COVID-19 Can't Sleep Well. What Should We Do?
Jul 10, 2023
I didn't sleep well at first, but I slept worse when I was in the sun. I squinted during the daytime, and it was difficult to fall asleep at night. I couldn't sleep reliably... Don't doubt yourself. This situation is not an exception, nor is it an illusion. It is just a common manifestation after COVID-19 infection - Irritability insomnia.

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Highly alert body
Why does it change the sleep state after "yang"? This is closely related to what we often refer to as' endocrine disorders'. β- Endorphins and cortisol play an important role in regulating mood and maintaining good sleep. However, if these ingredients are secreted too much, they will show uncomfortable symptoms such as excitement, insomnia, fatigue, etc. After COVID-19 was infected, the brain headquarters quickly activated the "hypothalamus pituitary adrenal axis" to protect the body organs as much as possible, so that "the hypothalamus secretes arginine vasopressin and Adrenocorticotropic hormone releasing hormone, and the pituitary produces β- Endorphins and Adrenocorticotropic hormone lead to the simultaneous increase of adrenal cortisol secretion ", and we also have Irritability insomnia.

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The endocrine disorder of the body is a very common phenomenon, which has a lot to do with its "negative feedback regulation". The "Endocrine system" is like the ancient "monarch conveys the imperial edict". It is difficult for the monarch to understand the people's situation, and it is even more difficult for the monarch to accurately implement a will that conforms to the people's will. The insomnia after Yang is more like a "brain will make a mistake". Overreaction launches a wave of "crisis warning", leaving the body in a high DEFCON state, which also leads to our anxiety and tension, difficulty in falling asleep and easy to wake up.
So, besides waiting, what can be done to help the brain relax and quickly lower the body's alertness level? As early as in Yiyang, many famous Chinese medicine experts have proposed the method of "soothing the liver and nourishing the spleen" to regulate insomnia. Dr. Luo has also repeatedly introduced that "after yang" insomnia can use some bupleurum plus dragon bone Oyster soup. In the hot summer season, the yang qi is floating out, which is also the season easy to affect sleep. Let's talk about the related problems of insomnia after yang.

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Insomnia
What is' stress'? The official term is "an emotional state caused by dangerous or unexpected changes in external conditions", which means that Irritability insomnia is, in the final analysis, "emotional disorder", and this chronic emotional disorder is likely to have lasted for some time, and "yang" is only a trigger.
In fact, over the past three years of excessive worry, lack of exercise, lack of communication, unstable work, and panic about the economic situation have all invisibly hindered the normal operation of the gas engine. As the saying goes, "Qi is the source of all diseases", with stagnation of Qi and a multitude of diseases. The book "Classification of Symptoms and Treatments - Stagnation Syndrome" states: "The seven emotions start with depression, initially causing qi damage, then inevitably affecting blood, and ultimately resulting in fatigue." The slow and persistent sense of insecurity, even fear, has a significant impact on physical health and is also the internal cause of many diseases, such as "nodules", Dr. Luo always tells us repeatedly that "after COVID-19, we should pay more attention to the physical recuperation, and pay attention to every small symptom, which is good for everyone's health."
Among the many syndromes of Changxinguan, insomnia has a great relationship with "stagnation of liver qi and qi, deficiency of qi and blood". The pathogenesis of insomnia is always "the excess of yang and the decline of yin, the loss of yin and yang". The disease location is mainly in the heart, closely related to the liver, spleen, and kidney. COVID-19 belongs to the epidemic virus, which is invaded by external pathogens, causing the stagnation of liver qi to turn into fire, phlegm heat to interfere with the inside, and then the restlessness of mind also leads to insomnia; When COVID-19 turns negative, it will also consume a lot of blood, leading to "yin essence cannot converge yang qi". If yang does not enter yin, there will be sleeplessness in recovery period.
Regulating liver and nourishing blood
After COVID-19, there are many people with Sleep disorder, and the proportion of men and women is unbalanced. The number of women suffering from insomnia is far higher than that of men. Given this phenomenon, scholars put forward a variety of assumptions, such as social factors, hormone factors, and so on. If the same question is left to traditional Chinese medicine to answer, then it is likely to be the sentence "women are born with the liver", and the impact of liver depression, qi stagnation, and liver blood deficiency on women will be much greater than that on men. Therefore, for COVID-19 and the insomnia after COVID-19, we can generally start from two aspects: evil, regulating the liver; Innocent, nourishing blood.
Regulating liver function

