| Objective:To observe the clinical efficacy of umbilical acupuncture combined with Guyuan moxibustion based on the theory of“Shui Huo Ji Ji”in treating heart-kidney incoordination insomnia.Methods:A random number table was used to divide 64 patients who met the criteria of the study into a observation group and a control group,with 32 patients in each group.The observation group was treated with umbilical acupuncture combined with Guyuan moxibustion.Treatment course:2 times/week,each time at an interval of 2 to 3 days,for a total of 4 weeks of treatment.The control group was treated with estazolam tablets taken orally for 3 to 5 d per week for 4 weeks.The differences in efficacy between the two groups before and after treatment were evaluated by comparing the Pittsburgh Sleep Quality Index(PSQI)scores,TCM evidence points,and anxiety self-rating(SAS scale)of the two groups and by statistical analysis using chi-square test,t-test,and rank sum test.Results1.Comparison of baseline data:Gender composition of patients in both groups,age composition,disease duration distribution,treatment pretreatment PSQI score,TCM evidence score,SAS score;the differences were not statistically significant(P>0.05)that were comparable.2.Analysis of results:(1)Pittsburgh sleep quality(PSQI)scores:At the end of treatment,the total scores of both groups were significantly lower,and the total scores of the observation group were significantly lower than those of the control group,with statistically significant differences(P<0.05).In terms of improving sleep quality,improving sleep time,reducing sleep disorders and daytime dysfunction,the scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05);for improving patients’sleep time and sleep efficiency,the difference between the scores of the two groups was not statistically significant(P>0.05).(2)Chinese medicine evidence scores:After the end of treatment,the scores of both groups were significantly reduced,and the scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).(3)Self-assessment of anxiety(SAS)scores:After the treatment,the scores of both groups were significantly lower,and the scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).(4)Safety evaluation:During the treatment,three patients in the estazolam group experienced daytime fatigue,poor mental status and sleepiness;no adverse effects were observed in the umbilical acupuncture combined with Guyuan moxibustion group,and the safety was high.Conclusion:Umbilical acupuncture and Guyuan moxibustion based on the theory of "ShuiHuoJiJi" has obvious efficacy in treating the type of sleeplessness in which the heart and kidneys are not intertwined,and has obvious advantages in improving the quality of sleep,alleviating the clinical symptoms of Chinese medicine,and reducing the anxiety of patients. |
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