Abstract

Materials and methods: According to literature on TCM, hun, defined as one kind of soul accompanying independent conscious activities, plays a role of memorizing conscious activities, while po can be referred as corresponding conscious structure of human’s perception and locomotor system. Psychologically, normal sleep experiences the complete rest of independent consciousness, in the meanwhile, po, controlling perception and locomotor system, remains completely still; as cache consciousness, hun can rearrange dream with cache information. Results: From the perspective of TCM, the pathomechanism of RBD lies in the unstable hun and po, in other words, in the absence of independent consciousness, perception and locomotor system are activated by cache consciousness, which leads to the body having heteronomous behaviours during sleep. The TCM psychological principles of treating sleep behaviour disorder are easing hun and stabilizing po, that is, lowering activity of cache consciousness and enhancing relaxation of perception and locomotor system in sleep. In detail, patients were encouraged to experience in a more relaxed sleep via thought induction psychotherapy (TIP); under low resistance circumstance patients would re-cognize the detailed stimuli in daily life, which gave patients an implication that they should keep a distance from their experience of dream in sleep. Conclusion: Basic theories of TCM have unique understanding and interpretation on psychological pathomechanism of RBD. Further study is needed to gain more clinical enlightenment. Acknowledgements: Thanks to the support of Key Projects in the National Science & Technology Pillar Program during the Eleventh Five-Year Plan Period (2009BAI77B09), National Natural Science Foundation of China (81072854) and China Academy of Chinese Medical Sciences Free Inquiry Project (ZZ0708078).

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