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Soup version of Chaihu plus dragon bone Oyster soup: 12g Chaihu, 5g Huangqin, 5g Ginger, 6g Pinellia ternata, 5g Plum (replaced with Nacre or amber powder, which can also be removed) 5g Cinnamomum cassiae, 5g Poria cocos, 15g calcined dragon bone, 15g calcined oyster, and 3 dates.
For those with dry stools, add 6 grams of yellow.
This prescription is suitable for people who are usually under high pressure, prone to anxiety, and have a delicate mind. After yang, they may experience obvious bitterness in the mouth, sore throat, tightness in the chest and ribs, thin tongue coating, and red tongue tip. At the beginning of the disease, they can use a decoction for 3-5 days. After the anxiety is relieved, they can be supplemented with a foot soaking formula to soothe the liver and regulate qi.
Nourishing blood
Although they are all called 'insomnia', the symptoms they exhibit are still very different. Some people have difficulty falling asleep, some are prone to waking up after sleep, or have persistent early awakening (waking up at 3 or 4 a.m.), while others have similar sleep duration, but have constant "nightmares" throughout the night, resulting in exhaustion after waking up. These different sleep states also mean different visceral deficiencies.

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Sour jujube kernel soup
Sour Jujube Seed Soup is suitable for people with liver blood deficiency and slight symptoms of deficiency heat, such as those who lie in bed thinking recklessly, feeling anxious (conscious of sudden heart movements) and unable to sleep, still having a dry mouth, drinking some water and getting up late at night, with a red tongue and thin pulse. It is usually suitable for people with "Xiaoyao Pills". I have also tried this formula myself, and it is really good for sleeping difficulties under high pressure. If you are too busy to take medicine, It can also be replaced by traditional Chinese patent medicines and simple preparations Zaoren Anshen Capsule. However, the patent medicine is weak in relieving vexation and fever, and has a strong ability to astringe the mind. It is suitable for people who do not have excessive heat or red tongue.
Strengthening the spleen and nourishing the heart
Another type of insomnia is, of course, waking up early, or restless sleep, feeling tired after waking up, or always waking up two or three times at night, but still able to fall asleep. This group of people does not have many symptoms of anxiety, but they worry a lot, which can cause fatigue to the heart and mind, deficiency of the heart and spleen, and result in insufficient Qi and blood conversion. This is a common phenomenon in contemporary young people's insomnia problems, which requires supplementing Qi and blood, strengthening the spleen and nourishing the heart. This type of population: poor appetite, physical fatigue and mental fatigue, always unable to remember when speaking to the mouth, looking listless all day long. After removing makeup, the color turns yellow, the amount of vaginal discharge increases, the menstrual cycle turns pale, or the body drips profusely for several days. Occasionally, bruises and purples are found in the arms, legs, joints, and other positions. These are specific manifestations of spleen failure to regulate blood, lack of energy and blood biochemistry, and loss of mental health, which require a longer conditioning time, Those with severe spleen deficiency and mental fatigue can choose Guipi Pill, those with severe insomnia can choose Tian Wang Bu Xin Dan, and those with severe insomnia can choose Sijunzi Decoction and Longzao Yuling Cream to nourish qi and blood, spleen and heart.
Well, I will talk about the idea of recuperating from insomnia after COVID-19 today. I hope these suggestions can help you dispel your anger, calm your mind and get a good night's sleep.
After all, in our opinion, having no illness in the body, nothing in the heart, eating steadily, and sleeping soundly is happiness!






