| Objective: In this study,TCM syndrome classification and quantification table of liver-fire disturbing heart insomnia,Results of Sleep Respiratory Monitor Wearing and PSQI scale were used as the therapeutic observation indicators to evaluate the efficacy of acupoint penetration needling in the treatment of liver-fire disturbing heart insomnia.To explore a more optimized scheme for clinical treatment of the disease.Methods: Sixty patients who met the inclusion criteria were divided into two groups according to random number table,30 in each group.The treatment group was treated with acupoint penetration needling while the control group was only treated with routine needling.Sleep Respiratory Monitor was worn,Pittsburgh Sleep Quality Index(PSQI)scale and Liver Fire Disturbing Heart Insomnia Scale were completed at the day before treatment and after the second course of treatment.Results: 1.Total efficacy evaluation: The total effective rate of the treatment group was better than the one of the control group.2.Therapeutic evaluation of TCM syndromes: The overall improvement of the treatment group was more obvious.It can also alleviate the typical clinical symptoms of liver fire disturbing heart:insomnia,irritability,dizziness,tinnitus,dry mouth and constipation.3.Sleep meter monitoring data comparison:The total sleep time,sleep efficiency,Stable ratio,REM ratio and total number of awakenings were significantly improved in both groups.And the curative effect of the treatment group is better than the one of the control group.4.The scores of PSQI scale were compared:The treatment group could lower the scores of seven components and total scores of PSQI.And the improvement of sleep latency,sleeping time,sleep dyssomnia,hypnotic drug use and daytime dysfunction were significantly better than those of the control group.Conclusion: Both acupoint penetration needling and conventional needling can improve the overall curative effect and TCM syndromes,the results of treatment group were more obvious.Acupoint penetration needling can improve sleep efficiency better、increase sleep time and improve sleep stability and sustainability when compared with conventional needling.Clinical results show that Shenmen penetrating Lingdao and Taichong penetrating Xingjian have good curative effect on heart-disturbing insomnia due to liver-fire,which is simple and feasible.It can be widely used in clinical treatment,and can be used as a new way to improve the disturbance of liver-fire disturbing heart type. |
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