A Clinical Observation On The Therapeutic Effect Of Tongduyangshen-yinqiguiyuan" TUINA Therapy On Insomnia With Deficiency Of Both Heart And Spleen

ObjectiveTo explore the therapeutic effect of Tongyuan TUINA therapy and Guipi Decoction on primary insomnia with deficiency of both heart and spleen,and analyze the difference between the Tongyuan TUINA and Chinese medicine two treatment methods,explore the effectiveness and relative advantages of Tongyuan TUINA therapy for insomnia of deficiency of both heart and spleen,and explored the possible mechanism of Tongyuan TUINA therapy for insomnia of deficiency of both heart and spleen,so as to provide clinical treatment for insomnia in the future.Symptoms specify a set of simple and effective TUINA prescriptions,and provide new evidence for clinical application and promotion of Tongyuan TUINA therapy in the future.MethodsThis was a randomized,controlled and explorative clinical research.A simple randomized grouping was made by SPSS22.0.60 insomniacs patients with deficiency of both heart and spleen were divided into TUINA group and chinese medicine group,30 cases in each group.There were no drop-out cases in both groups during the experiment.The experimental group was treated with Tongyuan TUINA.The prescription was formulated by Professor Wang's academic inheritance experience,once every two days for about 30 minutes.The control group was treated with oral Decoction of traditional Chinese medicine.The prescription of "Gui Pi" was added or subtracted,one dose per day.Both groups were treated for 4 weeks.Sleep time,PSQI score,TCM symptom score and SAS scale were used as the indexes to observe the changes before and after treatment.Statistical methods were used to compare the data between the two groups and observe the clinical efficacy of Tongyuan TUINA therapy in treating primary insomnia of deficiency of both heart and spleen.Resu tsFirstly,the basic data analysis:There was no statistically significant in general data of age,course of disease,sleep time,PSQU score,sleep rate,TCM syndrome score and SAS score between the two groups before treatment(P>0.05).The baseline data of the two groups before treatment were comparable and had clinical comparability.Secondly,the therapeutic effect analysis:1.Intra-group comparison:Sleep time of two groups after treatment was higher than before treatment,PSQI total score and six components score,TCM syndrome score and SAS score were lower than before treatment,and there were significant differences between before and after treatment(P<0.05),suggesting that both treatment methods can improve sleep and anxiety of insomnia with deficiency of both heart and spleen in varying degrees..2.Comparisons between groups:Before and after treatment,the difference of each observation index between the two groups had statistical significance(P<0.05)in PSQI total score,TCM syndrome score and SAS score difference,and the TUINA group was superior to the chinese medicine group.There was no significant difference between the two groups in sleep time,sleep efficiency and the change of six components of PSQI before and after treatment(P>0.05),suggesting that the difference between TUINA group and the chinese medicine group in improving sleep time,sleep efficiency and six components of PSQI was similar.3.Comparison of efficacy distribution between two groups.After the treatment,the TUINA group reached 6 cases were cured,12 cases were apparent effective,10 cases were effective,2 cases were invalid,and the apparent cure rate was 60%.The chinese medicine group reached 3 cases were cured,8 cases were apparent effective,12 cases were effective,6 cases were invalid,and the apparent cure rate was 36.7%.The statistical difference was statistically significant(P<0.05),and the TUINA group was superior to the chinese medicine group,suggesting that the efficacy distribution of TUINA group was superior to the chinese medicine.ConclusionBoth Tongyuan TUINA and drinking "Guipi" decoction were effective to insomnia of deficiency of both heart and spleen.Both methods can effectively improve sleep efficiency,prolong sleep time and improve the general symptoms and anxiety associated with insomnia.Overall,Tongyuan TUINA therapy is more effective in clinical improvement,and it has advantages in prolonging patients'sleep time.It is suggested that Tongyuan TUINA has a definite therapeutic effect on primary insomnia of deficiency of both heart and spleen,and it is worth popularizing and applying.