Clinical Preliminary Research Of Buzhongyiqi Tang On Insomnia Belonging To Tpye Of Spleen And Stomach Qi Deficiency

ObjectivesDiscussed the clinical effect of Buzhongyiqi Tang on insomnia belonging to type of spleen and stomach Qi deficiency, based on the Spleen and Stomach Theory, in order, to provide theoretical support, and scientific basis for its further modern scientific basic research and clinical application and development.Methods41patients were followed up and investigated as insomnia belonging to type of spleen and stomach Qi deficiency, being treated by Buzhongyiqi Tang from the Special Department of Psychological Sleeping of Guangdong Provincial Hospital of TCM from July2013to December2013. The general information and subjective assessment of sleep quality (Pittsburgh Sleep Quality Index questionnaire (PSQI) and subjective overall efficacy score) were observerd and recorded, in order to analyze their pathogenic factors, clinical symptoms of insomnia, as well as the clinical effect of Buzhongyiqi Tang.Result1. Subjective overall efficacy score:After treatment of2weeks,32cases got partial remission, accounting for78%.2. Factor scores and the total score of PSQI:After the treatment, the total scores of PSQI are13.68and9.98before and after the treatment. The score after the treatment is decreased significantly (P<0.05). Six of seven factor scores of PSQI:sleep quality, sleep latency, sleep time, sleep efficiency, sleep disturbance, sleep medication and daytime function are decreased significantly (P<0.05) after treatment.3. General information:Among the insomnia patients belonging to type of spleen and stomach Qi deficiency treating by Buzhongyiqi Tang:female is the majority(75.6%); age is concentrated in30-39years old(39.0%); most of them are married(82.9%);58.5%of the patients have a job as a mental work; the majority of them suffered insomnia over3months as chronic insomnia(92.7%); life events induced insomnia is common(87.8%);56.1%of them suffered others kinds of diseases at the same time.Conelus ion1. Sleep quality on the patients diagnosed insomnia belonging to type of spleen and stomach Qi deficiency can be effectively improved by Buzhongyiqi Tang. Their subjective sleep quality is better, sleep latency is shortened, sleep time is extended, sleep efficiency is improved, the social functions of the day is recovered.2. There are special pathogenic factors for the insomnia patients, who are belonging to type of spleen and stomach Qi deficiency treating by Buzhongyiqi Tang. Such as diet disorders, exhausted from work, emotional stimuli or low immunity, etc. All of them belong to chronic stress. Insomnia due to the injure of chronic stress could be remitted by TCM.3. Diet disorders, exhausted from work, emotional stimuli or low immunity are concerned as the pathogenic factors in TCM as well. Spleen and stomach Qi deficiency is inevitable when insomnia occurred and developed. The method of treatment is invigorating spleen, supplementing Qi, and harmonizing the function of spleen and stomach.