Clinic Observation On Treating Qi-depression Constitutional Insomnia With Acupuncture Regulating Imbalanced Constitution

[Objective] Insomnia, also known as "insomnia," "not sleep", "not lying". Common in Western medicine as neurasthenia, neurosis, anemia and other diseases. Overseas researches showed that chronic insomnia can increase not only the risk of death and accidents, but also the main factors led to beauty-related diseases. Through this study, observe clinic efficacy of treating insomnia by acupuncture regulating imbalanced constitution, discuss the mechanism of TCM. Compare this method with the general "Syndrome Differentiation" acupoints selection method, observe whether there was statistical significant efficacy between two groups, analyzes the reasons for the differences.[Method] This research based on accessing relevant documents and summarizing the experience of Professor Fu Jieying, randomly divided the patient meeting insomnia standard into treatment group and control group with 30 patients respectively. "Disease Differentiation" main points:HT7, PC6, DU20,An Mian (extra point). "Syndrome Differentiation" main points:Heart and spleen deficiency plusBL15, BL20, SP6;Liver fire depression plusLiv2, Liv3, GB20; Heart and gallbladder Qi deficiency plus BL15, BL18, GB40;Yin deficiency plus KI3, Liv3, KIl;Phlegm heat plus RN12, ST40, ST44. "Constitution Differentiation" main points:RN17, RN6, Livl4, BL18. The treatment group used the "Constitution Differentiation-Disease Differentiation-Syndrome Differentiation" acupoints. The control group used the traditional " Disease Differentiation-Syndrome Differentiation " acupoints. Two groups had continuous treatment for 4 weeks as a course, suspended one week after each course then continue the second course of treatment. All the drugs associated with insomnia or physical treatment of insomnia were disused during acupuncture treatment. Assess efficacy after 3 courses. Used SPSS17.0 statistical software for data processing, measurement data were presented as mean±standard deviation (X±S)。Count data were analyzed by Chi-Square Test, measurement data were analyzed by t Test.[Results] 1. Efficacy rate in the treatment group was 86.67%, control group was 76.67%, the total effect of the two groups showed no significant difference; 2. After treatment, the PSQI score was significantly different with score before treatment; in the control group, PSQI score except the daytime functions score was significantly different with score before treatment; 3. Compared PSQI score after treatment, treatment group were significant different with control group on improving the PSQI score; 4. Constitution Integration of treatment group were significantly different with integration after treatment, Constitution Integration of control group were not significantly different with integration after treatment; Constitution integration of treatment group were significantly different with control group.[Conclusion] 1. The treatment group and control group are effective for insomnia, compared two groups there was no significant difference, it indicated that " Constitution Differentiation-Disease Differentiation-Syndrome Differentiation method" had similar effect on treating insomnia as" Disease Differentiation-Syndrome Differentiation method".2. For the PSQI score compared before and after treatment, Constitution Differentiation-Disease Differentiation-Syndrome Differentiation method" showed significant improvement of the PSQI indicators, Disease Differentiation-Syndrome Differentiation method" showed significant improvement of the PSQI indicators except for day-time function.3. Compared the PSQI indicators after treatment," Constitution Differentiation-Disease Differentiation-Syndrome Differentiation method" have improved significantly than " Disease Differentiation-Syndrome Differentiation method".4. For improvement on Constitution Integration, "Constitution Differentiation-Disease Differentiation-Syndrome Differentiation method" had significant efficacy, " Disease Differentiation-Syndrome Differentiation method" had not significant efficacy. And "Constitution Differentiation-Disease Differentiation-Syndrome Differentiation method" in improving constitution integration was more effective than " Disease Differentiation-Syndrome Differentiation method". In summary, that "Constitution Differentiation-Disease Differentiation-Syndrome Differentiation method" and " Disease Differentiation-Syndrome Differentiation method" have exact and effective efficacy on insomnia, but "Constitution Differentiation-Disease Differentiation-Syndrome Differentiation method" has more effective efficacy for treating insomnia syndrome and regulating imbalanced constitution than the " Disease Differentiation-Syndrome Differentiation method"...