| Insomnia is characterized by a class of disease and syndrome which often can not get the normal sleep, Traditional Chinese medicine called it "Insomnia", "no sleep", "not lying" or "the eyes does not close" and so on. Chronic intractable insomnia is the patients course of the disease more than 1 month, the application had no significant effect of drug treatment, or repeatedly made. With the social and economic development, the accelerated pace of life, mental pressure, the clinical incidence of insomnia showed an increasing trend. The disease can cause anxiety, depression or fear, and lead to decreased efficiency of mental activities, seriously affecting the quality of daily work and life, increase and induced other diseases of the body. The patients are usually preferred the treatment of oral sedative and hypnotic drugs, but this method has many side effects, and easily to impairment of cognitive function, speed up the body's aging process. The Traditional Chinese medicine has a variety of medicine for the treatment of this disease, in which acupuncture treatment has a relatively significant effect for it.The needling methods by regulating spirits is my teacher Professor Wang Fan under the guidance of traditional Chinese medicine "Treatment of spirit" theory, combined with his years of clinical experience in acupuncture and select a adjustment function of acupoints of spirit, according to "the five viscera generating spirits" theory modified and change the treatments of an acupuncture method.The subject of randomized controlled method, select patients with chronic intractable insomnia study, The needling methods by regulating spirits were used to versus common law of university teaching methods in the treatment of acupuncture point selection, comparative observation of both therapeutic effect of acupuncture treatment, and The needling methods by regulating spirits to improve sleep in patients with chronic intractable insomnia mechanism of the situation analysis of five viscera in the generating of spirit theory of acupuncture in the treatment of this disease guidance value. 1 ObjectiveThrough the needling methods by regulating spirits treatment of chronic intractable insomnia clinical observation, The needling methods by regulating spirits act for the transfer for the treatment of this disease provide clinical basis for the treatment of disease-based clinical reference provides a new idea. And then to the actual clinical efficacy based theory of the five viscera hidden spirits clinical application in the value of acupuncture.2 MethodsCollection of the Beijing Tibetan Hospital, Beijing Hospital of Integrated Traditional and Western Palace acupuncture clinic from June 2010 to January 2011 period in patients with chronic intractable insomnia in 65 cases, in accordance wi'th the method randomized 32 patients were divided into observation group, control group 33 cases.The needling methods by regulating spirits act by adjusting the observation group, the basic acupoints are:Baihui (DU20), Shenting(DU24), Yintang(EX-HN3), Anmian, Shenmen(HT7), Zusanli (ST36), Sanyinjiao(SP6), and on this basis, according to the patient of his symptoms were attributable to the corresponding five viscera were selected that points programs with adjustment spirit. Normal control group according to the higher education, "Fifteenth" National Planning materials "acupuncture"-"Insomnia" edited by Shi Xuemin, taking the main point: Zhaohai(KI6),Shenmai(BL62), Shenmen(HT7), Yintang(EX-HN3), Sishencong(EX-HN1), Anmian, for the point selection scheme.Both groups were using electronic pulse treatment, using high-frequency continuous wave, frequency 50 100Hz, stimulate a sense of strength to patients, but not uncomfortable for the degree. The acupoints are the needle to take 30 minutes. Both groups were treated 3 times a week, two weeks, the interval between the 2 days; 2 weeks for a course of treatment, were treated with 2 courses,1 month after the end of treatment followup.Observations were recorded and statistics into the group of patients before treatment, a course of treatment, and followup after 2 courses of the Pittsburgh Sleep Quality Index (PSQI) score and the all kinds of scores, analysis and comparison between the various stages of the two groups after treatment in three stages And between the groups before treatment is or is not exist a significant difference in scores.3 Results3.1 Between groupsTake a=0.05, effect of level of counting statistics from the point of view, after treatment in the treatment of 1,2 and the end of treatment after treatment after 1 month followup of three stages, two groups were markedly effective, effective, ineffective difference between the number of cases were statistically Significance, the observation group effective than the control group, where the latter two phases there were significant group differences; from scoring PSQI scores measured statistics show that two out of PSQI scores before treatment were no significant differences, the two groups Comparable. After 1 course of treatment between the two groups no significant difference between scores, still can not believe that this phase of the observation group the degree of improvement for sleep is better than the control group. However, scores between the two groups after the two stages were statistically significant differences, indicating that after 2 courses of treatment and followup observation group, the degree of improvement in sleep, and the continued improvement of the degree of the control group were significantly better than that.Seven points on the PSQI, namely sleep quality, sleep latency, sleep time, sleep efficiency, sleep disturbance, sleep medication and daytime dysfunction were doing statistical analysis also showed that the mean scores after treatment group were lower than the control group, Time and sleep outside in addition to some of the other stages of the statistical difference or significant difference. Show that the observation group compared with seven areas of improvement in terms of the control group had certain advantages.3.2 In groupCompared with before treatment, two groups of PSQI sleep quality, sleep time, daytime dysfunction, and the total score of each stage after treatment was significant statistical difference, indicating that the two groups after treatment significantly improved the performance of the overall situation of sleep, which in Improve the quality of sleep, sleep time, daytime dysfunction evaluation to improve the efficacy of the three main aspects of insomnia, the three stages of the two groups after treatment showed significant improvement in law and prove that The needling methods by regulating spirits were adjusted for needle The disease had obvious therapeutic effect.4 DiscussionAnalysis of the reasons for these results produced, we believe that the physical structure of the five viscera system as the core of the human body, with possession of refined gas important physiological functions of the living spirits, that includes not only the role of refined gas storage, more importantly, also has a metaplasia essence function. Five viscera, blood and other body metaplasia essential life activities microscopic material through the meridian system to the limbs, and all parts of body, including yin and yang Rocker clock on the twelve meridians, including the kidneys play in the accumulation of blood in the regulation and irrigation effect, it is the five viscera, and the stable of spirits, the God of heart disease five chaos, spirits chaos is insomnia disorder. The needling methods by regulating spirits act is adjusted so as to realize the five viscera through the conditioning of the possession of spirits to reconcile the five viscera, and ultimately achieve the purpose of sedative into sleep soundly for a direct role in the origin of disease; and needle rule of the control group is on the regulation of yin and yang, the play clock Rocker regulate qi and blood meridians, to reconcile the role of yin and yang meridians, but adjust the extent of the range limitations, so the degree of the efficacy and sustainability of the law than The needling methods by regulating spirits weak tone.The study shows that, under certain conditions, the length of treatment with acupuncture stimulation of the size of the amount of positive correlation of acupuncture treatment volume is related to the body to stimulate nerves, endocrine, immune system substances in a series of chemical changes in the information, the treatment regimen the longer the cumulative effect of acupuncture effect more significant. This study observed that when the end of 1 month after treatment, the effect of acupuncture reduced in varying degrees, but because of acupuncture for neuro-endocrine-immune regulation of the cumulative effect of the network still exists, so the effect is still not completely disappeared. [Keywords] Clinical observation; Pittsburgh Sleep Quality Index (PSQI); Insomnia; The coordination of acupoints by regulating spirits... |
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