Clinical Study On Guipi Decoction For The Treatment Of Insomnia In Both Heart And Spleen

ObjectiveThrough the observation of internal and external therapies with Guipi Decoction acting on heart and spleen deficiency type insomnia,in order to evaluate the clinical curative effect objectively,to provide new ideas which is looking for a Internal and external therapies of Chinese medicine that can promote more easily and improve the curative effect in the future.To innovatively observe and compare Chinese medicine foot bath and warm water foot bath adjuvant treatment of insomnia clinical efficacy,to further assess the efficacy of Chinese medicine foot bath and explore its mechanism of action,so as to provide clinical basis for improving the efficacy of insomnia with the traditional Chinese medicine foot bath.MethodsWe Select Beijing University of Traditional Chinese Medicine Dongzhimen Hospital encephalopathic outpatient department in line with the screening criteria for heart and spleen deficiency type insomnia patients,than randomly assign the patients to three groups,which is only oral Chinese herbal medicine group(Group A),combination of o oral Chinese herbal medicine and warm water foot bath group(Group B),combination of oral Chinese herbal medicine and traditional Chinese medicine foot bath group(Group C).Group A uses the Guipi Decoction orally,a dose of medicine one day,morning and evening services.Group B uses the basic treatment of simple group A combine with the warm water foot bath,once a night.Group C uses the basic treatment of simple group A combine with Chinese medicine dregs foot bath,once a night.The course of treatment was 28 days.After treatment,the changes of TCM syndrome score and PSQI score were observed and the clinical curative effect was determined.Results1.In the baseline data,the study of a total of 60 cases of patients,including oral decoction group(A group)20 cases,oral decoction with warm water foot bath group(B group)20 cases,oral decoction with traditional Chinese medicine foot bath group(group C)20 cases.There were no statistically significant differences in sex,age,duration,height,weight,educational level,occupational distribution,TCM syndrome score and PSQI score between the three groups(P>0.05).2.TCM syndrome points,the end of treatment,the three groups of patients with the symptoms and the total score before treatment were decreased,the difference was statistically significant(P<0.05).Which in terms of insomnia,eat less appetite,Shenpi fatigue,shortness of breath lazy words,looking white,lip claws pale,aversion to cold,tongue and the total score,There were significant differences between the three groups(P<0.05).Which in terms of eat less appetite,Shenpi fatigue,aversion to cold,Group B was superior to group A(P<0.05),Group C was significantly better than group A and B(P<0.05).Which in terms of insomnia,shortness of breath lazy words,looking white,lip claws pale,tongue and the total score,There was no significant difference between group A and group B(P>0.05),but group C was still significantly better than group A and B(P<0.05).Suggesting that group C can effectively alleviate the symptoms of patients with insomnia and concomitant symptoms,and are better than A,B two groups;and less appetite,Shenpi fatigue and aversion to cold,B group is better than group A.3.In the PSQI score,the scores of PSQI in the three groups were decreased before treatment,and the difference was statistically significant(P<0.05).The sleep quality,sleep time and total score,the three groups were significantly different.(P<0.05).Sleep group and daytime dysfunction,group B was better than group A(P<0.05),group C was superior to group A and group B(P<0.05).The total score,group C was superior to group A and group B(P<0.05),there was no significant difference between group A and group B(P>0.05).It is suggested that group C is superior to group A and group B in reducing PSQI score and falling asleep and daytime dysfunction,and group B is superior to group A in sleep time and daytime dysfunction.4.In the treatment of insomnia,the total effective rate in group A was 80.00%,the total effective rate in group B was 85%,and the total effective rate in group C was 90%.And there was a significant difference(P<0.05).The curative effect of group C was better than that of group A and group B(P<0.05).The curative effect of group A and group B was similar.(P>0.05).Suggesting that C group in the efficacy of traditional Chinese medicine is significantly better than the group A,group B,the traditional Chinese medicine symptoms of group A and group B was similar.5.The comprehensive clinical efficacy of insomnia,after treatment,the total effective rate of group A was 80.00%,the total effective rate of group B was 85%,the total effective rate of group C was 95%.And there was a significant difference(P<0.05).The curative effect of group C was better than that of group A and group B(P<0.05).The curative effect of group A and group B was similar.(P>0.05).Suggesting that the clinical efficacy of group C was significantly better than the group A,group B,the clinical efficacy of group A and group B was similar.ConclusionsGuipi Decoction combined with internal and external treatment in the reduction of patients with PSQI score and improve the clinical symptoms of traditional Chinese medicine is significantly better than the simple oral decoction and warm water foot bath with the program,with warm water foot bath in the improvement of eating less appetite,Shenpi fatigue and chills Limb cold and other symptoms and sleep time,daytime dysfunction is better than simple oral decoction.In general,the addition of internal and external treatment of Guipi decoction comprehensive treatment has a good clinical efficacy,it is worth to promote the use of grassroots.