The Clinical Study Of The Treatment Of Heart-spleen Deficiency Type Insomnia By Acupuncture Point Injection On Si Hua Point

ObjectiveTo explore the clinical efficacy of this method in the treatment of insomnia, we evaluate the improvement of symptoms in insomniacs treated by acupuncture point injection of Si Hua point. At present, there were lots of research on acupuncture point injection and Si Hua point to treat insomnia, and achieved good therapeutic effect. However, Si Hua point applied to the clinical application usually by the method of moxibustion and cupping, rarely by the method of acupuncture point injection. Therefore, this topic chooses acupuncture point injection on Si Hua point can provide a new method and basis for clinical treatment of insomnia.Methods90 patients during 2015.06 to 2016.01 in Foshan Hospital of traditional Chinese medicine acupuncture clinic and ward, according to request of this topit, were randomly divided into treatment group (acupuncture point injection and ordinary acupuncture), control group 1 (normal acupuncture) and control group 2 (point injection),30 patients in each group. The main points of treatment group:Shenmen(HT7), Neiguan(PC6), Baihui(DU20), Anmian, Geshu(BL17), Danshu(BL19), and adjunct points:Xinshu(BL15), Pishu(BL20), Sanyinjiao(SP6). The main points of control group 1:Shenmen(HT7), Neiguan(PC6), Baihui(DU20), Anmian, and adjunct points:Xinshu(BL15), Pishu(BL20), Sanyinjiao(SP6). The main points of control group 2:Geshu(BL17), Danshu(BL19). Conventional operation on Shenmen(HT7), Neiguan(PC6), Baihui(DU20), Anmian, Xinshu(BL15), Pishu(BL20), Sanyinjiao(SP6), by normal reinforcement and normal reduction, retaining the needle for 30 minutes. Point injection on the one side of Geshu(BL17), Danshu(BL19), and on the other side at the next time.A treatment course is four weeks, each patient is treated three times one week, and the observation period is a course. The patients are demanded to fill in the Pittsburgh Sleep Quality Index Scale, TCM Syndrome Score table, and Insomnia Symptom Score table, respectively before treatment and after one courses of treatment.ResultsThere is no statistically significant difference among 3 groups in gender, age, course and labor (P all＞0.05). There is no statistically significant difference among 3 groups in the group of comparison on PSQI in each factor and total score, and TCM syndrome score (P all＞0.05).3 groups have statistically significant difference at PSQI factor and total score after treatment. Both comparison in the treatment group and control 1, and the treatment group and control 2 have statistically significant comparison, after treatment (P all＜0.05). Between the total score of control group 1 and control group 2 have no statistical significance (P＞0.05). There is statistically significant difference by rank test among 3 groups in the TCM Syndrome after treatment (P＜0.05). The efficacy of PSQI in three groups has statistically significant difference by rank sum test after treatment (P＜0.05). The improvement of insomnia symptoms in three groups has statistically significant difference by rank sum test after treatment (P＜0.05). the difference was statistically significant. The scores of treatment group with control group 1 and treatment group with control group 2 have statistically significant difference at follow-up (P all＜0.05). The scores of control group 1 and control group 2 have no statistically significant difference at follow-up (P＞0.05).ConclusionEach of the therapies, acupuncture point injection and ordinary acupuncture, ordinary acupuncture and acupuncture point injection can obtain clear clinical efficacy in the treatment of insomnia patients which belong to heart-spleen deficiency type.The integral and long-term therapy of acupuncture point injection and ordinary acupuncture are better than the others after one course of treatment, especially in the improvement of sleep quality, sleep efficiency and sleep time and so on.