| Objective:To observe the clinical effect of acupuncture based on the differentiation of meridians on the treatment of cervical insomnia,and to provide new methods and ideas of acupuncture for the treatment of cervical insomnia.Methods:70 patients who met the diagnosis and inclusion criteria of cervical insomnia were randomly divided into two groups.Each group had 35 cases.Acupuncture based on pressing diagnosis and differentiation of meridians was apply to the observation group: By using fingers to press the "liuhe point" to find out the ashi points,the ashi points were relative to the Pathological meridians.In this way,the “liuhe points” with tenderness or tension and the contralateral Luo-Connecting points which pertain to exterior-interior meridians were chosen for the treatment.The conventional acupuncture based on the treatments of insomnia from the textbook "Acupuncture Therapeutics"(The second edition of new century textbook of the national college of traditional Chinese medicine)was apply to control group.The patients in both groups were treated 4 times a week,16 times in total.Differences in the PSQI scale and the life quality scale(sf-36)before and after the treatment were observed and the all efficacy of two groups was evaluated according to the changes of symptoms before and after the treatment.Results:61 cases who met the diagnosis and criteria of cervical insomnia and completed the course were subjects.Among them,31 cases were in the observation group(acupuncture based on pressing diagnosis and differentiation of meridians)and 30 cases were in the control group(conventional acupuncture).1.Comparison with the treatment before,The differences of observation group in the aspect of sleeping quality,the time to fall asleep,bedtime,sleep efficiency,sleep disorder,daytime dysfunction and PSQI total score were statistically significant(P<0.01);The control group in the aspect of sleeping quality,the time to fall asleep,bedtime,sleep efficiency,sleep disorder,and PSQI total score had significant difference(P<0.01).2.After the treatment,the improvement of scores in life quality scale(sf-36)for observation group(including Physiological Function,Physical Role,Bodily Pain,General Health,Energy,Society Function,Mental Health and Emotional Function)was higher than the treatment before;The differences were statistically significant(P<0.05).As for the control group,the differences in the aspect of General Health and Energy were significant statistically(P<0.05),comparing with the treatment before.3.Analyzing the the PSQI scores between two groups after the treatment,the differences of observation group in the aspect of sleeping quality,the time to fall asleep,bedtime,hypnotic,sleep efficiency,sleep disorder,daytime dysfunction and PSQI total score were statistically significant(P < 0.05);The observation group was better than the control group,in the aspect of improving the sleeping quality of patients of cervical insomnia.4.After the treatment,comparing the factors of two groups in the life quality scale(sf-36),differences in Physiological Function,Physical Role,General Health,Energy,Mental Health,Emotional Function and Bodily Pain,Society Function were statistically significant(P<0.05).The observation group was better than the control group,in the aspect of improving the living quality of patients of cervical insomnia.5.It was effective that the two therapies of observation group and control group,but observation group was better than control group,by comparing total effective rate between groups;The differences about the total effective rate were significant statistically(P<0.05).Conclusion:The efficacy of acupuncture treatment based on pressing diagnosis and differentiation of meridians for cervical insomnia was better than that of conventional acupuncture treatment.In terms of improving the sleeping quality and living quality of patients,the acupuncture treatment based on pressing diagnosis and differentiation of meridians was better than conventional acupuncture treatment. |
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