RT Article A1 Tesmer K A2 Krokowski R T1 For the diagnosis and therapy of sleep disorders caused by infections. T2 Observational studies suggest that chronic sleep disorders are related to organ dysfunction and digestive disorders. Untreated infections are often to blame for this. ED Normamed. Publications for Cause Medicine YR 2023 RD 7/8/2023  UL https://doi.org/10.61029/normamed.2023.04.en AB Infections, digestive disorders and organ dysfunction are often underlying causes of sleep disorders and non-restorative sleep. This is the result of the evaluation of two diagnostic observation studies and a subsequent treatment monitoring of 166 patients with chronic sleep disorders. The patients were examined in parallel using general medicine, laboratory medicine and microbiology as well as the diagnostics of traditional Chinese medicine. Digestive disorders were found in 92 percent of the patients, organ dysfunctions in 70 percent and infections and mixed infections in 79 percent. The patients were then treated for these infections and organ dysfunctions. The monitoring of treatment outcomes underlines that these are often root causes of sleep disorders. It also shows that after the treatment of the physical causes, patients sleep more peacefully in the long term, despite stress and psychological factors. Digestive and organ disorders are often correlated with chronic sleep disorders. These can therefore also be the result of a chain of causes in which an infection-related spleen overload leads to a kidney overload (spleen-kidney yin weakness) and interacts with other organ dysfunctions (liver and heart). For many doctors and patients, such correlations have never been seen before. An open-minded approach to therapy and continuous compliance on the part of the patients are prerequisites for successful treatment through integrated causal medicine (simultaneous coordinated diagnostics and therapy using both modern western medicine and traditional Chinese medicine). In 90 patients with high compliance, the treatment produced improvements in sleep that ranged from good to very good in 87 per cent; whereas in 23 patients with low compliance, only 35 per cent reported improvements that ranged from good to very good. The treatment monitor also shows that patient compliance is strongly dependent on financial conditions. A change in thinking on the part of service providers and recognition of the results of causal treatment could be a social contribution to reducing costs in the healthcare system. If payers were to cover services of integrated cause medicine, then long histories of suffering from chronic diseases would be avoidable in many cases. Treatment monitoring also reveals that patient compliance is heavily dependent on financial framework conditions. A change in the way healthcare providers think and the recognition of the results of causal treatment can contribute to reducing costs in the healthcare system. If the healthcare providers were to take over the services of integrated causal medicine, then long histories of suffering from chronic diseases would be avoidable in many cases.