Use of TCM Patterns in Shiatsu Diagnosis and Treatment of Co-morbid Insomnia with Psychological Complaints Piet Leunis Beroepsopleiding Iokai Shiatsu Utrecht - December 2018
[email protected] TCM patterns for insomnia Piet Leunis "1 treatment with Shiatsu Preface Sleep is yin and ruled by the spirit. ! If the spirit is quiet there will be sleep. ! If the spirit is not quiet there is no sleep.! by Zhang Jing-Yue, ancient Chinese physician! TCM patterns for insomnia ! Piet Leunis "2 treatment with Shiatsu! Table of Content Abstract 3! Introduction 4! Justification of literature and case study 5! Results literature study 9! Insomnia in Western Medicine 9! Insomnia in Traditional Chinese Medicine 14! Results case study 26! Using the Chinese Medicine Insomnia Symptom Checklist 26! Case description 29! Discussion 40! Conclusion 45! References 47! List of Concepts and Abbreviations 50! Annexes 51! Annex 1: Administration literature search 52! Annex 2: Consent form 54! Annex 3: TCM pattern terminology 56! Annex 4: Chinese Medicine Insomnia Symptom Checklist 57! Annex 5: Clinical features top 10 TCM patterns for insomnia 60! Annex 6: Spreadsheet Insomnia Checklist 62! Annex 7: Maria’s Chinese Medicine Insomnia Symptoms Checklist 63! Annex 8: Meridians treated per appointment 64! Annex 9: Maria’s PSQI compared 65! Annex 10: The case of night sweating 66 TCM patterns for insomnia ! Piet Leunis "3 treatment with Shiatsu! Abstract Insomnia is a complaint which comes up regularly with clients in a Shiatsu practice, of- ten together with psychological complaints. Research on the e$cacy of Shiatsu treat- ment of insomnia is not available. Having its roots in Traditional Chinese Medicine (TCM) it is assumed that evidence from acupuncture and Chinese herbal medicine could inform the diagnostic process of Shiatsu.! The main question for this case study is if Shiatsu treatment, making use of TCM pat- tern diagnosis, does contribute to improvement of the sleep quality of a client with in- somnia, co-morbid with psychological complaints.