The Effect On Chronic Insomnia By Health Qigong·Wuqinxi Combined With Relaxing Exercise Treatment

Insomnia is one of the most common diseases of sleep disorder, with the characters of difficulty falling asleep and keeping asleep, poor sleep quality. The patient often have the symptoms of drowsiness, anxiety, depressed, interest lack, withdrawing in society life, impaired concentration. Insomnia is not the severe disease endangering life, but it has been the important factor that effect people's physical and mental health, quality of life, work ratio. The sleep quality problem causes the increasing of medical cost and the decreasing of work ratio. This has been a major public health problem.We cognize the epidemiology characteristic, definition, etiological factors and grouping, diagnosis and treatment in stable condition of insomnia by review the newest literature in western medicine. We systematically conclude and summarize the name, symptom, pathogenesis, the control principle of the disease in TCM and indicate the direction of clinical research. We consider the main pathogenesy of insomnia is imbalance of Yin and Yang. Insomnia has a close connection with the disturbance of Five viscera at the same time. While the dysfunction of five viscera which can't hold their own vitality. Insomnia is the sign which tell the disharmeny of the Yin and Yang rhythm in the day and night and the dysfunction of five organs which can't hole their own vitality. We carry on the research treating chronic insomnia patient by health qigong·wuqinxi exercise combined with relaxing exercise on the base of my director's early research.We use Pittsburgh sleep quality index ( PSQI )as synthetic standard in measuring sleep quality, and use Epworth's weary schedule, Self-anxiety schedule, self-depression schedule reflecting the patient's drowsiness, anxiety, depressed caused by insomnia. We evaluate the clinic therapeutic effect with sleep time, sleep quality. Comparing with the taijiquan combined with relaxing group and walk combined with relaxing group, the results indicate that: wuqinxi combined with relaxing exercise and taijiquan combined with relaxing exercise all can improve the patient's PSQI every factor score, total score and main sleep index. And the effect of wuqinxi combined with relaxing exercise is more significant. But walk combined with relaxing exercise as control group can improve only few part of sleep index such as sleep quality, falling sleep time, sleep efficiency, sleep disorder. And the effect is not more significant.In the aspect of effect on sleep time, the effective rate of wuqinxi combined with relaxing exercise is 92.9%, cure and marked effect rate is 50%; the effective rate of taijiquan combined with relaxing exercise is 77.8%, cure and marked effect rate is 25.9%; the effective rate of walk combined with relaxing exercise is 52.4%, cure and marked effect rate is 14.3%. In the aspect of effect on sleep quality, the effective rate of wuqinxi combined with relaxing exercise is 92.9%, cure and marked effect rate is 57.1%; the effective rate of taijiquan combined with relaxing exercise is 85.2%, cure and marked effect rate is 37.0%; the effective rate of walk combined with relaxing exercise is 52.3%, cure and marked effect rate is 14.3%. It directs wuqinxi combined with relaxing exercise has the best effect on improving sleep time and sleep quality. The effective rate, recovery and excellence rate of wuqinxi combined with relaxing exercise significantly surpass taijiquan combined with relaxing exercise and walk combined with relaxing exercise. In the aspect of effect on day drowsiness condition, the three group patients' Epworth's weary score are all improved, and the wuqinxi combined with relaxing exercise group is more significant. It directs wuqinxi combined with relaxing exercise is more effective. In the aspect of effect on anxiety and depression condition, the three group patients' SAS score and SDS score are all improved, and the wuqinxi combined with relaxing exercise group is more significant. It directs wuqinxi combined with relaxing exercise is more effective.Conclusions: wuqinxi combined with relaxing exercise can effectively prolong sleep time, improve sleep quality and efficiency, advance patient's day function recovery, and improve patient's anxiety and depression condition. So it will achieve the control goal of insomnia. As a kind of Non-drug therapy, wuqinxi combined with relaxing exercise is safe and effective, non-side-effect, and it can save medical resource, relieve patient's economical burden. We speculate the mechanism of wuqinxi is that adjusting emotion, dredging the meridians and collaterals, regulating Zangfu, adjusting Qi and blood, Yin and Yang of partes corporis humani, and making Yin and Yang in a relative equilibrium, life activities being normally maintained. Wuqinxi can calm heart and soothe the nerves, harmonize Yin and Yang, regulat five viscera and make five vitality stored, that cure the insomnia essentially. Wuqinyi combined with relaxing exercise that is one of the health Qigong, can effectively induce sleep by dynamic and static combination. This research provides science proof for spreading Wuqinxi.