Observation On Curative Effect Of Treating Insomnia With Heart - Qi Deficiency By

Background:Insomnia is a common clinical disease. With the development of socio-economy, the increasing pace and the pressure of life, more and more patients were puzzled of insomnia. It is estimated that by 2020, there are about more than 700 million patients with insomnia worldwidely. Today the most common treatment of insomnia is oral medicine, but this method has more recurrence rate, high addiction and adverse reactions. TCM treatment has less adverse reactions,longer lasting effects and no rebound after withdrawaled. In recent years, Chinese medicine for insomnia research deepening. Prefessor Xu summed up a series of traditional Chinese methods to treat insomnia through her fourty years of clinical observation. She puts forward the way that Chinese medicine combine of standing qigong to treat insomnia which achieved good clinical efficacy. This research is aimed to inherite old professor’s expertise and it relied on the "famous doctors heritage" project. According to preliminary observation of the project, the heart spleen deficiency syndrome is the most common clinical syndromes of insomnia, so this research selected Yiqi Anshen decoction and move on the research on the base of it.Objective:Through the obversation of Yiqi Anshen decoction combined standing qigong treatment of heart spleen-deficiency insomnia, in order to objectively evaluate its exact and clear therapeutic effect, to provide an easy, non-drug adjuvant therapy to insomnia on the basis of traditional Chinese medicine.Methods:We use simple random controlled method according to the order of treatment, the odd as observation group, the other as the control group. Observation group were given Yiqi Anshen decoction orally, and guide their conduct standing qigong,2 times a day,5-10 minutes each time, the control group was only given Yiqi Anshen decoction.The treatment lasted for one month. We recorded Syndrome table, Pittsburgh Sleep Quality Index table, sleep time before and after the treatment,then used statistical software SPSS 22.0 for statistical analysis.Research result:1. After the treatment,the two groups of patients’sleep quality, sleep latency, sleep time, sleep efficiency, sleep disorders, sleep medication, daytime dysfunction are better than before, P<0.01, the difference was statistically significant. It shows that Yiqi Anshen decoction alone or Yiqi Anshen decoction combined standing qigong treatment are effective for heart spleen-deficiency insomnia.2. After treatment both groups’PSQI score, Syndrome table scores were significantly better than before, P<0.01, the difference was statistically significant. It shows that Yiqi Anshen decoction alone or Yiqi Anshen decoction combined standing qigong treatment are effective for insomnia and heart spleen-deficiency patten-related symptoms (such as shortness of breath, fatigue, palpitations, spontaneous sweating, anorexia, etc.), tongue and pulse sy drome.3. The observation group have more minus score than the control group on the quality of sleep and sleep efficiency, P<0.05, the difference was statistically significant.It shows that the treatment Yiqi Anshen decoction combined standing qigong is better than a single Yiqi Anshen decoction in improving sleep quality and increasing sleep efficiency.There is no statistically significant difference in sleep latency, sleep time, sleep disorders, sleep medication, daytime dysfunction aspect.4. The observation group have more minus score in the PSQI and Syndrome Scale than the control group, P< 0.05, the difference was statistically significant. It shows that the treatment Yiqi Anshen decoction combined standing qigong is better than a single Yiqi Anshen decoction in improving sleep situation and heart spleen-deficiency patten-related symptoms, tongue and pulse symptom.5. According to the PSQI score, observation group efficient was 93.75%, the control group was 71.87%,and observation group had higher proportion of healed and cured, P< 0.01, the difference was statistically significant.It shows that the treatment Yiqi Anshen decoction combined standing qigong is better than single Yiqi Anshen decoction in curing insomnia.6. According to the syndrome Scale score, the effective rate was 93.75% in the observation group, the control group was 84.37%, and the observation group recovered markedly and significantly higher proportion, P<0.01, the difference was statistically significant. It shows that the treatment Yiqi Anshen decoction combined standing qigong is better than single Yiqi Anshen decoction in relieving heart spleen-deficiency patten-related symptoms, tongue and pulse symptom.7. Though the course of treatment, there was no adverse reaction and emergence event in both of observation group and control group.Conclusions:Both Yiqi Anshen decoction combined standing qigong and single Yiqi Anshen decoction can improve sleep quality, reducing sleep latency, longer sleep time, improve sleep efficiency, reduce sleep disturbance, reducing the use of hypnotic drugs, reducing daytime dysfunction, and relieving patients’heart spleen-deficiency patten related symptoms, tongue and pulse symptom. However, Yiqi Anshen decoction combined standing qigong has more advantage in improving sleep quality, sleep efficiency, overall sleep symptom and heart spleen-deficiency patten-related symptoms, tongue and pulse, and for the treatment of insomnia cure rate and effective rate was significantly higher than single Yiqi Anshen decoction.Treatment of Yiqi Anshen decoction is effective for heart spleen-deficiency insomnia, combining standing qigong on the basis of traditional Chinese meicine is more significant effictive, moreover this method is simple,cheap,has no side effects which is worthy of promotion.