The Study Of Acupuncture Combine With Gain-sized Moxibustion Therapy In The Insomnia Of Heart-spleen Deficiency Type

ObjectiveTo study of the clinical effect on treating the insomnia of heart-spleen deficiency type with acupuncture combine with gain-sized moxibustion therapy. To provide now idea and objective evidence for treating the insomnia.Methods63 heart-spleen deficiency type insomnia patients were divided into treatment group and control group randomly. There were 32 cases in the treatment group, and 31 cases in the control group. The treatment group were treated by acupuncture combine with gain-sized moxibustion therapy, once a day, six days a week and off on sunday. The acupoints for acupuncture were Xinshu(BL 15), Pishu(BL 20), Ganshu(BL 18), Shenshu(BL 23), Baihui(DU 20), Shenmen(HT 7), Zusanli(ST 36), Sanyinjiao(SP 6), Taibai(SP 3). The acupoints for gain-sized moxibustion were Xinshu(BL 15) and Pishu(BL 20), while the control group were treated by taking Zolpidem before sleep immediately everynight. After treating for four weeks, the two group were compared with the Traditional Chinese Medicine(TCM) Symptoms and Pittsburgh Sleep Quality Index (Pittsburgh Sleep Quality Index, PSQI) scores which were analyzed under SPSS 17.0 statistical software.Results60 patients’treatments were finished in this study. One patient in treatment group was dropped out with 2 patients in the control group.1. Before treatment, the gender, age, length of illness, the scores of TCM Symptoms and PSQI including each subject of two groups were compared, there were no significant difference in both groups, which means comparable.2. After four weeks of treatment,12 cases were cured,12 cases were marked effective,5 cases were effective and 2 cases were ineffective in the treatment group, the total effective rate was 93.45%. While in the control group,5 cases were cured,6 cases were marked effective,11 cases were effective and 7 cases were ineffective, the total effective rate was 75.86%. It had significant difference. The effect of the treatment group was better than the control group.3. After the treatment, the scores of TCM Symptoms and PSQI of both groups had decreased. Meaning that acupuncture combine with gain-sized moxibustion therapy and taking Zolpidem were effective on treating the insomnia of heart-spleen deficiency type. But the treatment group’s scores had decreased markedly. There was significant difference between the two groups. The treatment group was better than the control group.4. Each subject scores of PSQI were compared, showing that the sleep quality and function during the daytime of the treatment group were better than the control group. Acupuncture combine with gain-sized moxibustion therapy significantly improved the sleep quality and function during the daytime of the insomnia patients.5. Each subject scores of TCM Symptoms were compared. The scores of the treatment group in disturbed sleep, palpitation, physically and mentally fatigued were lower than the control group. There were significant differences. Acupuncture combine with gain-sized moxibustion therapy significantly improved the sleep quality and remitted the palpitation, physically and mentally fatigued of the insomnia patients.6. After one month of the last treatment, the TCM Symptoms scores and PSQI scores of the treatment group were lower than the control group. There were significant differences, which means that the effect of acupuncture combine with gain-sized moxibustion therapy could last longer.ConclusionThere were good effectiveness in treating insomnia patients with acupuncture combine with gain-sized moxibustion therapy and taking Zolpidem. But the treatment group was better than the control group and effect could last longer. It was safe and less side effects on treating the insomnia with acupuncture combine with gain-sized moxibustion therapy, worthing to do more study and spread.