Characteristics Of Reactive Points In Du Mai In Patients With Insomnia And Acupuncture Effects

AIMThe aim was to get the effects of acupuncture on insomnia patients and the characteristics of reactive points of Government Vessel.METHODSixty(60)patients with insomnia were collected and divided into two groups:the treatment group contained 30 patients,who received five acupuncture treatments for 5 weeks,and the second group was composed of 30 other patients who only took sleeping pills for 5 weeks.The patients were then asked to lie face down.the points 大椎(GV14),夹脊next to GV14,风池 Fengchi(GB 20)Bilateral and 风府Fengfu(GV 16)were needled 0.5-1.0 cun perpendicularly or obliquely followed by even reinforcing-reducing manipulation,even a rotation for one minute and no more than 1-2 mm amplitude Needles were retained for 30 minutes.Control group only used sleeping pills before wanting to accomplish sleep at night,the pills that were used as Benzodiazepine was Ambien used for the short term treatment of sleeping problems,and taken every day 1 pill or 1 dose,also 5 weeks.3.5 mg for men and 1.75 mg for women was given as a tablet under the tongue and used for middle-of-the night awakenings.It can be taken if there are at least 4 hours between the times of administration and when the person must be awake.The reactive points of Government Vessel were detected with palpation of the spine from T1 to L5 vertebra area,also in the depression between the upper portion of muscle sternocleidomastoids and the muscle trapezius called Fengchi(GB 20)on the same level with Fengfu(CV 16)and Jiaji points next to Dazhui(GV14).The Self-Rating Sleeping Situation Scaling(SRSS)and The Pittsburgh sleep quality index(PSQI)were used to measure sleep quality before and after the treatments.Reduction rate of PSQI score decrease by 25%was defined as in-efficacy,26%-50%as efficacy,51-75%as significant afficacy,76%-100%as healing.An assessment of the main etiological factors for each patient was carried around the following syndromes:Blood Deficiency,Hyperactivity of liver fire,Excess fire due to yin deficiency,Internal phlegm heat,Heart-spleen deficiency,Heart-gallbladder Qi deficiency,Stomach disharmony,Liver and Qi stagnation.RESULTSThe patients that were treated with acupuncture after 5 treatments sleeping disorder and back sensitive points found did decrease and the symptoms began to disappear.The patients who kept taking Benzodiazepine Ambien as the sleeping pill used as a way to solve them problem began to suffer secondary effects.The acupuncture treatment group was superior to the sleeping pills control group in terms of efficiency and total reduction rate.SRSS After the treatment,the two characteristics decrease substantially mainly for the C7 vertebra,The most important decreases in terms of tenderness/pain concern the following vert:ebra:The major decrease concerns vertebrae T1 to T7 mainly for vertebra T3(decrease for 7 patients out of 9),vertebra T5(decrease for 4 patients out of 8)and vertebra T7(decrease for 5 patients out of 10),and PSQI gave us the quantitative observation on the sleeping components and the deep sleep effectiveness rate before and after the treatment.CONCLUSIONThis study has proved that Acupuncture(the needling method)of regulating Sleep Disorders using DUMAI(Governor Vessel),with the stimulation of Fengfu(GV16),Dazhui(GV14)Jiaji points next to Dazhui(GV14),and fengchi(GB20)bilaterally,has better results than taking sleeping pills every night,at the same time the number of reactive points in DUMAI decrease and sensitive went less.Acupuncture helps to refresh the mind,terminate or even reverse the sleep disorders of patients and improve in a significant way sleep quality and regulate psychosomatic symptoms.As a result,people with sleeping disorders in order to improve their quality of life,should pursue this method.