Clinical Observation Of "Heshu Massage" In The Treatment Of Insomnia Due To Liver Stagnation And Fire Transformation

Objective:To observe the clinical effect of "Heshu Massage" in the treatment of insomnia due to liver stagnation and fire transformation,in order to provide a new method for the clinical treatment of insomnia due to liver stagnation and fire transformation.Methods: Sixty patients who met the inclusion criteria for insomnia due to liver stagnation and fire transformation were randomly divided into two groups according to the random number table,with 30 cases in the observation group and 30 cases in the control group.The observation group and the control group were treated with "Heshu Tuina" and conventional Tuina,respectively.The manual manipulation of the two groups was performed once a day.Consecutive treatment for 6 days constituted one course of treatment for two courses in total.There were two days at the interval between the courses of treatment.The TCM syndrome score of liver stagnation and fire transformation syndrome and the Pittsburgh sleep quality index score before and after treatment were observed and the clinical effects of the two groups were compared.Statistical analysis was performed using statistical software SPSS20.0.Results:(1)Comparison of clinical effects: in the observation group,the cured,markedly effective,effective and ineffective cases were 2,15,9 and 3respectively,with the total effective rate of 89.6%;In the control group,the cured,markedly effective,effective and ineffective cases were 1,7,16 and 5cases,respectively,with the total effective rate of 82.7%;It indicated that the clinical efficacy of the observation group was superior to that of the control group(P < 0.05).(2)Comparison of TCM syndrome scores:(1)Comparison within the same group: The scores and total scores of each single TCM symptom after treatment in the two groups were lower than those before treatment(P < 0.05).(2)Intergroup comparison: After treatment,the observation group was better than the control group in the total syndrome score and improvement of upset sleeplessness,irritability,chest tightness and hypochondriac pain,dry mouth and bitter taste,constipation and yellowish urine(P < 0.05);The two groups had similar efficacy in improving red eye,dizziness,headache and dreaminess(P > 0.05).(3)Pittsburgh Sleep Quality Index(PSQI)Score Comparison:(1)Comparison within the same group: After treatment,the individual PSQI scores and the total PSQI scores of the two groups were lower than those before treatment(P < 0.05).(2)Intergroup comparison: After treatment,the observation group was superior to the control group in improving the total score,sleep quality,sleep latency,sleep duration and daytime dysfunction(P< 0.05);The two groups had similar effects on improving sleep efficiency and sleep disorder(P > 0.05).Conclusion(s):Both "Heshu Massage" and conventional massage can improve the clinical symptoms and sleep quality of patients with insomnia due to liver stagnation and fire transformation.The clinical efficacy of "Heshu Massage" is better than conventional massage,and it is worthy of promotion and application.