The Clinical Controlled Study Of Acupuncture Combined With Moxibustion And Only Acupuncture For Treating Insomnia

Objective:To explore the efficacy of acupuncture according to syndrome differentiation plus moxibustion and only acupuncture according to syndrome differentiation.Methods:Under the random, contrast and single-blind research method,60 cases were involved in this trial and divided randomly into three groups:Group A (treated with acupuncture according to syndrome differentiation plus moxibustion), Group B (treated with only acupuncture according to syndrome differentiation). The treatment of acupuncture was 30 minutes one time, The treatment of moxibustion was 10 to 15 minutes each time between half or one hour before bed, once a day in a three-course program with 10 days in each course and an interval of 2 to 3 days. After treatments, the short-term effect were evaluated with the change of quantitative various symptoms of Chinese medicine and AIS score before and after therapy. Results:The baseline of the two groups is balanced, and except for differences from time to wake up early or lassitude, The compare of the gender, age, seriousness of the overall based on the comparative analysis of AIS before treating, symptoms based on the comparative analysis of deficiency of both heart and spleen before treating is comparable (P>0. 05). By comparison of effect of the 60 cases completed, the results of AIS indicated that 6 cases from group A were cured (with cure rate of 20%),20 markedly effective (accounting for 66.7% of the total), leaving 3 effective(10%) and 1 invalid (3.3%),while 0 cases from group B were cured,21 markedly effective (accounting for 70% of the total), leaving 8 effective(26.7%) and 1 invalid (3.3%).Therefore, the total effective rate of Group A (86.67%) is higher than that of Group B (70%), both significant (P<0.05), and the average order of Group A was better than that of Group B (25.98< 35.02), so the effect of Group A was better over that of the Group B. the analysis of AIS after treating indicated that the time to bed, total sleeping time,total sleeping quality, daytime spirits and severity of asphyxia are comparable (P>0.05). The quantify the effects on various symptoms of Chinese medicine indicated that 5 cases from group A were cured (with cure rate of 16.7%),17 markedly effective (accounting for 56.7% of the total), leaving 7 effective(23.3%) and 1 invalid (3.3%),while 0 cases from group B were cured,3 markedly effective (accounting for 10% of the total), leaving 26 effective(86.7%) and 1 invalid (3.3%).Therefore, the total effective rate of Group A is higher than that of Group B, both significant (P<0.05), and the average order of Group A was better than that of Group B (21.07<39.93), so the effect of Group A was better over that of the Group B. The analysis of Chinese medical symptoms after treating indicated that insomnia, lassitude and tongue proper are comparable (P>0.05).Conclusions:The trail indicates that all two methods have beneficial effect, but the curative effect of acupuncture according to syndrome differentiation plus moxibustion was proved to be more helpful than the treatment of only acupuncture according to syndrome differentiation.