Clinical Research For The Treatment Of Acupuncture Combine With Chinese Medicines On Insomnia Caused By Hepatic Stasis Spleen Deficiency

Insomnia is a common disease, the incidence rate of which reaches 10%-20% in our population, Mainly in the elderly, young and middle-aged women. Clinical manifestations were difficult to sleep, easy to wake up after sleep, can not sleep after waking, when the wake up when sleep soundly, or overnight for syndrome characteristics, and often accompanied by lack of energy during the day, fatigue, anxiety, general malaise, unresponsive, body tired fatigue, even upset, distracted, memory loss, long-term insomnia can lead to schizophrenia and depression, anxiety disorders, autonomic dysfunction and other functional diseases, and various diseases, such as the cardiovascular system, digestive system and so on. Insomnia seriously affect physical and mental health and working, learning efficiency and quality of life. Therefore, for such a large incidence rate of insomnia caused by hepatic stasis, spleen deficiency, to impose correct and effective prevention methods and means, becomes our medical workers work focus and purpose.This study case from acupuncture clinic of Guangdong second hospital of TCM, based on uniform diagnostic criteria, inclusion criteria, exclusion criteria to determine eligible subjects.Objectivethrough scientific and rigorous clinical trials and methods of research, to observe and evaluation the effects of acupuncture treatment combine with Chinese herbal drugs on insomnia caused by hepatic stasis, spleen deficiency.MethodThe clinical observation of 60 cases are divided into treatment and control group each for 30 cases. Treatment groups:three department location method (Point take:Anmian, Yintang, Zhongwan, Sanyinjiao, Taichong) acupuncture combine with oral Xiaoyao Decoction to treat.Control group:seven editions for insomnia acupoints taken methods (Zhaohai, Shendu, Shenmen Yintang Sishencong) combine with oral Xiaoyao Decoction to treat. Every day at 15:00-17:30pm is chose for acupuncture treatment periods. After the acupuncture, twisting needle of reinforcing-reducing for 30 seconds, once every 10 minutes, needle transmission, Altogether three times, the needles need to stay 30 minutes, each week from Monday to Saturday to acupuncture 1 time 6 days a course of treatment,1 days rest between the two treatments, afternoon and evening before going to bed 1h of each day to take Chinese medicine, every time taking 150mL,1 week a course of treatment, continuous treatment for 2 weeks. We observe the treatment effect after two course. Treatment Basic therapy:selected patients have a combination relatively stable basic chronic disease (hypertension, diabetes, hyperlipidemia, etc.), who told to continue he appropriate specialist drug treatment. General project was recorded before treatment. Before treatment,7 days after the first treatment,14 days follow-up record each clinical rating scale evaluation data. Meanwhile the patients were followed in the three days after 2 courses, to understand the curative effect of sustainability. Pittsburgh sleep quality index scale (PSQI), SPIEGEL scale, and the Chinese medicine diagnosis of disease and syndrome of curative standard issued by the state administration of traditional Chinese medicine insomnia syndrome, whose insomnia curative standard to assess its curative effect.ResultClinical recovery rate is 36.67%, total effective rate is 93.4% in treatment group, that is 20.0%,83.4% respectively in control groupo Through chi-square tests, there is a significant differences between two groups in recovery rate, (P<0.05), but have significant differences in total effective rate, (P<0.05), which means the treatment group is superior to the control group。Applying Pittsburgh Sleep Quality Index (PSQI) and SPIEGEL score the two groups at the beginning and end of one course. Both of the Pittsburgh Sleep Quality Index (PSQI) and SPIEGEL scores in the two groups were descen, there's a significant differences, (P<0.01), indicating the therapy of two groups is effective;Comparing the two groups'Pittsburgh Sleep Quality Index (PSQI) and SPIEGEL scores one course later, the scoures of treatment group descend more obvious than control group, (P<0.05), that meanns the treatment group is superior to the control group on improving insomnious symptom.Applying improved GQOL-74 score the two groups at the beginning and end of one course. Both of the GQOL-74 scores in the two groups were descend, there's significant differences, (P<0.01), indicating the two groups'therapy is effective;Comparing the two groups'GQOL-74 scores one course later, the scoures of treatment group descend more obvious than control group, (P<0.05).means the treatment group is superior to the control group on improving the quality of life, and then through assessment scale for GQOL-74, comparing the two groups'scores after one course, the result is that the score of treatment group is more than control group, means that the treatment group is better than control one in improving the quality of life.ConclusionThe treatment of acupuncture combine with Chinese medicines on insomnia caused by hepatic stasis, spleen deficiency has clinical chronergy, scientificity, deserve to be popularized.