Treatment Of Cervical Insomnia (Liver Depression Type) By Overall Lysis Of Acupotomy Combined With Chaihu And Longgu Muli Decoction

Objective: to observe the clinical effect of whole needle-scalpel lysis combined with Chaihu and Longgu Muli decoction on cervical insomnia(liver depression type),and to provide a new idea for the clinical treatment of cervical insomnia.Methods: eighty-eight patients with cervical insomnia from April 2022 to December2022 were randomly divided into trial group and control group.The control group(whole needle-knife release): the first needle-knife release-small“T” needle-knife release,the second needle-knife release-release atlantoaxial soft tissue attachment point,needle-knife release once a week,alternate use,for 4 weeks.Experimental group(whole needle knife lysis combined with Chaihu and Longgu Muli decoction): on the basis of the control group,the traditional Chinese medicine Chaihu and Longgu Muli decoction was given once a day twice a day for 4 weeks.The scores of Pittsburgh Sleep Quality Index(PSQI)and neck pain scale(NPQ)were measured before treatment,after treatment and 3 months after treatment respectively,the PSQI score,NPQ score,TCM syndrome score and clinical effect of the two groups were analyzed.All data were analyzed by statistical software SPSS22.0.Results:1.General information: there was no significant difference in sex,age,course of disease,PSQI score and NPQ score between the two groups before treatment(P > 0.05).2.Total effective rate: after treatment,the total effective rate was 92.7% in the trial group and 78.0% in the control group.There was a significant difference between the two groups(P< 0.05).3.PSQI score: the two groups in the improvement of“Insomnia” has a difference,the test group is better than the control group(P < 0.05).Three months after the course of treatment,there was a significant difference in the improvement of insomnia between the two groups(P< 0.05),and it was better than the control group(P < 0.05).4.NPQ score: there was difference in improving“Neck pain” between the two groups,and the test group was better than the control group(P < 0.05).Three months after the course of treatment,the improvement of“Neck Pain” in the test group was significantly different from that in the control group(P < 0.05),and was superior to that in the control group(P <0.05).Conclusions:1.The whole needle-knife lysis combined with Bupleurum plus longgu muli decoction and the whole needle-knife lysis alone can improve the clinical symptoms of cervical insomnia,such as insomnia and neck pain.2.After four weeks of treatment,the effect of whole needle-knife lysis combined with Bupleurum and longgu muli decoction is better than that of simple whole needle-knife lysis in relieving neck pain and improving insomnia.3.Three months after the treatment,the curative effect of the combination of needlescalpel and Bupleurum and longgu muli decoction is longer than that of the simple needlescalpel,which provides a better treatment for cervical insomnia.