Why do I have sweaty palms, insomnia, frequent dreams, and very poor memory, and what should I do about it?

Nov 10, 2025 Source: Cainiu Health
Dr. Yang Ziqi
Introduction
Excessive sweating of the palms, insomnia, frequent dreams, and severe memory decline may be caused by excessive mental stress, irregular作息 (daily routines), neurasthenia, anxiety disorder, hyperthyroidism, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve symptoms through general measures, medication, or other treatments under a doctor's guidance. In daily life, maintain a balanced diet and consume more foods rich in protein and vitamins.

Under normal circumstances, symptoms such as sweaty palms, insomnia, vivid dreams, and particularly poor memory may be caused by excessive mental stress, irregular作息 (daily routines), neurasthenia, anxiety disorder, or hyperthyroidism. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through general interventions, medication, and other treatments. A detailed analysis is as follows:

1. Excessive Mental Stress: Long-term tension and anxiety can stimulate sympathetic nervous system activation, leading to sweaty palms and disrupted sleep quality, resulting in insomnia and frequent dreams, which in turn causes memory decline. Stress can be relieved through physical exercise, meditation, social communication, and other methods. Engaging in 30 minutes of aerobic exercise daily—such as jogging or yoga—and listening to soothing music before bedtime can help alleviate mental tension.

2. Irregular Daily Routines: Chronic late-night habits and reversed day-night schedules disrupt the body’s circadian rhythm, affecting the stability of the nervous and endocrine systems, thereby triggering sweaty palms, insomnia, and vivid dreams. Prolonged sleep deprivation can also lead to memory impairment. Adjusting sleep schedules by maintaining consistent bedtimes and wake-up times each day, and avoiding electronic devices before sleep, is recommended.

3. Neurasthenia: Prolonged mental strain and accumulated stress can lead to dysfunction of the nervous system, manifesting as sweaty palms, insomnia, vivid dreams, and poor memory, possibly accompanied by dizziness and fatigue. Patients may take medications such as Oryzanol tablets, Vitamin B1 tablets, or Anshen Bunao Liquid under medical supervision to regulate nerve function and improve sleep.

4. Anxiety Disorder: Persistent anxiety can cause autonomic nervous system dysregulation, resulting in sweaty palms, insomnia, and vivid dreams. Long-term anxiety may also impair brain memory functions, leading to memory decline. Medications such as Sertraline Hydrochloride tablets, Paroxetine tablets, or Lorazepam tablets may be used under a doctor’s guidance to relieve anxiety symptoms.

5. Hyperthyroidism: Excessive secretion of thyroid hormones accelerates metabolism and stimulates sympathetic nerve activity, causing sweaty palms, insomnia, and vivid dreams. Additional symptoms may include palpitations and hand tremors. If left untreated long-term, it can affect brain function and lead to memory deterioration. Medications such as Methimazole tablets, Propylthiouracil tablets, or Propranolol Hydrochloride tablets should be taken as prescribed to control thyroid hormone levels and alleviate symptoms.

In daily life, it is important to maintain a balanced diet, consuming more protein- and vitamin-rich foods such as eggs, milk, fresh vegetables, and fruits, while avoiding stimulants like coffee and strong tea.

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