| ObjectiveWith the help of the ancient and modern medical case cloud platform and the use of data mining technology,the tutor Professor Liu Ling excavated the relevant experience of TCM evidence and treatment rules,medication characteristics and combination therapy of TCM and Western medicine on insomnia with different degrees of anxiety grouping,so as to better guide the clinic.MethodFrom November 2020 to November 2021,this study selected insomnia patients who attended the Garden Hill Clinic,the Department of Encephalopathy of Phoenix Clinic and the Optics Valley Famous Medical Hall Clinic of Hubei Provincial Hospital of Traditional Chinese Medicine,and finally collected 142 clinical cases with a total of 421 diagnoses according to the criteria of inclusion,discharge and exclusion,and divided them into three groups according to the degree of anxiety at the time of initial diagnosis,namely the no anxiety group（HAMA total score 0-6 points）,the anxiety propensity group（HAMA total score 7-13 points）,and the anxiety group（HAMA total score ≥ 14 points）.After entering the original data through The Idata software,the excel format data is exported,and the drug is standardized according to the Chinese Pharmacopoeia and Chinese Materia Medica,and the spss26.0 and ancient and modern medical case cloud platform are used for data analysis.Using analysis of variance,chi-square test and rank test analysis,the differences in basic information,treatment methods and efficacy between the groups were compared,the frequency statistics of TCM types,evidence elements and treatment methods were carried out,and the core prescriptions of Chinese medicines of each group were analyzed by using complex network technology.ResultAmong the 142 insomnia patients who met the criteria,the difference in the proportion of the number of people in the groupings with different anxiety levels in their age and education level was not statistically significant,and the difference in the proportion of the number of people in the groupings was statistically significant.Regardless of the degree of anxiety,women are the mainstay,middle-aged and elderly people are the main group of insomnia,and intermediate education is the main incidence of insomnia.The difference in the proportion of people in the group with a prior history is statistically significant,and the proportion of people in different groups in terms of the main symptoms and triggers is not statistically significant;the proportion of people with a history of history is higher than that in the anxiety-prone group and the anxiety group;regardless of the degree of anxiety,it is difficult to fall asleep,easy to wake up at night,difficult to fall asleep after waking,early awakening,dreaming,and fatigue after waking up as the main symptoms,the no-anxiety group takes the easyness to wake up at night as the highest frequency symptom,and the anxiety propensity group and the anxiety group take difficulty falling asleep as the highest frequency symptom.There was no difference between the PSQI scores of the anxiety group and the anxiety propensity group,and the total PSQI scores of both groups were greater than those of the no anxiety group,and the differences were statistically significant,and the differences between the is I,HAMA,and HAMD scales were statistically significant,and the total scores increased with the severity of anxiety.The TCM certificate type of the anxiety group is mainly based on the heart and spleen deficiency,yin deficiency and fire,the disease position is mainly the heart,spleen and liver,and the sickness is mainly qi deficiency,blood deficiency and stagnation;the TCM certificate type of the anxiety tendency group is mainly liver depression fire,heart and spleen two deficiencies,the disease position is mainly the heart,liver and spleen,and the disease is mainly qi stagnation,qi deficiency and fire;the anxiety group Chinese medicine certificate type is mainly liver depression fire,yin deficiency and fire,the disease position is mainly heart,liver and spleen,and the disease is mainly fire,qi stagnation,and qi deficiency;the traditional Chinese medicine treatment method of the anxiety group is mainly to nourish the blood and calm the nerves,nourish the heart and spleen,and nourish the yin and lower the fire.The Traditional Chinese medicine treatment method of the anxiety tendency group is mainly to nourish the blood and calm the spirit,drain the liver and diarrhea,and nourish the heart and spleen,while the Chinese medicine treatment method of the anxiety group is mainly to nourish the blood and calm the spirit,thin the liver and diarrhea fire,and nourish the yin and lower the fire.The core prescriptions of Chinese medicine in the anxiety-free group are: sour jujube kernel,schisandra,angelica,salvia,calamus calamus,ginseng,Sichuan root,zhimu,poria and licorice;the core prescriptions of the anxiety group are: Sichuan root,poria,chaihu,sour jujube kernel,zhimu,angelica,stone calamus,schisandra,acacia flower,tangerine peel,danshen;the core prescription of the anxiety group is: chai hu,Sichuan root,stone calamus,angelica,sour jujube kernel,tangerine peel,poria,ginseng,licorice.Professor Liu Ling treats insomnia patients,according to the actual clinical situation,the appropriate Chinese medicine decoction,proprietary Chinese medicine or both are selected,but the three anxiety level groups are mainly based on the use of Chinese medicine decoction;for insomnia patients,the use of anxiolytic depressants is not preferred,but when patients have more serious anxiety tendencies or serious anxiety,they will choose to add anti-anxiety and depression drugs,for patients with severe anxiety,two different mechanisms of anti-anxiety and depression drugs are used in combination;in addition to drug treatment,Professor Liu Ling applies sleep hygiene education as a routine method to each insomnia patient,and according to the patient’s anxiety level,psychological counseling is added for auxiliary treatment.Whether it was based on sleep quality or anxiety improvement as the criterion,there were no statistically significant differences in efficacy between groups of different anxiety levels.Among them,the overall effective rate was 79.6% and the clinical recovery rate was 10.6% based on the evaluation criterion of sleep quality,and the overall effective rate was 99.3% based on the improvement of anxiety.ConclusionGender and whether there is a prior history have a significant impact on insomnia and anxiety,and age,education,and whether there are triggers have little effect on insomnia and anxiety.Difficulty falling asleep and easy to wake up at night is the most common symptom of insomnia patients,insomnia with different degrees of anxiety disease mechanism constantly changing,no anxiety group TCM type to heart and spleen two deficiencies,yin deficiency fire mainly,anxiety tendency group TCM card type to liver depression fire,heart and spleen two deficiency mainly,anxiety group TCM type to liver depression fire,yin deficiency fire mainly,no anxiety group of Traditional Chinese medicine treatment to nourish blood and calm the nerves,nourish the heart and spleen,nourish the yin and fire mainly,anxiety tendency group of Traditional Chinese medicine treatment to nourish the blood and calm the nerves,liver diarrhea fire,nourish the heart and spleen mainly,the treatment of traditional Chinese medicine in the anxiety group is to nourish the blood and calm the spirit,drain the liver and diarrhea fire,and nourish the heart and spleen.The traditional Chinese medicine treatment in the anxiety group is mainly based on nourishing blood and calming the spirit,thinning the liver and diarrhea,and nourishing the yin and lowering the fire.Professor Liu Ling treats insomnia,according to the different levels of anxiety,choose to use traditional Chinese medicine,proprietary Chinese medicine or a combination of both,if necessary,add anti-anxiety and depression drugs,each patient is given sleep health education,and those with severe anxiety are given psychological counseling and auxiliary treatment. |
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