Clinical Study On Insomnia Of Yin Deficiency And Fire Prosperity Type Treated By Acupuncture And Acupoint Application

Objective:According to Athens Insomnia Scale(native Insomnia Scale)and the evaluation results of TCM symptom Scale as observation indexes,using clinical randomized controlled trial(RCT)research methods,this study in clinical selection of acupoints sticking method and acupuncture for the treatment of Yin fire type Insomnia,compared with simple acupuncture treatment method,comparative analysis,the result of the two groups of treatment confirmed acupoint sticking therapy for Insomnia Yin deficiency type fire safety and effectiveness,It indicates that acupuncture combined with acupoint application therapy can effectively improve the total sleep time,fall asleep time,total sleep quality,daily functional activities and other problems of insomnia patients.This combined therapy can be more widely used in clinical practice.Methods:Were included in the standard,a total of 72 patients with insomnia of Yin deficiency type fire as the research object,according to the clinical randomized controlled trial(RCT),were randomly divided into acupuncture with acupoint sticking group(treatment group)and acupuncture group(control group),including 36 cases treatment group and control group 36 cases,fall off treatment process,a total of 4 cases,68 cases with complete cases,male,42 cases,26 cases of women.Treatment method: treatment group operation method: point selection: shenmen point(double),sanyinjiao point(double),shenmen point oblique puncture 0.3-0.5 inch,sanyinjiao point direct puncture 1.0-1.5 inch,after acupuncture,the flat supplement and flat reduction technique was performed,and the air was retained for 30 min,once a day.Acupoint application method(professor wang fuchun's experience): selected medicinal materials: 10 g coptis chinensis,10 g cinnamon,20 g sauteed jujube kernel,10 g peony peel,20 g evening vine,10 g acacia bark.The medicine cake with a thickness of 0.5cm and a thickness of 1cm×1cm was made by mixing ginger juice after a 60-mesh sieve.It was filled in the hollow circle of the adhesive cloth and set aside.Apply the acupoint paste to shenmen point of hand and sanyin jiao point of lower limbs,and then gently press and knead the acupoint paste clockwise.The application time is4-6 hours.Once a day.The simple acupuncture method in the control group and the operation method in the treatment group were the same.The two groups received a course of treatment of five days,with an interval of two days,a total of four courses of treatment.After the end of treatment,the therapeutic effect was evaluated according to the recorded TCM syndrome score and the ascension insomnia scale(see the attached table).All the data were analyzed using the SPSS22.0 statistical software package,and the results were obtained for analysis.Results:Results:After four courses of treatment,34 cases in the treatment group were cured in 6 cases(17.6%),16 cases(47.1%),10 cases(29.4%)were effective,2 cases(5.9%)were ineffective,and the total effective rate was 94.1%.There were 34 cases in the control group,2cases were cured,accounting for 5.9%,10 cases were markedly effective,accounting for29.4%,17 cases were effective,accounting for 50%,5 cases were ineffective,accounting for14.7%,and the total effective rate was 85.3%.Statistical analysis showed that P=0.004<0.05 in the two groups.The therapeutic effect of the treatment group was better than that of the control group.Conclusion:Through clinical observation and statistical analysis,the therapeutic effect of acupuncture combined with Acupoint Application in treatment of insomnia of Yin deficiency and Huo prosperity type is obviously better than that of simple acupuncture in control group.There are significant differences between the two groups in curative effect.Acupuncture combined with acupoint application is worthy of clinical affirmation and promotion.