| ObjectiveThis topic adopts the method of liver,kidney,spleen and stomach maintenance combined with the method of clearing heat and dispelling dampness,and external treatment combined with internal treatment of TCM was used to comprehensively intervene in sub-health insomnia of damp-heat type.Through observing its clinical curative effect,this paper studies and discusses the clinical curative effect of comprehensive external treatment of TCM in the treatment of sub-health insomnia of damp-heat type.Then the correlation analysis of energy value of meridians before and after treatment and the Pittsburgh Sleep Quality Index(PSQI)score were made.It is hoped to provide a new therapeutic scheme to intervene in clinical intervention of subhealth insomnia of damp-heat type and a new objective clinical evaluation index.MethodsThe 160 patients collected in this study were from the Pre-treatment Center of Shenzhen Baoan Traditional Chinese Medicine Hospital(Group)from March 28,2018 to March 28,2019,and all met the inclusion criteria of hygrothermal sub-health insomnia.The 160 patients were divided into two groups according to the random number table by using a randomized controlled,single-blind experimental design method.They were divided into 80 cases of experimental group(liver,kidney,spleen and stomach maintenance+Qingre Qushi recipe)and 80 cases of control group(oral estazolam+Qingre Qushi recipe).The observation period was 4 courses,7 days for each course.The Pittsburgh Sleep Quality Index(PSQI)was used to observe the related indicators.Before and after treatment,the energy value of twelve channels and collaterals was detected by TCM meridians detection technology,and the changes of energy value of meridians and collaterals were observed.Some cases dropped out of 160 patients with sub-health insomnia of damp-heat type included in the study.Sixteen patients with sub-health insomnia were excluded,and 72 patients with sub-health insomnia of damp-heat type in each group completed the whole treatment process.The total effective rate was 95.83%in the experimental group and 81.94%in the control group.The total clinical effective rate of the experimental group was significantly different from that of the control group(P<0.05).Although there was little difference between the two groups in terms of sleep quality,sleeping time,etc.However,the overall efficacy of the experimental group was significantly higher than that of the control group,and there was a significant difference in the total effective rate between the two groups.Results(1)Comparison of the overall clinical efficacyOf the 160 subjects included in the study,72 in each group completed the whole treatment process,except for the number of abscission cases.The total effective rates of the experimental group and the control group were 95.83%and 81.94%,respectively.The clinical total effective rates of the two groups were significantly different(P<0.05).It is suggested that two different therapies are effective in treating sub-health insomnia of damp-heat type.Compared with the control group,the overall effect of the experimental group is obviously better than that of the control group.(2)Comparison of total PSQI scoresThe total scores of PSQI before treatment were compared between the two groups.Before treatment,the total PSQI scores of the experimental group and the control group were in accordance with the normal distribution.After homogeneity test of variance,the variance was homogeneous(P>0.05).The independent sample t test showed that there was no significant difference between the two groups(P>0.05),which was comparable.The total scores of PSQI before and after treatment in the two groups were significantly different(P<0.05),suggesting that both therapies are effective in the total scores of PSQI.There was a significant difference between the two groups after treatment(P<0.05).The difference between the two groups before and after treatment was compared,the difference was significant(P<0.05).The total effective rate of the experimental group was higher than that of the control group,and there was significant difference between the two groups.(3)Comparison of energy values of twelve meridiansBefore and after treatment,the energy changes of twelve meridians of hands and feet in the two groups of patients with inclusion criteria were measured.The meridian energy values of the bladder meridian,Sanjiao meridian,liver meridian and bile meridian after treatment were lower than those before treatment.However,the spleen meridian,stomach meridian,small intestine meridian and pericardium meridian increased more than before treatment,with statistical significance(P<0.05).After Spearman rank correlation analysis,it was found that the energy values of spleen and stomach meridians were positively correlated with the therapeutic effect index(P<0.05),while the energy values of liver and bladder meridians were negatively correlated with the therapeutic effect index(P<0.05).There was no significant correlation between the energy value of other meridians and the therapeutic index.There was no significant correlation between the energy values of other meridians and therapeutic index,suggesting that the energy values of spleen,stomach,liver and bladder meridians could be used as indicators for evaluating therapeutic effect.ConclusionLiver,Kidney,Spleen and Stomach Nursing Method combined with oral Qingre Qushi Fang and oral Estazolam Tablets combined with oral Qingre Qushi recipe,it had therapeutic effect on subhealth insomnia of damp-heat type.Professor Yin' s method of Liver,Kidney,Spleen and Stomach Nursing combined with oral Qingre Qushi Fang,applying three categories of etiologic factors,Guided by the holistic view of TCM and the principle of syndrome differentiation and treatment,Give full play to the comprehensive therapy of external and internal treatment of traditional Chinese medicine,make The experimental group which combines external and internal therapies is significantly better than the control group in overall curative effec,significantly improve the clinical.symptoms of hypothermic insomnia patients,and improve their quality of life,it provides a new therapeutic approach for clinical intervention of hygrothermal subhealth insomnia,and is worthy of clinical promotion.Before and after treatment,the energy values of spleen and stomach meridians were positively correlated with therapeutic index,while the energy values of liver and bladder meridians were negatively correlated with therapeutic index.DMS can be used as an objective index to evaluate the clinical efficacy of traditional Chinese medicine and provide a new objective basis for the evaluation of clinical efficacy of traditional Chinese medicine. |
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