Clinical Observation On The Therapeutic Effect Of Acupuncture And Moxibustion In The Treatment Of Obstinate Insomnia

Objective: To observe the clinical effect of adjusting Yin and Yang in the treatment of obstinate insomnia.The Pittsburgh sleep treatment index(PSQI),insomnia severity index(ISI),Epworth Sleepiness Scale(ESS),generalized anxiety scale(GAD-7),patient health questionnaire Depression Scale(PHQ-9)and sleep log of the patients in acupuncture group and moxibustion group before and after treatment By comparing the observation indexes,we can verify that the method of adjusting Yin and Yang has a significant effect on the treatment of obstinate insomnia,and provide the clinical basis and theoretical basis for the promotion of the method of adjusting Yin and Yang in the clinical treatment of obstinate insomnia in the future.Methods: from March 2019 to October 2019,40 patients with obstinate insomnia were selected from the outpatients of Guoyitang Hospital of Hubei Provincial Hospital of traditional Chinese medicine and traditional Chinese Medicine Department of Wuhan Jiangnan brain hospital.According to the principle of random control,they were divided into acupuncture group and moxibustion group,20 in each group.Acupuncture group and moxibustion group selected Baihui,Dazhui,Mingmen,Guanyuan,Zhongwan,Shenmai,Zhaohai 7 points.6 times a week,6 times a course of treatment,a total of 2 courses,1 week before treatment and 1 week after treatment,a total of 4 weeks for this study.The scores of each scale before and after treatment were recorded as observation indexes,and SPSS 24 software was used for statistical analysis to compare the clinical efficacy of the two treatment methods.Results: 1.The general data(gender,age,course of disease)and baseline data(PSQI scores and total scores before treatment,ISI,ESS,GAD,PHQ total scores)of the two groups were statistically analyzed,all of which met P > 0.05,The results showed that there was no significant difference between the two groups in general data and baseline data,which was comparable;2.Comparing the data in the two groups(i.e.before and after treatment in the same group): 2.1 the total score of PSQI before and after treatment in the two groups were all P < 0.05,and the score after treatment was low,and the treatment methods in the two groups were all effective 2.2 each scale(ISI ess GAD)before and after treatment in the two groups PHQ)score comparison: ISI score decreased after treatment in both groups(P < 0.05),and the severity of insomnia was improved in both groups;ess score decreased after treatment in acupuncture group(P < 0.05),and lethargy was improved in acupuncture group,but not in moxibustion group(ESS score),and lethargy was not improved in moxibustion group;GAD score did not decrease after treatment in acupuncture group,anxiety was not improved in acupuncture group,and moxibustion group After treatment,it decreased and P < 0.05,The anxiety symptoms of moxibustion group were improved;PHQ scores of the two groups were reduced and P < 0.05,and depression symptoms of the two groups were improved;3.Data comparison between the two groups(i.e.between acupuncture group and moxibustion group after treatment): 3.1 total PSQI scores of the two groups after treatment,P < 0.05,there was no significant difference between the two groups in sleep improvement 3.2 scores of each scale(ISI,ESS,GAD,PHQ)after treatment of the two groups After treatment,ISI scores of the two groups were compared(P < 0.01),The effect of improving sleep symptoms in acupuncture group was better than that in moxibustion group;there was no significant difference between the two groups in ESS scale score after treatment;there was no significant difference in GAD score after treatment in acupuncture group and moxibustion group;there was significant difference in anxiety symptoms in moxibustion group and no improvement in acupuncture group;there was no difference in PHQ score after treatment in acupuncture group and moxibustion group,P > 0.05;there was no difference in depression symptoms between acupuncture group and moxibustion group Significant differences.Conclusion: 1.On the whole,acupuncture and moxibustion are effective in the treatment of insomnia,and can completely relieve insomnia symptoms.The overall efficacy level of the two is equivalent.2.In part,acupuncture has a significant effect on daytime sleepiness accompanied by insomnia,and moxibustion has a significant effect on anxiety accompanied by insomnia.3.Acupuncture and moxibustion can be used in the treatment of insomnia,and each has its own effect on accompanying symptoms The advantages of acupuncture and moxibustion can provide a new idea for the treatment of refractory insomnia.