T/GDACM 0109-2022 Clinical Diagnosis and Treatment Guidelines for Insomnia Disorder (Insomnia) Integrating Traditional Chinese Medicine and Western Medicine

Scope

Main technical content: The "Clinical Diagnosis and Treatment Guidelines for Insomnia Disorders Integrating Traditional Chinese Medicine and Western Medicine" integrates modern medical and traditional Chinese medicine theories, giving full play to the advantages and characteristics of integrated diagnosis and treatment of traditional Chinese and Western medicine, and providing comprehensive, all-round, more accurate, and more personalized guidance for the diagnosis and treatment of insomnia. The specific features are as follows: a) Based on the severity of insomnia, a graded and phased treatment strategy for insomnia combining traditional Chinese and Western medicine is established. A Pittsburgh Sleep Quality Index (PSQI) score of less than 15 indicates mild to moderate insomnia disorder, with oral administration of traditional Chinese medicine decoctions; a PSQI score of 15 or higher indicates severe sleep disorder, with oral administration of traditional Chinese medicine decoctions combined with sedative and hypnotic drugs. This reflects the precision of treatment according to the severity of insomnia, which better meets clinical needs and refines the previous diagnosis and treatment models. b) Based on the complex etiology of insomnia, the guidelines pay attention to the sleep quality, psychosomatic symptoms, and social psychological factors of insomnia patients. For patients with persistent and recurrent insomnia disorders, emphasis is placed on their personality characteristics and family environment, and corresponding psychological interventions are recommended. c) Traditional therapies and psychological treatments are supplemented and integrated. Patients are encouraged to manage their own sleep, and based on traditional Chinese emotion theory and various Western psychological therapy techniques, breathing training, cognitive group therapy, and traditional Chinese psychological interventions are recommended to explore a clinical precision diagnosis and

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