Clinical Study On The Distribution Of TCM Syndromes In Insomnia Patients

Objective: This paper studies the distribution of TCM syndromes in insomnia patients,analysis of the distribution characteristics of TCM syndrome elements in insomnia patients and the relationship between TCM syndrome elements and sleep quality,to explore the method of managing insomnia patients based on syndrome elements.Methods: 178 outpatients and inpatients who met the diagnostic criteria of insomnia were summarized by TCM syndromes,and the results of Pittsburgh Sleep Index Scale(PSQI),Four Diagnostics Scale and Four Diagnostics Information Scale were used to explore the sleep conditions and differences of different insomnia patients.Results: 1.syndrome distribution results: From the point of view of disease syndrome elements,the frequency from more to less is: Qi stagnation,phlegm turbid,dampness,heat,Yin deficiency,Qi deficiency,Yang hyperactivity,blood deficiency,Yang deficiency,blood stasis.From the perspective of pathological evidence,the frequency frequency from more to less is the spleen,stomach,heart,liver,kidney and gallbladder.2.Comparison of sex-specific syndromes:The incidence of phlegm turbidity and dampness syndrome in female patients was higher than that in men,while the incidence of blood stasis was lower than that in men.The incidence of heart and kidney syndrome in male group was higher than that in women,while the incidence of spleen,liver and stomach syndrome was lower than that in women.3.Comparison of Syndrome in Different Age Groups:The incidence of hot syndrome was higher in middle age than in young and older groups,gas deficiency,blood deficiency and Yang deficiency in older groups than in young and middle-aged groups,and in young groups were higher than in middle-aged and older groups.The higher the age group,the higher the incidence of cardiac and ren in;and he par in in the youth and middle age than in the older group.4.Comparison of Syndrome and Sleep Quality:Deficiency of qi,blood and yang deficiency syndrome and nephrosis syndrome were statistically significant in PSQI sleep quality scale.Conclusion:(1)More women than men suffer from insomnia.(2)The common syndromes of insomnia are related to heat,qi deficiency,dampness,qi stagnation,yin deficiency,phlegm turbid,blood deficiency,yang hyperactivity,blood stasis and yang deficiency.Common syndromes are associated with spleen,heart,stomach,liver,kidney and gallbladder.(3)Sex difference of disease and syndrome element in insomnia patients.(4)Age difference between pathological and path evidence in sleepless patients.(5)Disease and loctin were differ in PSQI sleep quality scales.