Clinical Observation Of Different Frequency Of Acupuncture Combined With Traditional Chinese Medicine Decoction In Treating Insomnia

Objective:This study observed the clinical effect of acupuncture combined with traditional Chinese medicine on insomnia,and carried out the effect of acupuncture at different frequencies on the treatment of insomnia,and to provide more references and clinical basis for promoting the clinical application of acupuncture in Malaysia.Method: To understand the mechanism of treating insomnia in Chinese and Western medicine and the latest development,a large number of books and domestic as well as foreign literatures were reviewed and a study was conducted.60 patients were included in this study.All patients were recruited from SS WORLD TCM specialist clinic in Malaysia.They were randomly divided into: acupuncture group 1(treatment once a week)and acupuncture group 2(twice a week).There are 30 participants in each group.The main acupoints were Shen Men(HT7)(double),An Mian(EX-HN18)(double),Bai Hui(GV20),Shen Ting(GV24),Zhao Hai(KI6)(double)and Shen Que(CV8).The other acupoints were included in conjuntion with the patient's symptoms,for example : Liver fire irritate the heart with Feng Chi(GB20)(double),Xing Jian(LR2)(double);heart and spleen deficiency with Xin Shu(BL15)(double),Pi Shu(BL20)(double),Zu San Li(ST36)(double);Disarmony between heart and kidney with Xin Shu(BL15);Shen Shu(BL23)(double),Tai Xi(KI3)(double);heart-bile Qi deficiency with Xinshu(BL15)(double),Dan Shu(BL19)(double);spleen and stomach mismatched with Fenglong(ST40)(double),Zhongwan(CV12),and Zu San Li(ST36)(double).Operating method: The patient lies on supine position and the area of the acupuncture points are sterilized.Using disposable sterile acupuncture needle,horizontal puncture of Bai Hui(GV20)and Shen Ting(GV24)is about 0.6 inches;vertical puncture of Shen Men(TF4)about 0.5 inches;Slanting puncture if An Mian(EX-HN18)about 1 inches.A moxibustion box was placed on the Shen Shu(BL23),and 3 moxa sections of 2 cm were lit for moxibustion.After the moxa sections burns out,add 2 to 3 more sections as appropriate according to the patient's feelings and skin color.Moxibustion is carried out until the area of the skin turns reddish The Chinese herbal medicine coptis chinensis,colla corii asini,Bupleurum,Spine Date Seed,dragon bone,oyster,Cape Jasmine Fruit,white peony root,etc.will be added and subtracted according to the symptoms.Take one dose of decoction daily,and take it twice a day in the morning and evening after meal.The course of treatment was four weeks.Observation indicators: Sleeping rate,PSQI,SDS,and SAS were collected before and after the end of a course,respectively,to evaluate the improvement of patients' sleep and the difference between the two groups in the treatment of insomnia with different frequencies.Result: 30 cases of acupuncture group 1 and 2 acupuncture groups did not fall off.Comparison before and after treatment,group1: PSQI score before treatment was 20.73±0.64,sleep rate 3.00±0.73,SDS score 74.71±8.73,SAS score 78.09±11.72;while after treatment,PSQI score was 17.83±1.72,the sleep rate score 2.77±0.43,the SDS score 69.79±10.23,and the SAS score 73.00±12.06.After statistical analysis,it was found that the PSQI,SDS,and SAS total scores were all different,among which the PSQI,SDS,SAS were significantly different(P<0.01,P<0.05).Before treatment,the acupuncture group 2 had a PSQI score of 20.47±1.25,a sleep rate of 2.93±0.37,an SDS score of 77.29±9.11,and a SAS score of 80.17±10.50;after the treatment,group 2 had a PSQI of 11.67±4.99 and a sleep rate of 1.99±0.99.The SDS score was 59.88±10.27,and the SAS was 60.00±9.67.After two independent sample t tests,the results were P<0.01,which was statistically significant,and the differences were significant.This indicates that the acupuncture group 2 has improved PSQI,sleep rate,SDS,and SAS,it is also has significant curative effect.Comparison between 2 groups: The PSQI score of the acupuncture group 1 was 17.83±1.72 after treatment,the acupuncture group 2 was 11.67±4.99;the sleep rate score was 2.77±0.43 for the acupuncture group 1,and 1.33±0.99 for the acupuncture group 2;the SDS score was 69.79±10.23 for the acupuncture group 1,acupuncture group 2 was 59.88±10.27;SAS score acupuncture group 1 was 73.00±12.06,acupuncture group 2 was 60.00±9.67;two groups of independent samples t test,P <0.01,both had significant statistical differences.Group 2 has better respond to the treatment compare to group 1.Conclusion: 1.The combination of acupuncture and medicine has a good therapeutic effect on insomnia.Acupuncture once and twice a week can effectively improve the symptoms of insomnia,PSQI,SDS and SAS scores,but the insomnia rate of the acupuncture group 1 has no statistical significance.2.Acupuncture twice a week is better than acupuncture once a week in improving PSQI sleep rate,SDS and SAS.The difference is significant.3.Acupuncture combined with traditional Chinese medicine is safe and has better compliance.