The sleepless conditions calling for **Belladonna are due to congestion; sleep is extremely restless, as a rule it is interrupted by talking, startings, muscular jerkings and spasmodic motions; frightful images appear on closing the eyes and the patient therefore dreads sleep. Children awake from sleep frightened. Oftentimes there is a violent throbbing in the brain which prevents sleep. The dreams found under **Belladonna are frightful ones, and they constantly awaken the patient. It is probably our best remedy for insomnia due to cerebral hyperaemia; that is, it will be most often indicated, also after morphine which produces cerebral hyperaemia of a passive variety.
**Aconite comes in here, too, but with Aconite there is intense anxiety and restlessness, fear of disaster or death.
**Cuprum, stramonium and Zincum have the symptom that the patient is aroused from sleep frightened.
**Lycopodium. Here the child awakens very cross; very sleepy during the daytime.
**Belladonna is most useful in restless sleep during dentition; sleeps with eyes partially open; sudden starting, twitching, hot head and dilated pupils will indicate it.
Nux vomica. [Nux-v]
The great characteristic of this remedy is that the patient is very sleepy in the evening, cannot keep awake; moreover the sleep is not sound or restful and the patient is awakened at night by anxiety and frightful dreams. He awakens at about four or five O’clock in the morning feeling somewhat refreshed, but soon resleeps and awakens at the usual time feeling worse than ever. It is especially the remedy for those who drink too much, those who abuse coffee and tea, those who are subject to abdominal disorders and a sluggish portal circulation. Sleeplessness from mental overwork, from too close study, especially at night. The morning sleep aggravates all the affections.
**Pulsatilla is sleepless in the evening, falling asleep very late; the sleep is restless, with frequent awakenings and troubled dreams. Sleeplessness after quinine, iron, strychnine, tea, or chloral.
**Calcarea carbonica has long hours of wakefulness.
**Cocculus has sleeplessness from mental activity.
**Sulphur. Cat naps; the slightest noise awakens and it is difficult to get to sleep again; sleepy in daytime.
**Calcarea bromata. Dr. Deschere, of New York, relies on this remedy in typical Calcarea children, with predominance of nervous irritability, sleeplessness and hyperaesthesia at night.
Sleeplessness from nervous excitement; the brain is full of bewildering ideas and images. After long illnesses and the brain cells are illy nourished this remedy is very useful. It is especially indicated in sleeplessness in children, who twitch, cry out frightened and tremble. Sleeplessness from overworked minds and without apparent cause may be benefited by **Hyoscyamus. Talcott says: **”Hyoscyamus paints the mental town of its victim a brilliant and luminous red.” The patient is jolly and wakeful. **Hyoscyamus lacks the anxiety of **Aconite, the violence of **Belladonna, the pessimism of **Nux vomica, and the stupidity of **Gelsemium.
In cases where there is excessive agitation of body and mind, and where ideas force themselves on the mind, **Coffea is the remedy, and its use as a beverage withheld. It will be found that this acts better in the higher potencies. Hale says: “If there is any place for high dilutions, it is in insomnia.” The patient is wide awake, without the slightest inclination to sleep, and all the senses are extremely acute. It is the remedy when excitement or good news, joys or night watching causes the insomnia. It is well suited to sleeplessness in teething children, while **Opium is better suited to adults. Sleeplessness from the bad effects of too good news. **Platina has sleeplessness from extreme nervous irritability.
For sleeplessness in children due to severe pain, Chamomilla is a sovereign remedy. It quiets the irritability and the emotional excitement and the patient sleeps. It is also adapted to weak, nervous women. The sleep is tormented by dreams which are fanciful, vivid and anxious; the patient is hot and thirsty. Moaning in sleep. This is also a remedy acting better in the higher potencies.
**Ignatia has sleeplessness from depressing news, recent grief, causing a hyperaemia.
**Coffea, sleeplessness from good news.
**Opium suits sleeplessness when the patient is sleepy but cannot get to sleep, is kept awake by hearing distinctly ordinary noises, such as the ticking of clocks and the crowing of cocks. Great drowsiness is characteristic of the remedy.