Clinical Observation Of Yangyin Anshen Decoction In The Treatment Of Insomnia (yin-deficiency And Fire-hyperactivity Syndrome)

Objective:This subject aims at observing the clinical effect of yangyin anshen decoction on chronic insomnia(Yin-Deficiency and Fire-Hyperactivity Syndrome),Lay a foundation for its clinical application and promotion.Methods: Patients who visited the department of encephalopathy of affiliated hospital of changchun university of traditional Chinese medicine from January to November 2019 were selected.Seventy-two patients with insomnia(Yin-Deficiency and Fire-Hyperactivity Syndrome)conform to standard were included.We divided the subjects into two groups,and make sure that the method was applied randomly.both groups had 36 cases.Both groups were given the same basic treatment,on this basis,the treatment group took yangyin anshen decoction orally,and the control group took tianwang buxin pills orally.All subjects were treated for 4 weeks and followed up for 3 months.At the end of the study,the scores of both groups were observed,included Pittsburgh sleep quality score and TCM syndrome score of the patients were statistically analyzed to draw a conclusion.Results: The included 72 patients did not shed during treatment and follow-up.1.As for the baseline data aspect: there was homogeneity and comparability between the two groups(P>0.05);2.Decrease of integral after treatment: within-group comparisons,P<0.05,indicating that the drugs in both groups were effective.The comparison between the groups worked out that P<0.05,it means the treatment group had got the better results than control group.3.About the relevant curative effect after the treatment: The effective condition of sleep quality is: the treatment group was 91.67%,and the control group was 83.33%.(P<0.05),it means the treatment group had got the better results.In terms of TCM syndrome efficiency,it was 91.67% in the treatment group and 83.33% in the control group.(P<0.05),the results showed that the curative effect of drugs in the treatment group was better than that in the control group.4.Comparison of integral reduction after follow-up: within-group comparisons.Treatment group is meaningless because p>0.05;Control group because p<0.05 is meaningful;As for comparisons between the two groups,P<0.05.This suggests that the long-term efficacy of the treatment group is more stable.5.As for the comparison of the efficacy after the follow-up,The effective rate of sleep quality in the treatment group was 88.89%,and it in the control group was 69.44%;The effective rate of improving TCM syndrome in the treatment group was 91.67% and it in the control group was 80.56%.(P<0.05),indicating again that the long-term efficacy of drugs in the treatment group was more stable.Conclusion: Yangyin anshen decoction was superior to Tianwang buxin pill in improving the Pittsburgh total sleep quality index(PSQI)and TCM syndromes of insomnia(Yin-Deficiency and Fire-Hyperactivity Syndrome),and the curative effect was stable after 3 months of follow-up with no adverse reactions.