Clinical Study On The Treatment Of Phlegm-Heat Disturbing Heart-Type Primary Insomnia By Pressing Needle

ObjectiveThis topic aims to observe the clinical effect of the treatment of phlegm-heat disturbing heart type primary insomnia by pressing needle,and preliminary discussion of its clinical effectiveness,and to provide new ideas for the future clinical treatment of insomnia.MethodStrictly follow the diagnostic criteria to screen 60 cases and those were segmented into the observation group and the control group in random.Before starting the treatment plan,the two groups of patients need to fill in the PSQI,SAS and TCMSS scales in detail,and record the scores of their scores in time.Under the same basic treatment conditions,ordinary acupuncture therapy was used to treat 30 cases of control group(once a day,6 times a week,weekly weekend rest,4 weeks of treatment);The observation group was treated by pressing and embedding needles,a total of 30 cases(acupuncture every Monday and Friday,twice a week,three days between treatment,and rested every Thursday,treatment for 4 consecutive weeks).The 4 weeks of treatment was over,the two groups of patients filled out and recorded the above scale again,and selected appropriate statistical analysis methods for data processing,and compared and analyzed the differences between the two groups before and after treatment and the differences between groups.Results(1)Comparability:(1)Basic information: The course of disease,age and sex showed no difference(P>0.05);(2)Observation scale: There was no difference in the scores of PSQI,SAS and TCMSS scales before their treatment(P>0.05).(2)Analysis of differences within the group:(1)Contrast within observation group: The total scores and PSQI scores were significantly decreased(P<0.01),and both scores of TCMSS and SAS scales were evidently dropped(P<0.01);(2)Contrast within the control group: The total scores and PSQI scores were significantly decreased(P<0.01),and both scores of TCMSS and SAS scales were evidently dropped(P<0.01).(3)Analysis of differences between groups:(1)Total scores and PSQI scores: In the matter of the sleeping time,time to fall asleep and sleep disturbance,both groups of cases scores decreased(P<0.05),however,there was no difference in the scores of the two groups in terms of the efficiency of sleep,sleep quality and daytime function(P>0.05),the total scores in the observation group dropped at a noticeable rate(P<0.05);(2)SAS: the score of the observation group was lower(P<0.05);(3)TCMSS : the score of the observation group was lower(P<0.05);(4)Total effective rate: The observation group was 93%;the control group was 86%,there was no difference(P>0.05).Conclusion(1)Both the pressing and embedding needle group and the ordinary acupuncture group can effectively improve the insomnia symptoms of patients with phlegm-heat disturbing heart-type primary insomnia,relieve anxiety,improve TCM symptoms.(2)Compared with conventional acupuncture therapy,press-needling therapy is more effective in shortening the time to fall asleep,increasing sleep time and reducing sleep disorders.(3)Press-needling therapy is better than conventional acupuncture in improving the total score of PSQI,SAS score and TCMSS score.