Clinical Study On Acupuncture And Moxibustion Treatment Of Peri-menopausal Insomnia With Heart-kidney Disharmony Based On The Theory Of Yin-Yang Ontology Structure

Objective:To observe the clinical efficacy of Sanjiao in the treatment of peri-menopausal insomnia of deficiency-yang floating type under the guidance of yin-yang ontology structure theory.Methods: Sixty patients with peri-menopausal insomnia who met the inclusion criteria were randomly divided into observation group(n=30)and control group(n=30).The observation group was treated from Sanjiao and treated with integrated acupuncture combined with acupuncture,blood-letting puncture and wheat grain moxibustion.Acupuncture points: Yintang(EX-HN3),Baihui(DU20),Shenmen(HT7),Neiguan(PC6),Zhongwan(RN12),Tianshu(ST25),Zusanli(ST36),Sanyinjiao(SP6),Taixi(KI3),puncture and bloodletting: Dazhui(DU14),Xinshu(BL15),Zhiyang(DU9),wheat grain Moxibustion:Zhongwan(RN12),Xiawan(RN10),Qihai(RN6),Guanyuan(RN4),Shenshu(BL23),Mingmen(DU4),The control group was treated with ordinary acupuncture.Acupoints were selected: Yintang(EX-HN3),Sishencong(EX-HN1),Anmian,Shenmen(HT7),Guanyuan(RN4),Zhaohai(KI6),Shenmai(BL62),Sanyinjiao(SP6)and Taixi(KI3).Course of treatment: both groups were treated from Monday to Friday,and the curative effect was observed after continuous treatment for 4 weeks.Evaluation methods: the clinical efficacy was observed after continuous treatment for 4 weeks.Pittsburgh Sleep quality Index scale(PSQI),modified Kupperman score and SF-36 quality of Life scale were used to observe the curative effect before and after treatment.Results:1.Before treatment,there was no significant difference in age,course of disease and other general data,PSQI scale score,modified Kupperman score and SF-36 quality of life scale score between the two groups before treatment(P>0.05).2.Comparison of clinical curative effect between the two groups after treatment: the clinical curative effect of the observation group was better than that of the control group,and there was significant difference(P<0.05).3.Comparison of the scores of PSQI scale between the two groups after treatment in patients with peri-menopausal insomnia:Compared within the group,the factor scores and total scores of PSQI in the two groups were significantly lower than those before treatment(P<0.05).In terms of sleep quality,sleep time,sleep efficiency and total score,the observation group decreased more significantly than the control group in terms of sleep quality,sleep time,sleep efficiency and total score(P<0.05).4.Comparison of modified Kupperman score between two groups of patients with insomnia in peri-menopausal period after treatment : After treatment,the modified Kupperman scores of patients in both groups decreased significantly as compared with those before treatment(P<0.05),and the degree of decline in the observation group is more significant(P<0.05).5.Comparison of SF-36 quality of life scale scores between the two groups of perimenopausal insomnia patients after treatment:After treatment,compared within the group,the scores of the 8 dimensions of the SF-36 Quality of Life Scale of the observation group were significantly higher than those before the treatment(P<0.05),Except for physiological functions,the scores of other dimensions in the control group were significantly higher than those before treatment(P<0.05).In comparison between the groups,the observation group is better than the control group in five aspects:physiological function,vitality,general health,physical function,and mental health(P<0.05).Conclusion(s):The integrated acupuncture treatment scheme based on the treatment of Sanjiao can improve the sleep quality,symptoms and quality of life of patients with insomnia in peri-menopausal period.Its clinical effect is better than that of routine acupuncture.