Chaihu Jia Longgu Mulidecoction Insomnia Treatment Discussion

Objective① Clinical Chaihu jia longgu muli decoction insomnia treated to know changes in sleep quality of insomnia patients before and after treatment.② Correlation between duration and efficacy of insomnia. Using Chaihu jia longgu muli decoction treated different types of insomnia symptoms. After observing the same course of treatment, that to know whether there was a correlation of course of disease and efficacy.MethodsCollected 35 cases of patients with insomnia. Using Chinese classification of mental disorders (CCMD-3) as the diagnostic criteria. According to Chinese medical science textbooks for insomnia syndromes, divided into four kinds of syndromes:① liver depression forming fire type ② Phlegm-heat attacking internally type ③ apprehensive and cowardly type ④ deficiency of both the heart and spleen type. Respectively, took herbal medicines,3 times a day, every 5g, lhour before bed and the next day noon and evening. A course was 7 days, and total were 8 courses. All patients were Chaihu jia longgu muli decoction as the basic side.15 cases of liver depression forming fire type using Gentianae Radix、Gardeniae Fructus.10 cases of Phlegm-heat attacking internally type using Aurantii Immaturus Fructus、Bambusae Caulis in Taeniis.6 cases of apprehensive and cowardly type removed Rhei Rhizoma and add in Albizziae Cortex、Polygoni Multiflori Caulis.4 cases of deficiency of both the heart and spleen type removed Rhei Rhizoma and add in Longanae Arillus、 Poria Pararadicis. Using SPIEGEL Questionnaire to assess the efficacy. Measured before taking, and every two weeks after the medication. Respectively, obtained 2 weeks,4 weeks,6 weeks,8 weeks the condition of sleep improvement to evaluate the quality of sleep in patients.Results① 8patients were cured (22.8%), and 5 cases were Significant effect (14.2%). 21cases were effective(60%), and lcase was invalid. The total of efficiency was 97.1%.② Before treatment, SPIEGEL Questionnaire scored (19.37±3.431). After 2 weeks of treatment scored (16.42±2.940), and after 4 weeks of treatment scored (14.62±2.66), and after 6 weeks of treatment scored (12.77±2.496), and after 8 weeks of treatment scored(11.41±2.428). By comparison the difference before and after treatment was statistically significant(P<0.05). Conclusion① liver depression forming fire type, phlegm-heat attacking internally type, apprehensive and cowardly type, and deficiency of both the heart and spleen type used Chaihu jia longgu muli decoction to improve insomnia were significant effect.② Chaihu jia longgu muli decoction for other clinical symptoms of insomnia had good Therapeutic effect.③ There was a good long-term efficacy advantage and treatment of insomnia by using Chaihu jia longgu muli decoction.