| Simple insomnia is a common clinical symptoms,is called “Bu Mei” for Traditional Chinese Medicine,refers to a sickness that fall asleep or sleep maintenance problem,the quality of sleep can not meet the normal physiological needs and even affect the daytime social function.The main symptoms include difficulty falling asleep,insomnia-middl,deaminess,early awakening,frequent awakening,pernoctation,so that can not eliminate fatigue,restore physical strength or energy.With the accelerated pace of daily work and life,increasing competition pressure,the prevalence of simple insomnia is also increasing year by year,insomnia seriously affecting the patient's physical and mental health.Although it is not a clinical critical illness,long-term insomnia on the human body have a greater impact,so that the body metabolic disorders,viscera dysfunction,decreased immunity;it can increase or induce heart disease,high blood pressure,stroke,diabetes and other illness,so that seriously hinder people's normal life,work and study;it can also significantly affect the patient's mood,increase the risk of depression and anxiety.Objective: At present Western medicine treats insomnia mostly using the method of per os sedative-hypnotic drugs which having certain curative effect,but just treating the symptom not the underlying problem,and when taking drugs it effects,drugs withdrawal rebounding;it easily causes drugs dependence if you long-term medication;it may constant increasing doses to maintain more sleep;it damages the liver and kidney function long-term taking the drugs;the sleep is not ideal by taking and taking cannot relieve fatigue well,thinking slowly,low work efficiency.The traditional medicine treats insomnia mostly based on the doctors' experiences,or dialectical classical prescription,or self-prepared empirical prescription,or acupuncture,or moxibustion,or striking sting,or cupping.Though they may improve the insomnia,but have indefinite responses and lack specificity.Under the guidance of this topic in my teacher carefully,to observe the clinical effect of accupuncture “An Mian Wu Xue” combine with Auricular-plasterto Cure Simple Insomnia,to find a therapy characteristics of traditional chinese medicine,which has exact effect,less recurrence,simple operation,economical and practical,safe non-toxic side effect and easily accepted by patients.Methods: In this study,160 patients with simple insomnia were selected by randomized controlled trial.All patients from accupuncture branch outpatient department of Hebei Traditional Chinese Medicine hospital during January 2015 to June 2016,satisfied the diagnosing standard and in-group standard.The selected insomnia patients were randomly divided into treatment group and control group,each group with 80 patients.All patients were given psychological adjustment,kepping a good mood,dislodged the factors may induce or intensify the disease condition.The treatment group was given accupuncture “An Mian Wu Xue” combine with auricular-plaster treatment.According to the patient's tongue,pulse,disease will be divided into seven syndromes that it includes liver-heat disturbing heart type,Phlegm-heat attacking internally type,stomach qi disharmony type,internal blockade of static blood type,deficiency of heart and spleen type,deficiency of heart and gall bladder type and disharmony between heart and kidney type.Each of the syndrome patients was given accupuncture “An Mian Wu Xue”(Feng Chi point,San Yin Jiao point,Xi Men point,Shen Men point and Shen An point)combine whith Auricular-plaster(Xin point,Shen Men point,Subcortex point,Sympathy point)and the corresponding point.The control groupwas given“Estazolam Tablets”,Patients were orally given 1 tablet before sleep at night,1 time per day,10 times to be a period,concluted all the effects after 3periods.Results:(1)The PSQI scores were compared between the two groups aftertreatment: the PSQI score of treatment group is 6.00(5.00),compare group is10.00(7.00).The treatment group was superior to the control group in improving the sleep indices,the difference was statistically significant,P<0.05.(2)The falling-sleep time,sleep time and daytime functional scores were compared between the two groups after treatment: these indices were improved in two groups.The improvement of symptoms of treatment group than the control group to improve more obvious,with statistical significance,P<0.05.(3)Comparison curative effect of the two groups: The total effective rate was93.59% in the treatment group,the patients have 14 cases recovery,39 cases obviously effective,20 cases effective,5cases none effective,2 cases falling off,a total of 78 patients;The total effective rate was 75.00% in compare group,the patients in control group have 6 recovery,21 obviously effective,30 effective,19 none effective,4 cases falling off,a total of 76 patients.The difference between the two groups was statistically significant,Z value was4.21,P <0.05,the treatment group was more effective than the compare group.The results showed that the clinical efficacy of acupuncture “An Mian Wu Xue” combine with Auricular-plaster therapy for simple insomnia clinical efficacy is better than oral estrithiazole tablets.Conclusion: Accupuncture “An Mian Wu Xue” combine with auricular-plaster and oral estrithiazole tablets treatment of simple insomnia have a certain clinical efficacy.Accupuncture “An Mian Wu Xue”combine with auricular-plaster treatment can more effectively alleviate the symptoms of insomnia and reduce the POSI score,it has significant effec and better than oral estrithiazole tablets group;Accupuncture “An Mian Wu Xue”combine with auricular-plaster can effectively improve the patient's Fall-sleep time,Sleep time and Daytime dysfunction,improve Sleep quality,restore the body function,and effectively relieve fatigue and ensure the normal work and life;Accupuncture “An Mian Wu Xue” combine with auricular-plaste has exact effect,no liver and kidney damage,safe and non-toxic side effects,lessrecurrence,simple operation,easily accepted by patients. |
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