Clinical Research Of Treating Insomnia With "Returning Fire To Its Origin"

Objective: To investigate the pathogenesis of insomnia caused by mind disturbances,thus to explore the reason how the fire that disturbed the mind appeared,and then to discuss the approaches of treating fire separated from its origin.Meanwhile,to treat patients with insomnia by self-made prescription of Guiyuan Anshen Decoction,and to verify the feasible treatment approach of returning fire to its origin while observing the clinical curative effect,then to explore the new meaning of "returning fire to its origin",for the purpose of providing basis for the clinical treatment of insomnia.Methods: A total of 120 clinical cases were selected and randomly divided into TCM experimental treatment group,western medicine control group and Chinese patent medicine control group,with 40 in each group.The trial group were treated with self-made soup,Guiyuan Anshen Decoction,while the western medicine group took Alprazolam tablets and the Chinese patent medicine control group were given Tianmeng Capsules.The three groups were treated for 4 weeks as a course of treatment,then we scored the changes of the basic information and score tables,TCM syndromes and Pittsburgh Sleep Quality Index Scale,to compare the differences of the three groups.Results:(1)In the end,a total of 104 eligible cases were obtained,including 35 in the experimental group,34 in the western medicine control group,and 35 in the Chinese medicine control group.The three groups have obvious therapeutic effect before and after treatment by self-control(P<0.05);(2)Compared with the western medicine alprazolam group,the treatment effect of TCM experimental treatment group is not very different in subjective sleep quality,sleep latency,sleep efficiency,sleep disorders(P>0.05),but it has significant advantages in improving sleep duration and daytime dysfunction(P <0.05);(3)Compared with Chinese patent medicine control group,there were relatively more patients cured and markedly effective in TCM experimental treatment group.The experimental group was more effective in improving symptoms of upset insomnia,sleep difficulties,drowsy mind and sluggish thinking than Chinese patent medicine control group(P<0.05).Conclusion: Guiyuan Anshen Decoction,with traffic heart-kidney function can significantly improve the clinical symptoms of insomnia patients and can improve the patients’ daytime dysfunction status.This shows that the "returning fire to its origin" method has the function of prompting both fire and water compatible.The yin and yang reconcile,and the mind harmonic,then the sleep can be stable.Simultaneously,it suggests that traditional Chinese medicine has a advantage in the treatment of insomnia.