| Objective 1.By collating the clinical literature of supervising the second pulse for treating insomnia in the past 10 years,the law of acupoint selection was obtained;2.To investigate the clinical efficacy of Tongdu Rendu acupuncture in the treatment of insomnia through a randomized controlled study of acupuncture in the supervised group and the conventional group.Methods 1.Literature research: using professional search method,with the key words of Du pulse acupoints,Ren pulse acupoints,Du pulse,Ren pulse,Du Ren,acupuncture,acupuncture,insomnia,insomnia and so on,we selected the clinical Chinese literature of Du Ren two pulse acupoints as the main treatment for insomnia collected in CNKI database in recent 10 years.The inclusion criteria and exclusion criteria of literature were determined,and the acupuncture prescription database of insomnia was established.Through frequency statistics,we can get the use of Du,Ren,other meridians and extra meridians;through association rule analysis,we can set Baihui as the next term,and then we can get the confidence and support of other acupoints;through spss23.0,we can do cluster analysis between acupoints.2.Clinical study: according to the principle of single blind and random,66 patients were divided into Du Ren group and routine group with 33 cases in each group.In the Du Ren group,acupoints were selected from Baihui,shenting,Dazhui,Shendao,Zhongwan,Guanyuan,Qihai,Tanzhong,Shenmen,Sanyinjiao,Sishencong,Neiguan and sleeping;in the conventional group,acupoints were selected from Zhaohai,Shenmai,Shenmen,Sanyinjiao,Sishencong,Neiguan and sleeping.The patients in both groups were treated 3times a week for 4 weeks,a total of 12 times.To observe the Pittsburgh sleep quality index scale,insomnia TCM syndrome integral table,and the clinical efficacy standards of insomnia in the guiding principles of new Chinese medicine clinical research.To compare before and after treatment within the group,and after treatment between the groups.Through the analysis of the data results,to draw the clinical conclusions of the two groups in the treatment of insomnia.Result 1.Literature research:(1)statistical results of acupoint frequency: according to acupoint frequency from high to low,Du acupoints: Baihui,shenting,Dazhui,Shendao;Ren acupoints: Zhongwan,Guanyuan,Qihai,Tanzhong;other acupoints: Shenmen,Sanyinjiao,Sishencong,Neiguan,sleeping.(2)Results of acupoint association rules: when Baihui is set as the second item,acupoint pairs can be divided into the following four combinations: Sanyinjiao,Shenmen,Neiguan,Anshen,and Sishen Cong;shenting,Dazhui,and Shendao;Zhongwan,Guanyuan,Qihai,and Tanzhong;other acupoint combinations:Neiguan Zhongwan,Shenmen Tanzhong,Sishen Cong shenting Sanyinjiao shenting.(3)The treatment prescription of Du Ren group was: Baihui,shenting,Dazhui,Shendao,Zhongwan,Guanyuan,Qihai,Tanzhong,Shenmen,Sanyinjiao,Sishencong,Neiguan,sleeping.2.Clinical study: the comparison of Pittsburgh sleep quality index between the supervision group and the routine group: there was no significant clinical difference in sleep quality,sleep disorder and improvement of sleep drugs.The clinical effect of the supervision group was better than that of the routine group in terms of sleep time,sleep time,sleep efficiency and daytime dysfunction,and the improvement of the total score was better than that of the routine group.(2)Comparison of TCM syndrome integral table of insomnia: the clinical effect of Du Ren group is better than that of conventional group.(3)Comparison of clinical efficacy: the effective rate of Du Ren group was higher than that of routine group.Conclusion Acupuncture at the acupoints of both the Du Ren group and the routine group can improve the insomnia of the patients;the Du Ren group is superior to the routine group in improving the scores of Pittsburgh sleep quality index,the TCM syndrome scores of insomnia,and the efficacy standards of insomnia,which can be further promoted in clinical practice. |
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