Clinical Observation On The Effect Of Abdominal Ginger Mud Cross Moxibustion Combined With Routine Acupuncture On Insomnia With Deficiency Of Heart And Spleen

Objective:To observe the clinical efficacy of abdominal ginger mud cross moxibustion combined with routine acupuncture in the treatment of insomnia with deficiency of heart and spleen,and the improvement of sleep quality and traditional Chinese medicine symptoms,so as to provide a set of feasible treatment plan for the clinical treatment of insomnia with deficiency of heart and spleen.Methods:Sixty cases of insomnia with deficiency of heart and spleen were divided into observation group and control group by random number table.The control group was treated with conventional acupuncture.The observation group was additionally treated with abdominal ginger mud cross moxibustion.The control group was treated once a day,6 days as a course of treatment,and rested for 1 day after each course of treatment.The observation group received acupuncture treatment 4 times a week and cross moxibustion treatment 2 times a week(1-2d interval),6d as a course of treatment,and the interval of each course was 1 d.Both groups finished treatment after 4 courses.The total score of Pittsburgh Sleep Quality Index(PSQI)and scores of each item,the total score of TCM syndrome and scores of each item,and the total effective rate of treatment were compared between the two groups before and after treatment.Results:1.The total score of PSQI and the scores of each component in the observation group were lower than those in the control group,and the differences between the two groups were comparable in terms of sleep quality,sleep time and total score(p<0.05),while no differences were comparable between the two groups in terms of sleep time,sleep efficiency,sleep disorders and improvement of daytime function(p>0.05).These results indicate that cross-moxibustion combined with acupuncture in the treatment of insomnia with deficiency of heart and spleen has significant advantages over acupuncture alone in the improvement of sleep quality,sleeping time and PSQI comprehensive items,and the two curative effects are comparable in the improvement of patients’ sleep time,sleep efficiency,sleep disorders and daytime function.2.The total scores of TCM syndrome and various items in the observation group were lower than those in the control group,and the differences between the two groups were comparable(p<0.05)in the scores and total scores of difficult sleep,frequent dream and easy wake up,pale face,limb fatigue,distension and loose stool,while there was no comparison between the two groups in the improvement of TCM symptoms such as palpitation and amnesia,less fatigue and dizziness(p>0.05).It is indicated that cross moxibustion combined with acupuncture in the treatment of insomnia with deficiency of both heart and spleen,compared with acupuncture alone,has significant advantages in improving the symptoms of difficult to fall asleep,excessive dream and easy to wake up,pale face,limbs fatigue,abdominal distension and loose stool and TCM comprehensive symptoms of patients,and has similar curative effect in improving the TCM symptoms of patients with palpitation and forgettiness,little exhaustion and dizziness.3.The total score of PSQI and the scores of each component of the two groups after treatment were lower than before treatment,the difference was statistically significant(p<0.05);The total scores of TCM syndrome and components of the two groups after treatment were lower than before treatment,and the difference was statistically significant(p<0.05).These results indicated that the two groups of treatment schemes were effective in improving patients’ sleep quality and TCM syndromes.4.The total effective rate of the observation group was 93.3%,which was higher than that of the control group 80.0%Conclusion:Abdominal ginger mud cross moxibustion combined with conventional acupuncture in the treatment of insomnia with both deficiency of the heart and spleen has more significant clinical effect than the simple application of acupuncture,and the improvement of the overall sleep status and TCM symptoms of patients is more obvious,especially in the improvement of the TCM symptoms of patients with difficulty to fall asleep,multiple dreams and easy to wake up,pale face,limbs fatigue,diarrhea and distension,sleep quality and sleep time.Abdominal cross moxibustion combined with acupuncture has significant advantages.It is worthy of extensive clinical application and promotion.