| Objective:The purpose was to observe the clinical effect of plumblossom needle tapping on the back-shu points combined with acupuncture on insomnia of liver-fire disturbing heart type.From the aspects of sleep quality,sleep efficiency,total duration of sleep,daytime functional status and TCM syndromes,this paper analyzes and compares the clinical efficacy differences between plum-blossom needle tapping at the back-shu points combined with acupuncture and conventional acupuncture for insomnia of liver-fire disturbing heart type,and explores its unique advantages,so as to provide safe and effective methods and objective basis for clinical treatment of this disease,with a view to better clinical promotion.Methods:From December 2021 to December 2022,among the patients who went to the acupuncture and moxibustion Department or the Department of Encephalopathy of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine due to insomnia,60 cases meeting the criteria were screened,and these patients were divided into the treatment group(plum-blossom needle tapping and needling at the back-shu points in combination with ordinary acupuncture group)of 30 cases and the control group(ordinary acupuncture group)of 30 cases by random number table method.In the treatment group,the plum-blossom needle was used to tap the back-shu points in combination with the common acupuncture method.The acupoints for tapping the plum-blossom needle are BL15 and BL18.Points taken by the common acupuncture method included EX-HN1,and HT7,KI6,BL62,SP6,Anmian point,bilaterally.The control group was treated with ordinary acupuncture,and the acupoint selection was the same as that of the treatment group.All patients in the two groups were treated once every other day,three times a week,one week as a course of treatment,a total of four courses of treatment.Collect Pittsburgh Sleep Quality Index(PSQI),Athens Insomnia Scale(AIS)and TCM syndrome score of the two groups before and after treatment,and make comparative analysis,and finally evaluate and summarize the treatment effect.Results:1.After the treatment,the intra-group comparison showed that the total score of PSQI and each item score of the two groups were significantly lower than those before the treatment(P<0.05),with statistical significance.The comparison between the treatment group and the control group showed that after treatment,the total score of PSQI in the treatment group was significantly lower than that in the control group(P<0.05).In terms of PSQI scores,the treatment group was significantly lower than the control group in improving sleep quality and sleep efficiency of patients with liver-fire disturbance heart type insomnia(P<0.05),with statistical significance,while the other scores had no statistical difference(P>0.05).2.After treatment,the intra-group comparison showed that the total AIS score of patients in both groups was significantly lower than that before(P<0.05),with statistical significance.After treatment,the comparison between the treatment group and the control group showed that the total AIS score of the treatment group was significantly lower than that of the control group(P<0.05),with statistical significance.3.After the treatment,the intra-group comparison showed that the total score of TCM syndrome,main symptom score and concurrent symptom score of the two groups were significantly lower than before(P<0.05),with statistical significance.The comparison between the two groups showed that the total score of TCM syndromes in the treatment group was significantly lower than that in the control group(P<0.05),with statistical significance.In terms of the score of main symptoms of traditional Chinese medicine,the treatment group was significantly lower than the control group(P<0.05),with statistical significance,while the score of concurrent symptoms had no statistical difference(P>0.05).4.In terms of clinical efficacy,the total effective rate of the treatment group was 90.0%,which was higher than 80.0%of the control group.There was a significant difference between the two groups(P<0.05).No adverse events occurred in both groups during the study.Conclusion:1.Both the plum-blossom needle tapping at the back-shu points combined with ordinary acupuncture therapy and the simple application of ordinary acupuncture therapy can effectively reduce the scores of PSQI scale,AIS scale and TCM syndrome integral scale of patients with insomnia of liver-fire disturbing heart type.2.The treatment group is significantly better than the control group in improving the sleep quality,sleep efficiency of insomnia patients,as well as the main symptoms of TCM syndrome,such as anxiety and anger,irritability,dreaminess and wakefulness,which is worthy of clinical promotion and application. |
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