The Observation Based On The Method Of Regulating Qi By Theumbilical Surrounded Acupoints Of Zhuang Medicine Using Acupuncture Of Umbilical Inner Surrounded Acupoints Combined Body Acupoints To Insomnia

Objective: To observe the Clinical efficacy based on the method of regulating Qi by the umbilical surrounded acupoints of Zhuang Medicine using acupuncture of umbilical inner surrounded acupoints combined body acupoints to insomnia,providing reference for clinical treatment of insomnia.Methods: According to the random number table,60 insomniacs were divided into three groups,20 in each group.The observation group was treated with the method of regulating Qi by the umbilical surrounded acupoints of Zhuang Medicine using acupuncture of umbilical inner surrounded acupoints combined body acupoints,the umbilical inner surrounded acupoints control group was treated with the method of regulating Qi by the umbilical inner surrounded acupoints of Zhuang Medicine,the routine acupuncture control group was treated with routine acupoint selection.(1)Point selection of observation group: Eight points of the umbilical inner surrounded acupoints,body acupoints:sleeping acupoints,Neiguan,Zusanli,Sanyinjiao,Taichong.Operation method: Qi regulating technique: Before entering the needle,the patient was asked to do abdominal breathing exercise,adjust breathing,stabilize emotions and eliminate distractions;and the doctor took the eight points of the umbilical inner surrounded acupoints and radiated them outward at a 10 ° angle for about 20 mm.The needle was inserted painlessly,without movement after the injection,and without the feeling of soreness,numbness and swelling.Point the palm of the right hand of the patient who has finished needling at the umbilicus(about 15-30cm),and rotate it clockwise slowly for3-5min.Then sleeping acupoints,Neiguan,Zusanli,Taichong and Sanyinjiao are needled,and the needling method of painless needling is adopted.The needling is not moved in the process,and the needling is carried out slowly after 30 minutes.(2)In the control group of umbilical inner surrounded acupoints,the acupoints were selected only as the eight points of the umbilical inner surrounded acupoints,and the manipulation was the same as that of the observation group.(3)The routine acupuncture control group included Yintang,Sishencong,sleeping,Shenmen,Zhaohai and Shenmai;then different syndromes combined with other acupoints.Operation method:Shenmen,Yintang and Sishencong use the method of flat tonic and flat cathartic;according to the sea,they use the method of tonic and Shen Mai use the method of cathartic.The acupoint matching was operated according to the method of deficiency,tonification and solid catharsis.Three groups were treated once every three days,a total of treatment course(30 days).After one course of treatment,Pittsburgh sleep quality index(PSQI),ascension Insomnia Scale(AIS)and efficacy evaluation criteria were used to evaluate,and then statistical software spss22.0 was used to analyze the data collected.Results:(1)Comparison of clinical efficacy,the total effective rate of the observation group was 95.0%,the umbilical inner surrounded acupoints control group was 90.0%,the routine acupuncture control group was 80.0%.The clinical effect of the three groups was analyzed by rank sum test,and the difference was statistically significant(P<0.05).(2)PSQI score comparison:(1)Before treatment,there was no difference in the total score of PSQI and the score of each item in 7 items(P>0.05).(2)Comparison before and after self-treatment,the observation groupand the umbilical inner surrounded acupoints control group the total score of PSQI and it’s 7 items were significantly differences(P<0.01).There was no difference in daytime dysfunction in the routine acupuncture control group(P>0.05),but there were differences in total score and the remaining six items score(P<0.05).(3)Comparison of three groups after treatment,there were significant differences in sleep quality,sleep time,daytime dysfunction and total score(P< 0.01),and differences in sleep efficiency(P<0.05),but there was no difference in sleeping time,sleep disorder and hypnotic drugs(P>0.05).Comparison between the two groups,the observation group comparison with the umbilical inner surrounded acupoints control group was no difference in terms of sleep quality,but had significant differences with the conventional acupuncture control group(P<0.01).In terms of sleep time,sleep efficiency,daytime dysfunction and total score,the observation group had differences with the umbilical inner surrounded acupoints(P<0.05),and had significant differences with the conventional acupuncture control group(P<0.01).There was no difference between the two control groups in terms of sleep quality,sleep time and sleep efficiency(P>0.05).In the aspect of daytime dysfunction and total score,there was difference between the two control groups(P<0.05).(3)AIS score comparison:(1)Before treatment,there was no difference among the three groups(P>0.05).(2)Comparison before and after self-treatment,there were significant differences in all of the three groups(P<0.01).(3)There was significant difference among the three groups after treatment.Comparison between the two groups,the observation group had differences with the umbilical inner surrounded acupoints(P<0.05),and had significant differences with the conventional acupuncture control group (P<0.01),the umbilical inner surrounded acupoints had differences with the conventional acupuncture control group(P<0.05).Conclusion:(1)Based on the method of regulating Qi by the umbilical surrounded acupoints of Zhuang Medicine using acupuncture of umbilical inner surrounded acupoints combined body acupoints to treatmenting patient of insomnia,it was superior to that only used the method of regulating Qi by the umbilical inner surrounded acupoints of Zhuang Medicine and the acupuncture manipulation of routine acupoint selection in clinical efficacy,PSQI and AIS scores.(2)The method of regulating Qi by the umbilical inner surrounded acupoints of Zhuang Medicine is superior to the acupuncture manipulation of routine acupoint selection in AIS score,PSQI score and daytime dysfunction.(3)Based on the method of regulating Qi by the umbilical surrounded acupoints of Zhuang Medicine using acupuncture of umbilical inner surrounded acupoints combined body acupoints to treatmenting patient of insomnia,that can effectively improve patien’s sleep status and daytime dysfunction,and is a more ideal treatment for insomnia.