| ObjectiveIn this study,we observe the improvement of the symptoms of heart and spleen deficiency type insomnia patients by oral Chinese medicine combined with auricular pressure,to evaluate the clinical efficacy of auricular pressure in the treatment of two virtual insomnia.It is based on oral Chinese medicine,and the auricular pressure is used as adjuvant therapy,and discuss whether it can improve the clinical efficacyr,shorten period of treatment,and to solve the problem that treatment course of chinese traditional medicine treats insomnia is longer,and to form comprehensive treatment plan for traditional Chinese medicine of many ways give medicine,and provide evidence-based basis for further promotion of application.MethodsWe Selected 60 cases of heart and spleen deficiency type insomnia patients in Beijing University of Traditional Chinese Medicine Dongzhimen Hospital encephalopathic outpatient department,and they were randomly divided into 30 cases treatment group that is the group of Guipi Decoction combined with auricular pressure and 30 cases control group that is the group of Guipi Decoction.A dose of Guipi Decoction was took orally per day,morning and evening services.Treatament group used the basic treatment of simple control group combined with auricular pressure.Cowherb Seeds were sticked on five acupuncture points of ear shenmen,subcortex,heart,spleen,tstomach in the unilateral auricle.One course of treatment was four days,and two ears alternated,and there were seven course of treatments.The total course of treatment was 28 days.After treatment,throughing observe the changes of PSQI score and TCM syndrome score,evaluated clinical efficacy.ResultsThe baseline data:In the end,59 patients were enrolled in this study,including the group of Guipi Decoction combined with auricular pressure 29 cases and the group of Guipi Decoction 30 cases.The average age of the group of Guipi Decoction combined With auricular pressure was 47.14±10.270 years old,and there were 12 men and 17 women;The average age of Guipi Decoction group was 48.73±10.531 years old,and there were 13 men and 17 women.There were no statistically significant differences in sex,age,job nature,course of the disease,coexistent disease,SAS,SDS,PSQI score and TCM syndrome score between the two groups(P>0.05),and had comparability.The PSQI score:After treatment,PSQI score and total points of the group of Guipi Decoction combined with auricular pressure and Guipi Decoction group lowered than before treatment,and difference was statistically significant(P<0.05).After treatment,in the group of Guipi Decoction combined with auricular pressure,sleep latency score was 0.93±0.923,Sleep efficiency score was 0.72±0.841,total score was 5.86±4.846,and in the Guipi Decoction group,sleep latency score was 1.50±0.900,Sleep efficiency score was 1.23±0.971,total score was 7.90±4.483,and there were significant differences between the two groups(P<0.05).The group of Guipi Decoction combined with auricular pressure was superior to the Guipi Decoction group in reducing PSQI score,sleep latency and sleep efficiency.The TCM syndrome score:After treatment.TCM syndrome score and total points of the group of Guipi Decoction combined with auricular pressure and Guipi Decoction group lowered than before treatment,and difference was statistically significant(P<0.05).After treatment,in the group of Guipi Decoction combined with auricular pressure,insomnia score was 1.59±2.027,palpitation score was 0.48±0.688,anorexia score was 0.52±0.634,total score was 12.76±7.453,and in Guipi Decoction group,insomnia score was 2.60± 1.976,palpitation score was 0.97±0.809,anorexia score was 0.93±0.785,total score was 15.27±6.028,and there were significant differences between the two groups(P<0.05).The group of Guipi Decoction combined with auricular pressure was superior to the Guipi Decoction group in reducing TCM syndrome score,palpitation and anorexia.The clinical efficacy of insomnia:After treatment,there was no significant difference between the group of Guipi Decoction combined with auricular pressure and Guipi Decoction group in the clinical efficacy of insomnia,but in the group of Guipi Decoction combined with auricular pressure,6 patients recovery,the total effective rate was 89.66%.In Guipi Decoction group,4 patients recovery,the total effective rate was 83.33%.The former is more efficient than the latter.Comprehensive comparison,oralling Chinese medicine combined with auricular pressure was superior to only oral Chinese medicine in clinical efficacy of insomnia.The TCM syndrome efficacy of insomnia:After treatment,there was no significant difference between the group of Guipi Decoction combined with auricular pressure and Guipi Decoction group in the TCM syndrome efficacy of insomnia,but in the group of Guipi Decoction combined with auricular pressure,3 patients recovery,the total effective rate was 89.66%.In Guipi Decoction group,2 patients recovery,the total effective rate was 83.33%.The former is more efficient than the latter.Comprehensive comparison,oralling Chinese medicine combined with auricular pressure was superior to only oral Chinese medicine in TCM syndrome efficacy of insomnia.ConclusionsOralling Guipi Decoction combined with auricular pressure and only oralling Guipi Decoction could effectively reduce PSQI score and TCM syndrome score,and there were significant efficacies to treat the heart and spleen deficiency type insomnia.Oralling Guipi Decoction combined with auricular pressure was superior to only oralling Guipi Decoction in reducing PSQI score,shortening sleep latency and improving sleep efficiency.Oralling Guipi Decoction combined with auricular pressure was superior to only oralling Guipi Decoction in reducing TCM syndrome score,ameliorating palpitation and anorexia.On the whole,the combined therapy of oralling Chinese medicine combined with auricular pressure has good clinical efficacy,and it deserves further application. |
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