The Pathogenesis And Syndrome Of Yin And Yang Of Partition Method In The Treatment Of Early Awakening Type Insomnia

ObjectiveIn this study, randomized controlled clinical trial is applied to evaluate the clinical efficacy of the therapy based on difference between the treatment of yin and yang on early awakening type of insomnia. And the clinical trial is designed to provide a scientific basis for the therapy based on difference between the treatment of yin and yangMethodIn this study, a total of160cases were included. The randomized protocol produced by SAS8.2software was used. The patients suffering from early awakening type of insomnia were randomly assigned to the treatment group and control group. Patients of treatment group, including80cases, took the polyjuice potion named "zao xing wu fang", at7a. m, polyjuice potion named "zao xing mei fang", at7p. m. and20minutes warm water foot bath before going to bed. Besides, the patients from treatment group recieved the acupuncture treatment. Patients of control group, which also include80cases, took the estazolam therapy. The duration of treatment lasted2weeks. Patients in both groups were measured at the beginning、7days and the end of treatment (14days). The content of assessment included clinical efficacy, the daytime energy situation index and the nocturnal sleep situation index. The results were analysed by the SPSS17.0statistical software.ResultsThese patients suffering from early awakening type of insomnia came from the project of community service technology to support demonstration projects in Beijing. The treatment group includes18cases of male patients and62cases of female patients. The youngest in the treatment group is31years old, and the oldest is80years, the mean age is57.66±12.488years old. The shortest duration of insomnia is6weeks, and the longest disease duration is30years, the mean disease duration is3.95±6.202years. In the control group, there includes25male patients and55female patients. The youngest is29years old and the oldest is79years old, the mean age is59.79±12.986years old, the shortest disease duration is4weeks, and the longest is30years, the mean disease duration is3.79±6.093years.According to statistical analysis, the general information of the treatment group and the control group before the treatment, including gender, age, educational level, duration of sleep time, each item and total score of PSQI, the Epworth Sleepiness Scale, the daytime energy situation index and the nocturnal sleep situation index, is indifference (P>0.05). The results show that the clinical efficacy of the treatment group is68.75%and83.75%, respectively in the treatment course of7days and14days. And that of the control group is73.75%and77.5%respectively.The short-term clinical efficacy of the two groups is similar, while the long-term efficacy of the treatment group is better. The treatment of the both groups can improve the situation of patients in status of daytime function and nocturnal sleep quality, while the efficacy of the treatment group is significantly better efficacy than the control group.Conclusion(1) The therapy based on difference between the treatment of yin and yang is better than western medicine therapy in improving in the status of daytime function, the nocturnal sleep quality and the long-term clinical efficacy for the early awakening type of insomnia.(2) With clear clinical and theoretical basis, the therapy based on difference between the treatment of yin and yang has a positive clinical effect. Thus it is an effective method for the treatment of insomnia.