The Clinical Efficacy Observation On Treatment Of Insomnia Deficiency In Heart And Spleen With Acupuncture And Medicine

Research purposes: Explore the clinical effects of acupuncture,Chinese medicine and acupuncture on three methods of treating insomnia of heart and spleen deficiency.Research method: According to the inclusion criteria,60 patients with heart and spleen deficiency type who were treated at the Department of Encephalopathy,Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine from December 2017 to November 2018 were collected.They were randomly divided into three groups of 20 patients each.Patients in the acupuncture group(group A)were treated with conventional acupuncture.The points were as follows: Yintang,Sishencong,bilateral Shenmen,Neiguan,Zhaohai,Anmian,Sanyinjiao,Shenmai,Xinshu,and spleen.Group B was treated with Guipi Decoction and oral administration.The composition of the drug was as follows: Astragalus 30 g,Codonopsis,Suanzaoren,Atractylodes,Longan,Yuanzhi 15 g,Codonopsis,Muxiang,Angelica 10 g,Ginger,Jujube 6g,Licorice 5g.Group C was treated with the above two methods.The treatment was taken every 6 days for 1 day for a total of 4 weeks.After treatment,the changes of PSQI scores,TCM syndrome scores and PSQI scores of the three groups were compared to evaluate the therapeutic effect.Research result:(1)There was no significant difference in the age,gender and course of disease between the three groups(P>0.05),which was comparable.(2)There were no significant differences in PSQI scores,TCM syndrome scores and PSQI scores between the three groups before treatment(P>0.05).(3)The three groups of treatments can significantly reduce the scores of PSQI items,TCM syndrome scores and PSQI scores(P<0.05).(4)There was no significant difference between the A group and the B group in improving the PSQI scores,TCM syndrome scores and PSQI scores(P>0.05).In the improvement of patients' sleep time,daytime dysfunction,sleep quality,sleep efficiency,sleep time,TCM syndrome scores and PSQI total score,group C was better than group A(P<0.05),in improving patients' sleep disorder score.There was no significant difference between group C and group A(P>0.05).In the improvement of patients' daytime dysfunction,sleep time,sleep disturbance,sleep quality,TCM syndrome scores and PSQI total score,the effect of group C was better than that of group B(P<0.05),in improving sleep efficiency and sleep time score.There was no significant difference between C and B group(P>0.05).In conclusion:(1)Acupuncture treatment,oral Chinese medicine treatment and acupuncture combined treatment can significantly reduce the Pittsburgh Sleep Quality Index(PSQI)score,PSQI total score and TCM syndrome score of patients with insomnia of heart and spleen deficiency,effectively improve the patient's sleep condition..(2)Treatment of insomnia caused by heart and spleen deficiency,the clinical effect of acupuncture and medicine is more significant than simple acupuncture or oral Chinese medicine alone.