some contraindications during sleep, which must be contraindicated after waking.
Traditional Chinese medicine believes that after getting up in the morning, you should get up slowly, not too fast, or not to get up.
Sleeping lazily raises the body’s dysfunction, which is not good for human health.
Personal profile: Xu Jian, Chief Physician, Professor, Doctoral Supervisor, Shanghai Leading Talent, Heir to the Nationally Famous Traditional Chinese Medicine Experience, Secretary of the Party Committee of Shanghai Traditional Chinese Medicine Hospital, and Director of the Institute of Traditional Chinese Sleep Diseases.
Concurrently serves as the vice chairman of the Chinese Sleep Research Association, the chairman of the TCM Sleep Medicine Professional Committee, the vice chairman of the Shanghai Chinese Medicine Association, the chairman of the Shanghai Chinese Medicine Society’s psychiatric branch, the vice chairman of the sleep medicine professional committee of the Chinese Society of Psychosomatic Society, the worldVice Chairman of the Sleep Medicine Committee of the Chinese Medicine Federation, Deputy Chairman of the Sleep Medicine Committee of the Chinese Medical Doctors Association, Deputy Editor-in-Chief of the World Journal of Sleep Medicine, Executive Director and Reviewer of the Journal of Traditional Chinese Medicine, Director of China Hospital Management Journal, Shanghai Health Series SeniorProfessional and technical post qualification evaluation expert, Shanghai medical accident identification expert database expert, etc.
As the leader of the discipline of psychiatry, he currently hosts the National Key Clinical Specialty, the 12th Five-Year Key Discipline of Traditional Chinese Medicine and Psychiatric Diseases of the State Administration of Traditional Chinese Medicine, the major new drug creation project of the Ministry of Finance, the Innovation Team of Shanghai University of Traditional Chinese Medicine,”Three-year action plan”, the construction of psychiatric TCM clinical bases, key and weak subjects in Shanghai, Shanghai Plateau of Traditional Chinese Medicine and other high-level projects, and has been responsible for eight provincial and ministerial projects such as Shanghai Natural Science Foundation.
He has published more than 40 papers, including 8 SCIs, 5 books published by the chief editor, and 3 books and university textbooks by the deputy editors.
Won 1 project funded by “Shanghai Leading Talent”, the first prize of the first Shanghai TCM Science and Technology Award, the second prize of the fourth Shanghai TCM Science and Technology Award, the third prize of the twelfth Shanghai Medical Science and Technology Award, Zhonghua ZhonghuaThird Prize of Science and Technology Award of Medical Association, Shanghai Science and Technology Award of Integrated Traditional Chinese and Western Medicine, Shanghai Science and Technology Award, 8th Shanghai Traditional Chinese Medicine Science and Technology Award Achievement Promotion Award, 5 Medical Invention Patent Authorizations, 2nd “Shanghai Medical YouthManagement Top Ten “Nomination Award.
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