Nasveti za dobro spanje: pristop TKM (1/2)

Zame kot za izvajalko kitajske medicine je spanje zelo pomembno, zato svoje paciente vedno povprašam, ali k meni prihajajo zaradi nespečnosti. Spanje je eno ključnih in bistvenih telesnih funkcij poleg prehranjevanja ter odvajanja blata. Ko spimo, lahko telo raste in se obnavlja. Premalo spanja ali slab spanec vodita ne le v razdraženost in izčrpanost, temveč povzročata tudi togost mišic, slabše kognitivno delovanje, nižjo odpornost ter druge pomembne zdravstvene težave.

Klinično je nespečnost opredeljena kot nezadosten ali slab spanec, ki se kaže v eni ali več od naslednjih značilnosti:

Najosnovnejša in najenostavnejša razlaga nespečnosti v TKM je neravnovesje med energijama jin in jang. Pri energiji jang gre za aktivno in razburljivo stanje, medtem ko energija jin predstavlja tiho in mirno stanje. Nespečnost povzroči distribucija energije jin. Sam mehanizem je seveda veliko bolj zapleten, zato ne gre pričakovati, da boste z eno samo tableto, živilom ali vajo preprosto in nemudoma dosegli trden in kakovosten spanec. Težave s spancem je mogoče ustrezno rešiti le s sistemskim znanjem in prilagoditvijo vedenjskih vzorcev v kombinaciji z zdravljenjem, kot so akupunktura ali zeliščna dopolnila. Dobra stvar takšnega vključujočega pristopa je, da se ne bo izboljšal le vaš spanec, temveč zdravje na splošno.
 [Preberi več: Vaše telo je ekosistem, ne stroj]
 [Preberi več: TKM vs zahodna medicina]

Pomemben koncept je tudi "šen“, ki je v modernem jeziku znan tudi kot misli. Jin in jang lahko poleg aktivne/mirne energije, ki smo jo omenili zgoraj, predstavljata tudi materialno in nematerialno energijo. V TKM obstaja prepričanje, da se naše misli (šen 神, nematerializem, jang) prilagodijo našemu telesu (šing 形, materializem, jin). Starodavni Kitajci so to opisovali kot cesarja, ki živi v svoji palači. Ko je cesar stabilen, miren in ga njegovi uradniki dobro podpirajo z zadostnimi sredstvi, vlada v državi blaginja. V našem telesu šen predstavljajo naše misli in zavest, ki so lahko stabilne in mirne, če jih podpirata naša fizična moč in vzdržljivost.

Naše telo vodi biološka ura, ki skrbi, da delujemo optimalno. Melatonin, hormon, ki povzroča zaspanost, se na primer izloča ponoči, medtem ko se kortizol in adrenalin aktivneje izločata zjutraj. Melatonin in podobna akcijska energija predstavljata energijo jin, medtem ko kortizol in adrenalin predstavljata energijo jang.

V TKM se kot normalen mehanizem spanja razume stanje, ko se "jang vrača v jin“. To lahko enačimo z nami, ki se po končanem delu vračamo domov, kjer se bomo lahko spočili in se ukvarjali s svojimi stvarmi. Za motnje šena obstaja nekaj splošnih razlogov, ki jim pravimo "jang, ki ne more vstopiti v jin“:

Ko je zmotena notranja harmonija, je ogrožena stabilnost šena, zato se pojavi nespečnost.

Naslednjič bomo podrobneje razpravljali o patologiji nespečnosti. Nasveti za dobro spanje: pristop TKM 2/2

As a Chinese medicine practitioner, sleep is an important element, so I always ask my patients whether or not the person is coming for insomnia. Sleep is one of the vital and basic body functions beside eating and defecating. Sleep is when the body gets the chance to grow and repair. Insufficient or poor quality sleep leads not only to irritability and exhaustion, but also to muscle stiffness, impaired cognitive functions, lower immunity, and other significant health problems.

Clinically, insomnia is inadequate or poor-quality sleep with one or more of the following presentations:

The most basic and simple explanation of insomnia in TCM is the Yin and Yang energy imbalance. Yang energy is the active and excited state while Yin energy is the quiet and calm state. Insomnia is when the Yin energy is distributed. The actual mechanism is of course way more sophisticated, so never expect one simple pill, food or exercise could give you solid and sweet sleep immediately. Only with a systemic cognition and behavioral adjustment, together with some assistance of treatment like acupuncture and herbal supplement, can sleep problem be properly managed. The good thing about this integrative approach is that not just sleep will be improved, but your general health as well.
 [Read more: Your Body as a Garden]
 [Read more: TCM vs Western Medicine]

“Shen”, which is known as mind in modern language, is also an important concept. Yin and Yang, apart from the active/calm energy mentioned above, could also mean materialistic and non-materialistic energy. TCM believes that our mind (Shen 神, non-materialistic, Yang) is accomodating in our physical body (Xing 形, materialistic, Yin). The ancient Chinese described this as an emperor living in his palace. When the emperor is stable, calm, well supported by his officials with abundant resources, then the country will be prosperous. In terms of our body, “Shen” is our mind and consciousness. It should be stable and calm with the support of our physical strength and stamina.

There is a biological clock guiding our body to perform the optimal function. For example, melatonin, a sleep inducing hormone is secreted at night , while the cortisol and adrenaline secretion is more active in the morning. Melatonin and other similar action energy is the Yin energy while cortisol and adrenaline are the Yang energy.

The normal sleep physiology/mechanism? in TCM is when “Yang is returning to Yin”. It is like everyone of us returning home after work, so we can rest and manage our own business. Here are a few common reasons for “Shen” being disturbed, we call it “Yang cannot enter the Yin”:

When the internal harmony is disturbed, the stability of “Shen” is affected and insomnia will then occur.

Next time we will discuss the pathology of insomnia in details. Sleep tips: TCM approach (2/2)