| Objective:Observe the clinical efficacy of ear acupoint pressing beans combined with Banxia Houpu Decoction in the treatment of insomnia with overthinking state and its influence on infrared thermography,In order to reduce the use of Western medicine for insomnia patients,improve the treatment efficiency of insomnia,and provide new ideas for the clinical treatment of insomnia from the state of psychological disorder.Methods:A total of 60 patients with insomnia with overthinking insomnia who attended Shandong Provincial Hospital of Traditional Chinese Medicine from December 2019 to December 2020 and met the inclusion criteria were selected.According to the random number method,30 patients were divided into test groups and control groups.The experimental group was given traditional Chinese medicine Jiajian Banxia Houpu Decoction combined with auricular pressure bean therapy,auricular pressure bean acupuncture points: auricle liver,Shenmen,sympathetic,heart,kidney,cortex,six acupoints,Wangbuluu line ear acupuncture,3 days It is a course of treatment,a total of 4 courses.The control group was treated with Jiajian Banxia Houpu Decoction,decocted in water about 200 ml,one dose per day,twice after breakfast and half an hour before going to bed.The treatment period was 14 days.By analyzing and compari ng the changes of the scores of the two groups before and after the treatment,such as the score of the paranoia rating scale,the infrared calorific value of the acupoints on the body surface,the total score of the Pittsburgh sleep quality index scale and the scores of each factor,the improvement of sleep,paranoia and metabolism of the patients were studied.Results:1.General data analysis: There is no significant difference between the two groups of patients in terms of gender,age,education level(P>0.05),and they are comparable.2.Judgment of clinical efficacy: In the experimental group,5 cases were cured clinically,6 cases were markedly effective,18 cases were effective,and 1 cases were invalid.The total effective rate of TCM syndrome in the experimental group was 96.67%.In the control group,2 cases were cured clinically,5 cases were markedly effective,19 cases were effective,and 4cases were ineffective.In the control group,the total effective rate of TCM symptoms was 86.67%,and the total effective rate of TCM symptoms in the experimental group was significantly higher than that in the control group(P<0.05).3.Comparison of the Pittsburgh Sleep Quality Index(PSQI)scores between the two groups:After treatment,3 cases were cured,8 cases were markedly effective,16 cases were effective and 3 cases were ineffective in the experimental group.The total effective rate of TCM symptoms in the experimental group was 90%.In the control group,2 cases were clinically cured,6 cases were markedly effective,18 cases were effective,and 4 cases were ineffective.The total clinical effective rate of TCM syndrome in the control group was 86.67%,and the clinical effective rate of Western medicine in the experimental group was significantly higher than that in the control group(P < 0.05).After treatment,the total PSQI scores of the experimental group and the control group before and after treatment were significantly different(P < 0.01),and the total PSQI scores of the experimental group and the control group after treatment were significantly different(P<0.01).The scores of each factor of PSQI of the experimental group and the treatment group before and after treatment were statistically different(P<0.05).The scores of each factor of PSQI of the experimental group and the treatment group after treatment,except sleep There were no significant differences in time factor and daytime dysfunction factor(P>0.05),but there were significant differences in other factors(P<0.05).4.Comparison of the scores of the TCM Overthinking State Rating Scale between the two groups: The scores of the scale of over state of thinking were significantly different before and after treatment(P < 0.01),and the scores of the test group and the control group were significantly different(P <0.01).5.Comparison of the results of the temperature and calorific value of the two groups of infrared thermograms: The infrared calorific value of the acupoint area of the two groups of patients was significantly different before and after treatment(P<0.05).After treatment,there was also a significant statistical difference in the infrared calorific value of the acupoint area between the two groups(P<0.05).Conclusion:The two treatment methods can effectively improve the clinical symptoms of insomnia patients with excessive thinking,improve the sleep condition of patients,balance the body’s heat metabolism,and the overall effect of Auricular Pressure beans combined with traditional Chinese medicine is better than that of traditional Chinese medicine alone. |
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