TCM Case Study on Insomnia

Emotional stress plays a huge role in our health. Often, a particular event may disturb the mind and creates insomnia. Acupuncture works so well to calm the mind! I absolutely love it. Over the years, I have seen first hand the amazing effect it has on patients. Check out the following case study and let me know what you think 🙂

Keep rocking it with TCM!

Clara
TCM Geek

PS: Have you seen my Chinese Medicine Treatments Made Easy book yet? It covers over 160 syndromes treatments using acupuncture points, herbal formulas, ear points, diet and more!

 

Case Study

Female: 31 yrs old

  • Chief complaint: Insomnia with constant fear and easily startled
  • History: 6 months ago, the patient’s house had been burglarized in the middle of the night when she was sleeping; no physical arm was done to her. Since then, she has insomnia with dream disturbed sleep, wakes up many times from midnight to 3 am. Whenever she hears a noise, she gets palpitations and jumpy; she also feels like someone is following her where ever she goes.
  • Other symptoms: temporal headaches, vertigo with nausea, her menses are regular, shoulder tension all the time (Trapezius area), sweats easily during the day especially when she feels scared, very fatigued.
  • On observation: the patient is quite shy, has a difficult time answering questions and deciding if she has the symptoms asked.
  • Tongue: pale tongue with greasy coat.
  • Pulse: wiry (left middle position), slippery (middle right position), weak overall.

Cause

 Emotional Stress affecting the Heart Mind & creating Paranoia. 

TCM Diagnosis

 HT Qi def., Phlegm in GB impairing Qi flow.

Symptoms differentiation
  • Insomnia (HT mind – Shen is disturbed due to emotional trauma), dream disturbed sleep (HT & GB) & waking up around Midnight & 3 am (GB & LV time).
  • Palpitations (HT), Jumpy (HT & GB), Feels like someone follows her (Paranoia – Phlegm in GB).
  • Temporal headaches & tight shoulders (GB meridian is blocked).
  • Vertigo with nausea (Phlegm in GB).
  • Sweats easily during the day (HT Qi Def.), Fatigued (Qi def.).
  • Can’t make decision and she’s shy (GB).
  • Wiry (left middle position): Qi stagnation (LV & GB), slippery (middle right position): Phlegm, weak overall (Qi def.)
  • Tongue: Pale (Qi def.), greasy coat (Phlegm).
Tx principles

 Tonify HT Qi, Move LV & Gb Qi, Transform Phlegm and calm the mind.

Acupuncture points
  • HT 7, Ear Shen Men, Yin Tang to calm the mind.
  • Gb 34 (Move GB Qi), LV 3 (move Lv Qi).
  • ST 40 to transform Phlegm, Du 24 for vertigo.
  • Gb 40 to relieve temporal headaches, GB 21 for shoulder tension.
  • BL 62 Ghost point to help relieve emotional trauma & help sleep.

18 needles twice/week for 3 weeks, then 1/week (took out Bl 62 & Gb 40 as the headaches stopped). She slept better, vertigo disappeared, but still dreamed, I added GB 35. Then she came every 2 weeks for 3 more sessions. Was more relaxed and less jumpy. Her paranoia subsided and she finally slept without being disturbed by dreams.

🌱 Want more? Check out my FREE TCM & Mental Disorders course!


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Written by : AcuPro Academy (Clara)

34 Comments

  1. Dimi October 19, 2017 at 11:25 am - Reply

    Amazing!!!!!great work !!! Very interesting case study as a lot of females in their 30s-40s often come to me with similar scenarios!!!!

    • AcuPro October 20, 2017 at 9:34 am - Reply

      So true!

    • Guy desire Noubouossie November 7, 2020 at 8:29 am - Reply

      Parfait PROF. Votre analyse de diagnostic pour l’insomnie et l’hypertension me laissent satisfait et combler. Très logique dans la démarche.vraiment un seul mot bravo Prof

  2. Dr Gurudatta H K October 19, 2017 at 7:58 pm - Reply

    Wow! This is amazing stuff from TCM and Acupuncture…

  3. Morteza October 19, 2017 at 11:04 pm - Reply

    Hi clara
    Very good diagnosise and treatment

  4. Beata Florova October 20, 2017 at 12:02 am - Reply

    Brilliant work !!!
    I love the explanation and the point selection -:) You are the best !
    Thank you so much , Clara

  5. Jeanne Burnett October 20, 2017 at 1:54 am - Reply

    Great article… thank you

  6. Angela October 20, 2017 at 4:02 pm - Reply

    Great case study Clara. Stories we can connect to are so powerful for teaching us! My sister wants to speak to me today about her newly developed insomnia! Please keep sharing case studies.

  7. Resti November 10, 2017 at 6:33 pm - Reply

    Wow, thank you clara

  8. Pia Meyhoff February 2, 2018 at 2:58 pm - Reply

    great case and good points. It’s a good way for me to learn better diagnosis. Finally, get to Clara. You are amazing

  9. Rb May 23, 2018 at 3:26 am - Reply

    Thank you so much ..

  10. kiran phalke August 14, 2018 at 9:23 pm - Reply

    Great Clara why do not you start regular TCM course for people like us who have only basic knowledge of acupuncture? We depend on books and our own experience. We produce the results but your case history speaks the real thing TCM. Thank you for your generosity.

  11. elda March 29, 2019 at 3:09 am - Reply

    Thank you! you are great!
    What book(s) are you using for the point functions?
    Elda
    xx

    • AcuPro April 8, 2019 at 5:09 pm - Reply

      Hi elda,
      Thanks 🙂
      I use many different books actually! and a lot of Chinese text translated :0)

      • Kristina R Nott October 22, 2020 at 1:21 pm - Reply

        I love this Clara. Thanking you. If you ever do online teaching I’ll definitely be there!! ???

        • AcuPro October 23, 2020 at 10:55 am - Reply

          Hi Kristina,
          Thank you 🙂 I’ll be starting YouTube Live classes this month! Hope o see you there!

        • Hong young ho January 15, 2023 at 12:21 pm - Reply

          You’re amazing. I respect you and thank you.

  12. Carla June 17, 2019 at 2:58 pm - Reply

    Very interesting!

  13. Mark Smith October 21, 2019 at 1:00 pm - Reply

    I love the way you break it down Clara, love your work. Thanks for the knowledge it’s much appreciated

  14. Houda December 16, 2019 at 4:04 am - Reply

    Merci beaucoup Clara
    C’est excellent ?

  15. Rafael Cohen-Sabban May 12, 2021 at 10:25 pm - Reply

    Thank you Clara,
    I really like your very simple approach to the diagnosis.
    Very accurate and effective.
    Thank you so much for your help and support!

  16. heyitsrick02@yahoo.c9m September 19, 2022 at 11:59 am - Reply

    You Replied to someone that you will be doing youtube classes soon… TRUE???? I’d LOVE to be notified when you start these & sign up. Please let us ALL know when this will be happening.. It’s AWESOME

    • AcuPro Academy (Clara) October 21, 2022 at 4:35 pm - Reply

      I have been doing them for 2 years now. Subscribe to my YouTube channel and hit the bell for notifications and make sure to be on my email list to get notified 😍

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