What is narcolepsy? Uncontrolled drowsiness: During the day, uncontrolled rapid eye movement (deep sleep) will occur regardless of time and place. There is also a risk of morbidity when walking, cycling, driving and crossing the road. It will cause heavy damage to personal safety. The onset time is usually 3-4 hours after getting up in the morning! Cataplexy symptoms: in emotional excitement, excitement will suddenly head back or bow, limbs weakness, and fall, can occur at any time and place, the onset time is uncertain, usually only once a day! It's also quite dangerous. Pre-sleep hallucination: When you are about to fall asleep, there will be some sounds or pictures that you do not have, such as voices of swearing, shouting and other hallucinations, and some unknown pictures (mostly horror or weirdness)! In the long run, there will be anxiety, depression, schizophrenia and other psychological diseases! Sleep paralysis: When the muscular tension of the whole body is lost (besides breathing and eyes), which is commonly known as "ghost press bed". At the same time, hallucinations and auditory hallucinations will occur. Depression, anxiety and other symptoms can also occur over time! Assistant Wechat: lyqc 1989 Health hotline: 13032655631 Age of onset There was no significant difference in the prevalence between men and women. Most of the cases started after 10 years old, and about 5% of the cases occurred before 10 years old. The age of onset varies from childhood to more than 50 years old. There are two peaks during the period. The older one is about 15 years old, while the other is about 36 years old. differential diagnosis Primary hypersomnia: The symptoms of this disease are similar to those of narcolepsy, but daytime sleeping attacks are not irresistible. There are no other concomitant symptoms. After falling asleep, the duration of daytime and night sleeping is longer. The duration of daytime and night sleeping is significantly increased. The degree of sleep is deep and the awakening is difficult. PSG of this disease is the normal sleep latency of REM, while the sleep latency of REM of paroxysmal sleeping disease is shortened, and the sleep latency of this disease in MSLT is shortened. Less than 10 minutes, the initial REM cycle of sleep is less than 2 times, while the latency period of sleep for narcolepsy is less than 5 minutes, and the initial REM cycle of sleep is more than 2 times. Syncope: Transient loss of consciousness due to cerebral blood circulation disorders. Most of them are dizziness, weakness, nausea, blackening and other short-term omens, followed by loss of consciousness and fainting. Often accompanied by vegetative neurological symptoms, such as pale complexion, cold sweating, pulse fast and weak, low blood pressure, more than a few minutes. Kleine-Levin syndrome, or adolescent periodic narcolepsy and bulimia, is a rare paroxysmal disease of unknown causes, characterized by periodic paroxysmal excessive sleep, lasting for several days to one week, with a few up to several weeks. It is accompanied by hunger and eating more than 5 times as much as normal people. It often causes psychiatric symptoms such as excitement, restlessness and impulsive behavior after waking up, which can occur 3-4 times a year. The onset of the disease is mostly in the 10 - 20 years old, more men, adults can recover from it. At present, the etiology and pathogenesis of this disease is still unclear. It may be caused by dysfunction of the diencephalon, especially the hypothalamus, or focal encephalitis. Kleine-Levin syndrome Since about 50% of narcolepsy patients have automatic behavior and forgetting, they are easily misdiagnosed as epilepsy. There is no uncontrollable sleep and sudden onset of epilepsy, and polysomnography is helpful for identification. Complex partial seizures therapeutic method Treatment methods are generally divided into: Western medicine treatment, Chinese herbal medicine treatment, Chinese acupuncture treatment, massage treatment and psychological treatment of five methods! Western medicine treatment Generally, amphetamine, methylphenidate, indole, pimoline, selegilin, amphetamine, noradrenergic drugs, tricyclic antidepressants, sodium hydroxybutyrate, stimulants and other Western medicines are used. Can quickly play a control role, but not root removal, recurrence rate as high as 99%, over time there will be resistance to this kind of drugs play an immune effect; Chinese medicine treatment According to the expert diagnosis, the symptoms of deficiency of both heart and spleen, weakness of spleen-qi, insufficiency of kidney-yang, insufficiency of medullary sea, insufficiency of heart-yang, obstruction of Gallbladder-heat and phlegm, dampness and dampness, etc. are treated dialectically and medicated according to the symptoms, which achieves the effect of one Effective speed will be slower than western medicine, but it can directly remove the root of the disease, Chinese medicine treatment focuses on nourishment, to warm up the body in a way of nourishment to eradicate the effect of disease, pure natural preparation has no toxic side effects; Three other treatments 1) Acupuncture and moxibustion therapy of traditional Chinese medicine: Acupuncture and moxibustion therapy such as body acupuncture, scalp acupuncture and warming needle therapy can not cure the root of the disease without any side effects, and repeated physical and mental fatigue. 2) Massage and massage therapy: the use of meridian-based transport release therapy. Let the patient take the prone position, relax and breathe smoothly. The surgeon located on the right side of the patient and operated on the patient's body surface with thumb, food, neutralization and ring finger of both hands. Similarly, it is only a mitigating effect, which can not be rooted out and repeated attacks. 3) Psychotherapy: 1. Give patients psychological support, enhance their confidence in treatment, and obtain the understanding and support of family members and colleagues. Change the original way of life. (3) Reasonable arrangement of work and rest time, emphasis on regular work and rest, as far as possible to ensure adequate sleep at night. Avoid emotional excitement and excessive tension. Strengthen physical activity during the day to improve excessive daytime sleepiness. Such a method is only a way of psychological hinting, not depression, for narcolepsy treatment is not very important, but play a supporting role.