Clinical Study Of Self-prepared Prescription Yangxin Jianpi Decoction On Insomnia(Deficiency Of Heart And Spleen)

Objective:The contents of this clinical study for use from yangxin spleen decoction glove two deficiency type of insomnia,based on the patients with symptoms before and after treatment and to observe any adverse reactions occur,clear whether the yangxin spleen soup with clinical efficacy and safety,for the use of traditional Chinese medicine clinical reference for the treatment of insomnia.Methods:A prospective study was conducted to collect patients with insomnia in the geriatric outpatient department from November 2019 to December 2020.By collecting and sorting out literature and materials of traditional Chinese and western medicine about insomnia,in-depth study is made of the diagnostic basis,etiology,pathogenesis and treatment plan of traditional Chinese and western medicine about insomnia.Seventy-two patients with insomnia of deficiency of heart and spleen were randomly divided into two groups.The treatment group was treated with Yangxin Jianpi Decoction for 4 weeks,and the control group was treated with Tianmeng Capsule(Yantai Rongchang Pharmaceutical Co.,Ltd.)for 4 weeks.Research in the process of observation of symptoms,signs and related physical and chemical inspection,the two groups of patients’ age,gender,Pittsburgh sleep quality index,the scale of syndromes for detailed records and information related to summarize data,using the software SPSS21.0 system in chi-square test,t test,rank and inspection statistical methods such as analysis,to verify that the yangxin spleen decoction has significant clinical efficacy and the safety of the green,healthy and stable.Results:1.Analysis of PSQI score results:Comparison between the two groups before treatment showed that the total score of the treatment group was 12.64±1.53,while that of the control group was 12.61±1.89,showing no statistical difference.After drug treatment,the total score of the treatment group was 6.25±2.61,and the total score of the control group was 7.42±2.05.0.05,has significant difference;The total effective rate of the treatment group was 86.11%,and the total effective rate of the control group was 83.33%,P=0.031<0.05,the results show that Yangxin Jianpi Decoction has more advantages in improving insomnia in patients.2.Analysis of TCM syndrome scores:The TCM syndrome scores of patients in the treatment group decreased significantly after taking Yangxin Jianpi Decoction,P<0.05,there is a significant difference,the control group patients take Tianmeng capsule,Chinese medicine syndrome score also showed a decline,the two treatment schemes can improve patients palpitation,forgetfulness,easy to wake up and other Chinese medicine syndrome.After treatment,the two groups were compared.In terms of improving symptoms of multiple dreams,easy waking up,palpitation,forgetfulness,dizziness and dizziness,P>0.05,no significant difference,the efficacy is similar.Insomnia,stupor,fatigue,and facial symptoms were significantly higher than those of others,P<0.05,the treatment group has an advantage over the control group.The total effective rate of the treatment group was 88.89%,and that of the control group was 66.67%,P=0.005<0.05,the two groups in the treatment of insomnia in the TCM syndromes curative effect has obvious difference,the treatment group is better than the control group.Conclusion:1.According to the above data,both Yangxin Jianpi Decoction and Tianmeng Capsule can decrease the Pittsburgh sleep quality index of patients and improve the sleep quality of patients,and the clinical efficacy of the treatment group is better than that of the control group.2.Yangxin Jianpi Decoction can significantly reduce the TCM syndrome scale scores of patients with heart and spleen deficiency,and the improvement of TCM syndrome in the treatment group is better than that in the control group in terms of alleviating insomnia,epinepina-Na stupidity,mental fatigue and facial symptoms.3.Yangxin Jianpi Decoction has good clinical efficacy and stable safety,which provides an effective reference for the treatment of insomnia by traditional Chinese medicine and makes a positive contribution to highlighting the characteristics of traditional Chinese medicine.