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Acupuncture treatment for insomnia caused by deficiency of both heart and spleen can be approached from the following aspects:
Acupoint selection and location
Shenmen: Located at the ulnar end of the transverse wrist crease, in the depression on the radial side of the flexor carpi ulnar tendon, it has the effects of nourishing the heart, calming the mind and enhancing intelligence. It can treat symptoms such as palpitations, restlessness, insomnia and forgetfulness caused by deficiency of both heart qi and blood, and also has an indirect effect of strengthening the spleen.
Sanyinjiao: Located 3 cun above the tip of the medial malleolus, at the posterior margin of the medial tibia (the highest point of the medial malleolus is the tip of the medial malleolus), it can strengthen the spleen and tonify the kidney to benefit qi and nourish blood, allowing the heart spirit to be nourished by qi and blood and become stable. When qi and blood nourish the head and face, the complexion will be faintly red and yellow with luster, and the mind will be clear and the eyes bright.
Xinshu: It is the back-shu point of the heart, which can regulate the function of the heart and help improve symptoms such as palpitations and insomnia caused by deficiency of both heart and spleen.
Pishu: It is the back-shu point of the spleen. It can regulate the function of the spleen, strengthen the spleen and benefit qi. It has an improving effect on symptoms such as fatigue and loss of appetite caused by deficiency of both heart and spleen.
Zusanli: 3 cun below the depression on the outside of the knee when the knee is bent. It has the functions of strengthening the spleen and stomach, enhancing the body and benefiting the brain. It is a key point for health preservation and can enhance the functions of the spleen and stomach and promote the production of qi and blood.
Yintang: Located between the eyebrows, it has a calming and soothing effect and can be used to treat mental disorders such as depression, anxiety, insomnia, and forgetfulness.
Operation method
Position selection: Patients can lie on their backs (or sit) to facilitate the doctor’s operation.
Disinfection: Press the acupoint with the pad of your thumb (the rest of your fingers), apply a little force to the skin around the acupoint, and then use a 75% alcohol cotton ball to disinfect the skin around the acupoint. The disinfection area should be about 5 centimeters in diameter, and wipe from the center to the periphery. Avoid repeated application.
Acupuncture: Light one end of the moxa stick and suspend it at the moxibustion site (for safety reasons, the Yintang area is not moxibusted), about 3 centimeters in height, and keep it fixed without moving, so that the patient feels a warm sensation locally but no burning pain. Generally, each area should be moxibusted for 3 to 5 minutes until the skin shows a slight redness. During the suspension moxibustion process, it is necessary to promptly shake the mugwort ash into the prepared water VAT to prevent it from falling and scalding the skin. People who are generally on an empty stomach, overworked, overly full, overly hungry, drunk, extremely thirsty, extremely shocked, extremely frightened, extremely angry, extremely fatigued or afraid of moxibustion should use moxibustion with caution. It is not advisable to apply moxibustion during times of wind, rain, thunder and lightning, extreme cold or heat, when one is sweating profusely, or during a woman’s menstrual period (except for treating massive hemorrhage). Heat syndrome is also not suitable for moxibustion.
Precautions
Living habits: When treating insomnia with acupuncture, the key points to note are to develop a good schedule, go to bed early and get up early, avoid staying up late, and rest on time. At the same time, avoid excessive mental stress, relax appropriately, relieve stress reasonably, and avoid excessive anxiety and tension, thereby regulating insomnia.
Dietary habits: After acupuncture treatment for insomnia, one should avoid spicy and stimulating foods such as chili peppers and coffee. At the same time, it is advisable to consume more foods with a calming effect, such as lily bulb, silver ear and lotus seed soup, and jujube seed tea, which can help alleviate the symptoms of insomnia. At the same time, avoid adverse stimuli such as tobacco, alcohol, strong tea and coffee, keep a pleasant mood and do appropriate physical exercise.
During the process of acupuncture treatment for insomnia, it is important to closely monitor the patient’s treatment progress. If any discomfort symptoms such as nausea, dizziness, or fever occur, acupuncture should be stopped immediately and medical attention sought promptly. In addition, for patients who are emotionally excited or mentally tense, acupuncture treatment is not recommended to avoid further excitement and aggravation of discomfort symptoms.