Preliminary Study On Clinical Experience And Academic Thoughts Of Professor Li Qiyi In Treating Insomnia

Objective:By observing 120 outpatients with insomnia,this study attempts to analyse the syndrome differentiation of insomnia, principle of prescription and the experience of Professor Li Qiyi in the treatment of insomnia,thus we can summarize his clinical experience and academic thought.Methods:investigate insomnia patients who get medical treatment at the medical hall room four of Jiangsu Province Hospital of Traditional Chinese Medicine from May 2015 to April 2016.Insomnia patients who meet the diagnostic criteria of Western medicine and traditional Chinese medicine diagnosis standard are collected.According to TCM Syndrome Differentiation Standard,they are put into four groups as syndrome of stagnation of liver fire,yin deficiency and fire, Phlegm-heat attacking internally,and deficiency of Qi and blood,30cases each.The social demographic characteristics and the syndrome type in TCM are collected.Patients of each group are treated with different traditional Chinese medicine based on Professor Li Qiyi’s clinical experience.Before and after treatment, the scores of TCM symptoms and PSQI are observed and analyzed.Insomnia diagnostic criteria adopted the" China mental disorders classification and diagnostic criteria version 3(CCMD-3) "diagnostic criteria for insomnia.Chinese medicine diagnosis standard of insomnia adopted SFDA"the guiding principle of clinical research on new drugs of traditional Chinese medicine",Administration of traditional Chinese Medicine" Chinese medicine diagnosis Syndrome Evaluation standards ".The course of treatment is 28 days.The data is analyzed by SPSS 16.0 using descriptive analysis, T test,Chi-square test, variance analysis and one-way ANOVA.Results:There are no differences in age,gender and the score of PSQI and TCM symptom before treatment between the four types of patients.From the TCM symptom integral of different syndrome types,we can see that the clinical control and significant effieieney of Syndrome of stagnation of liver fire and yin deficiency and fire are 70 percent while the rate of the Syndrome of Phlegm heat and deficiency of Qi and blood are 50 percent and 63.33 percent. But there is no significant difference between the four groups. After the treatment, the total score of TCM symptoms and the points of the specific items of the four groups are statistically significant.As for the PSQI integral of different syndrome types, Syndrome of stagnation of liver fire and yin deficiency and fire have the highest healing rate,30 percent. The rate of the Syndrome of Phlegm heat and deficiency of Qi and blood are 20 percent and 26.66 percent.The total score of PSQI of the four groups themselves are statistically significant after the treatment.,but there is no significant difference between them. Among the seven specific items of the PSQI table,"Hypnotic drug application"has not been improved in the Syndrome of deficiency of Qi and blood while the other items in each group are significantly different after the treatment.Comparing the patients with and without anxiety and depression, the total score of TCM symptom is statistically significant.There is a significant difference between the dream and restlessness improvement while no significant difference shows in other symptoms.The difference between the total score of PSQI is not statistically significant,but among the seven statistical items,the integration of sleep time, sleep disorder and daytime dysfunction are statistically significant.Conclusion:The treatment can significantly improve the overall sleep quality of patients with insomnia,shorten the time of falling asleep, prolong the total sleep time, increase the efficiency of sleep, reduce sleep disorders,and improve the symptoms of dreaminess,easy to wake up, fatigue and irritability.It can also significantly improve the day function of the patient.The use of hypnotic drugs decreased in most of the patients after the treatment except for the deficiency of Qi and blood group.The curative effect of overall improvement of sleep for the patients with anxiety and depression is better than non anxiety depression group especially for the symptoms of dreams and irritability.Comparing the difference In total PSQI score,the overall sleep quality improvement in the treatment of anxiety and depression group is not better than that of non anxiety depression group.But the sleep time, sleep disorders and daytime dysfunction in patients with anxiety and depression is significantly improved.The treatment of insomnia by Professor Li Qiyi has a significant curative effect.Evaluated both by traditional Chinese medicine index and Western Medicine index, the results show that the quality of life and sleep status of the patients were improve. Professor Li Qiyi’s clinical experience in treatment of insomnia has great guiding significance. It is very worthy of further study.