Clinical Observation Of Shallow Thorn Method Combined With Five-tone Therapy Of TCM In The Treatment Of Insomnia With Incoordination Between Heart And Kidney

Objective: To observe the clinical curative effect of Shallow Thorn Method Combined with Five-tone Therapy of TCM,Shallow Thorn Acupuncture Method and conventional acupuncture method on patients with Insomnia caused by incoordination between heart and kidney,and to provide clinical reference and new therapeutic method for the treatment of Insomnia caused by incoordination between heart and kidney.Methods: 90 patients from campus or clinic with Insomnia caused by incoordination between heart and kidney,aged of 18-45 years old,were recruited.The patients was randomly divided into three groups: group A,group B and group C,with 30 cases in each group.Group A was treated by Shallow Thorn Method Combined with Five-tone Therapy of TCM.The superficial puncture site was selected from dermal parts of Du meridian,bladder meridian,kidney meridian,Ren meridian and heart meridian.For the above superficial puncture sites,the needles was inserted into the dermis with a small amplitude(< 90°)and a high frequency(120-160 times/min)twist.The operation was performed for 10-20 s with the distance in 1cm.There are two therapeutic music played during the treatment,which are ‘The Rainbow’,a type of Yin melody of Zhi-tune music,and ‘Fuyang Langzhao’,a type of Yang melody of Yu-tune music.Both of them were selected from the ‘Chinese Medical Health Music’(Published by Higher Education Audio &Video Press).And the music was be played in succession for 30 minutes with the volume controlled at 40-60 decibels.Group B was treated by Shallow Thorn Acupuncture Method,the superficial puncture sites were selected the same with Group A but without music therapy.Group C was treated with conventional acupuncture method,with HT7,SP 6,GV 20,EX 1,BL 15,BL 23,KI 6 being selected as the main acupoints,which was according to TCM clinical guidelines of insomnia research group(WHO/WPO).The patients in those three groups were treated for 30 minutes per day for 4 weeks.Take 14 days as a course of treatment and the whole process would continue for 2 courses.The observation indexes were Pittsburgh Sleep Quality Index(PSQI),Athens Insomnia Scale(AIS),Hamilton Depression Scale(HAMA),and Traditional Chinese Medicine Syndrome Score(TCM Syndrome Score).The final clinical effect was divided into cure,apparently effective,effective and ineffective.The changes and the deference of each index before and after treatment between three groups would be compared.Results: 1.In Group A,30 cases were enrolled with 1 case interrupted.In Group B,30 cases were enrolled with 2 cases interrupted.In Group C,30 cases were enrolled without interrupted.2.Baseline comparison: There was no significant difference in age,gender,the score of PSQI,AIS,HAMA,and TCM Syndrome among 3 groups(P>0.05).3.After the treatment,the score of PSQI,AIS,HAMA,and TCM Syndrome were significantly different(P<0.05).4.Comparison between groups after treatment:(1)Comparison of PSQI score and AIS score: After 1 course and 2 courses of treatment,there was no statistical significance in PSQI score and AIS score between groups A,B and C(P>0.05);(2)Comparison of HAMA score: After 1 course of treatment,It was statistical significant in HAMA score between group A and group B(P<0.05),and the same between group A and group C(P<0.05).Meanwhile it was no statistical significant in HAMA score between group B and group C(P>0.05).After 2courses of treatment,it was no statistical significant in HAMA score between group A and group B(P>0.05).At the time,it was statistical significant in HAMA score between group A and group B(P<0.05),and the same between group A and group C(P<0.05).(3)Comparison of TCM Syndrome Score: After 1 course and 2 courses of treatment,it was no statistical significant in TCM Syndrome score between group A and group B(P>0.05).Meanwhile,it was statistical significance in TCM Syndrome score between group A and group B(P<0.05),and the same between group A and group C(P<0.05).Conclusion: 1.Shallow Thorn Method Combined with Five-tone Therapy of TCM,Shallow Thorn Acupuncture Method and conventional acupuncture method can improve the clinical symptoms of patients with Insomnia caused by incoordination between heart and kidney.Aforementioned methods on this are equivalent,which is clinically feasible.2.Shallow Thorn Method Combined with Five-tone Therapy of TCM,Shallow Thorn Acupuncture Method and conventional acupuncture method can improve the anxiety state of insomnia patients with incoordination between heart and kidney,and have a certain effect on the improvement of negative emotions.In the short-term treatment,Shallow Thorn Method Combined with Fivetone Therapy of TCM is better than the other two,with the other two methods showing the similar effects on improving the anxiety state.In the long-term treatment,Shallow Thorn Method Combined with Five-tone Therapy of TCM shows the similar effects as Shallow Thorn Acupuncture Method,both of which are better than conventional acupuncture method on improving the anxiety state.3.Shallow Thorn Method Combined with Five-tone Therapy of TCM,Shallow Thorn Acupuncture Method and conventional acupuncture method can improve the clinical TCM symptoms of patients with Insomnia caused by incoordination between heart and kidney.Shallow Thorn Method Combined with Five-tone Therapy of TCM shows the similar effects as Shallow Thorn Acupuncture Method,both of which are superior to conventional acupuncture method on improving the clinical TCM symptoms.