Theory And Clinical Study Of Insomnia Based On The Method Of TCM Thought Science

The study is a part of the subject of national major and basic development plan (973)--the study of the recognize method of TCM original thoughts and health state--the study of TCM thoughts and cognitive--the study of TCM clinical thought based on TCM case (NO.2011CB505402).The purposes of the study are to explore the clinical treatment and the different thought methods’effect on the insomnia’s treatment.Objective:Use the theory and method of the science of thought, to analyze the cases that reflect the characteristic of TCM thought and the experience of doctor liu that treating insomnia. The contents include the theory study of TCM thought science, the analyses of the concept of holism and syndrome differentiation treatment,the typical cases of insight, by those study,try to explore the possible reasons of the good effects of TCM, and supply the methods and thinking to explore the course of TCM diagnose and treatment.Method:The study mainly adopts four methods:thought science method, the method of sleep medicine, the psychology method and clinical method. The thought science method includes theory thought method that study about the theory of thought science and the academic thought of the ancient doctors, case study method that explore the relationship between the concept of holism and single case by clinical case analysis and insomnia symptom analysis;analyze the effect factors of the clinical effect by analyze the single case.Result:The study of theory shows that the study of TCM clinical thoughts about insomnia mostly concentrate on the whole thought, the thought of treatment based on different complex-symptom, the xiang thoughts.The whole thought mainly concentrate on the thought of holism of five zang organs and the thought of holism of body and spirit. The thought of treatment based on different complex-symptom is the most usually thought method, xiang thought often effects unexpected.The study of the clinical shows:The difference of the scores between before treatment and four weeks later treatment of the syndrome scores scale of the two groups, including insomnia and dreamy,easily frightened,tired and panting,easily frightened after sleep,spontaneous sweating and fatigue, dizziness and the finial scores, are statistically significant(p<0.05), the difference of the scores between before treatment and four weeks later treatment of Pittsburgh Sleep Quality Index (PSQI) of the two groups, including sleep quality,asleep time,sleep time,sleep efficiency,daytime function,finial scores,are statistically significant(p<0.05). the results show that wendan soup is efficacy to the insomnia cased by deficiency of Heart Qi and Gallbladder Qi.After4weeks treatment,The effective rate of PSQI,the observe group is90%,the control group is96%,the excellence rate of the PSQI,the observe group is63%,the control group is50%. the difference of the two groups is insignificant. The scores of the syndrome scores scale four weeks later between the two groups, including insomnia and dreamy,easily frightened,tired and panting,easily frightened after sleep,spontaneous sweating and fatigue, dizziness and the finial scores,is insignificant(p>0.05).The difference of the scores of Pittsburgh Sleep Quality Index (PSQI) four weeks later between the two groups, including sleep quality,sleep time,finial scores,is statistically significant(p<0.05); and sleep time,sleep efficiency,daytime function is insignificant(p>0.05); it turns out that observe group is precede the control group in the sleep quality and sleep time.Conclusion:The observe group is precede the control group in the sleep quality and sleep time shows that the TCM clinical thoughts inflect the process of TCM treatment deeply, the appropriate of the xiang thought often leads to an expected effect. To know the TCM thoughts correctly and enhance the clinical training is an important way to improve the effect of clinical treatment.