| ObjectiveThe improvement of insomnia was evaluated by using the warm acupuncture at back shu point as the main method for the diagnosis and treatment of insomnia.In this study,the method of warm acupuncture based on back shu point can provide a new method and basis for clinical treatment of insomnia.MethodsWill come from acupuncture the inpatient and outpatient service in line with the glove two deficiency type insomnia,diagnostic criteria,inclusion criteria of traditional Chinese and western medicine,70 patients randomly into groups and grouping method,according to the 1:1 were randomly divided into the back-shu point point acupuncture group and find out syndrome differentiation,treatment three times a week,four weeks for a period of treatment,observation period for a period of treatment,respectively,before treatment,after one period of treatment to fill in Pittsburgh sleep quality index scale(PSQI),love splashing voss sleepiness scale(ESS)and wakefulness,TCM symptoms scale,analyze the collected by the questionnaire,the results are obtained.ResultsIn this study,a total of 70 patients who met the inclusion criteria were included.At the end of the treatment course,2 patient fell off in each group,and 33 patients in each group finally had complete data.(1)baseline comparison of general data(gender,age,course of disease)between the two groups showed no significant difference,which could be compared(P>0.05).Before treatment,there was no significant difference between the two groups(P>0.05)in Pittsburgh sleep quality index scale,apoplexy scale and Chinese medicine symptom scale for insomnia.(2)after one course of treatment,the total effective rate of the two groups was 91%in the back-shu point temperature acupuncture group and 73%in the syndrome differentiation point acupuncture group.After statistical analysis,the overall effective rate of the two groups was compared,and the difference was statistically significant(P<0.05).(3)after treatment in Pittsburgh sleep quality index(PSQI),love splashing voss sleepiness scale(ESS))and wakefulness,the comparison between groups of TCM symptom scale,back warm acupuncture group of shenshu point total integral in the PSQI and ESS integral,insomnia symptoms scale total score with syndrome differentiation of traditional Chinese medicine find group had significant difference(P<0.05),compared group,two groups of PSQI overall score,ESS score before and after the treatment,wakefulness,TCM symptoms scale total score,results have significant differences,with statistical significance(P<0.05).(4)in the comparison of the components of PSQI,the differences of sleep quality,sleep time,sleep efficiency and sleep disorder between the warm acupuncture and moxibustion group at back-shu point and the syndrome differentiation and acupoint selection group were statistically significant(P<0.05).(5)in the comparison of the components of the syndrome scale of traditional Chinese medicine for insomnia,the differences of sleep disturbance,palpitation,mental fatigue,and decreased diet between the wenximoxibustion group and the syndrome differentiation and selection group were statistically significant(P<0.05).ConclusionThe warm acupuncture and moxibustion group and the syndrome differentiation and selection group were both effective for insomnia patients with deficiency of heart and spleen,but the warm acupuncture and moxibustion group had better efficacy.The improvement of patients' sleep therapy,time of falling asleep,time of falling asleep and sleep efficiency in the warm acupuncture and moxibustion group at the back shu point was better than that in the syndrome differentiation group.In terms of TCM syndromes,the therapeutic effect of the point selection group based on beiyu acupoint was better than that of the point selection group based on syndrome differentiation in terms of sleep disturbance,palpitations,fatigue and decreased appetite. |
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