A Quantitative Efficacy Evaluation Study On Treating Depression Insomnia With Bo's Abdominal-acupuncture

Objective:Observe the curative effect of Abdominal-acupuncture on treating Depression Insomnia.Methods:Sixty patients suffered from Depression Insomnia were randomly divided into treatment group(abdominal-acupuncture group) and control group (body-acupuncture group),with 30 cases in each group.Auricular-plaster therapy was chosen as basic treatment for two groups.Xin(CO15),Shenmen(TF4) and Pizhixia(AT4) points were used in Auricular-plaster therapy.With this operating method,Wangbuliuxing seed was used to press on the ear points by plasters,and pressed for 3 to 5 times per day,3 to 5 minutes every time,and both ears were treated at the same time.The treatment frequency was twice per week,and totally 8 weeks for a course.In treatment group,Yinqiguiyuan(includes Zhongwan(RN-12),Xiawan(RN-10),Qihai(RN-6),Guanyuan(RN-4)),Qipang(Ab7),Qixue(KI-13) and Huaroumen(ST-24) points were used.With this needling method,Yinqiguiyuan were deep punctured while Qixue(KI-13),Qipang(Ab7) and Huaroumen(ST-24) were middle punctured,and the needle retention was 30 minutes.In control group,Baihui (GV20),Yintang(EX-HN3),Shenmen(HT-7) and Neiguan(PC-6) points were used.With this needling method,mainly regulating Qi,every point was needled until Qi arrival,and the needle retention was 30 minutes.The treatment frequency was twice per week,and totally 8 weeks for a course.The HAMD point,the HAMD sleep-factor point and the PSQI point were observed before and after treatment and also follow-up for one month after treatment.For the result,the HAMD reduction rate,the HAMD point,the PSQI point and the HAMD sleep-factor point were used to evaluate the efficacy.Results:1.By comparing the material before treatment,there was no significant difference between two groups by gender,age,course of disease and syndrome type of TCM(P＞0.05).2.By comparing the HAMD point,the HAMD sleep-factor point and the PSQI point before and after treatment,all figures in two groups descended markedly after treatment.There was markedly significant difference in treatment group(P＜0.01) and also markedly significant difference in control group(P＜0.01).3.There was no significant difference between two groups by comparing the points of HAMD,HAMD sleep-factor and PSQI before treatment.After treatment,by comparing all figures between two groups,the effect of the treatment group was better than the control group(P＜0.05).In the follow-up for one month after the treatment,the points of HAMD,HAMD sleep- factor and PSQI of two groups showed a recovery trend compared with the end of treatment,but by observing inter-group comparison,the recovery rate of the treatment group was less than the control group(P＜0.01).4.By observing the HAMD reduction rate,among the 29 cases in treatment group, 8 cases were cured of the disease;13 cases were marked therapeutic effective; 5 cases were improved;3 cases did not respond to the treatment.The significant efficiency rate was 72.4%and the total effective rate was 86.2%.Among the 28 cases in control group,4 cases were cured of the disease;8 cases were marked therapeutic effective;11 cases were improved;5 cases did not respond to the treatment.The significant efficiency rate was 42.9%and the total effective rate was 82.1%.There was no significant difference between two groups in the total effective rate comparison(P＞0.05),butthere was significant difference between two groups in the significant efficiency rate comparison(P＜0.05).Conclusions:Both Abdominal-acupuncture therapy and Body-acupuncture therapy have certain therapeutic effect for Depression Insomnia.Though the effect is considerable between two therapies in comparison of the total effective rate, Abdominal-acupuncture therapy is superior to Body-acupuncture therapy in comparison of significant efficiency rate and the HAMD point.By comparing the effect of treating Insomnia,Abdominal-acupuncture therapy has much better effect than Body-acupuncture therapy.In the follow-up for one month after treatment, by comparing all figures between two groups,Abdominal-acupuncture therapy is better than Body-acupuncture therapy in maintaining the effect for Depression Insomnia.