Clinical Observation On The Treatment Of Insomnia By Dredging Du Meridian And Regulating Shen Massage

Objective:By observing the clinical effect and mechanism of dredging Du meridian and regulating Shen massage in the treatment of primary insomnia,to provides new ideas for clinical practice.Method:Sixty patients with primary insomnia who came to the clinic of the First Massage Department and the Second Acupuncture and Moxibustion Department of the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine were selected.The patients were randomly divided into treatment group and control group by random number table method,with 30 cases in each group.The treatment group was treated by the massage method of dredging Du meridian and regulating Shen,by using kneading method,one finger pushing method,rubbing method and other techniques on the Du Meridian from Baihui(DU20)to Yaoshu(DU2)and Shenmen(HT7),Neiguan(PC6),Anmian(EX-HN18)acupoints for massage treatment,once a day.The control group was treated with conventional massage,once a day.Patients in both groups were treated for 2 weeks as a course of treatment,with 2 days of rest between courses.Before and after treatment,scores of Pittsburgh Sleep Quality Index,Severity Index of Insomnia,Hamilton Anxiety Scale and Hamilton Depression Scale were measured,plasma cortisol were measured,heart rate variability were analyzed and compared.Result:1.Before treatment,there were no significant differences in gender,age,disease course,PQSI,ISI,HAMA score,HAMD score,serum COR and HRV indexes between the two groups,indicating two groups are comparability(P>0.05).2.Both massage methods using in two groups c an effectively reduce the PQSI and IS I of patients,and reduce the symptoms of insomnia;Reduce HAMA and HAMD scores,improve the anxiety and depression of patients;The serum COR concentration of patients was reduced,and the VLF in HRV index of patients was increased.The dredging Du meridian and regulating Shen massage method using in treatment group could also significantly increase the LF and LF/HF in HRV index,with statistically significant differences(P>0.05).3.The ability of the treatment group to reduce PQSI index,IS I index,HAMA,HAMD score,serum COR concentration and increase VLF in HRV was significantly better than that of the control group,and the difference was statistically significant(P>0.05).4.After 2 courses of massage treatment,the total clinical effective rate of the treatment group was significantly better than that of the control group(P<0.05).Conclusion:Both the traditional massage method and the dredging Du meridian and regulating Shen massage method can effectively treat primary insomnia and reduce the state of anxiety and depression in patients.Moreover,the dredging Du meridian and regulating Shen massage method has a more significant effect than the traditional massage method.The mechanism of its therapeutic effect may be related to the decrease of serum COR concentration and the improvement of HRV index.