Clinical Observation On Acupuncture Combined With Scrapping In Treating Insomnia Of Liver-fire Type

Objective:To compare and observe the efficacy and superiority of acupuncture combined with scrapping therapy in the treatment of Liver-fire type insomnia and the anxiety caused by insomnia.Methods:According to the inclusion and exclusion criteria,72 insomnia patients were selected and divided into the control group(acupuncture group)and the treatment group(acupuncture and scraping group)according to the random number table,36 patients in each group.In the acupuncture group,acupuncture treatment was carried out.The major acupoints were Yintang,Sishencong,bilateral Shenmen,bilateral Anmian,bilateral Zhaohai,bilateral Shenmai,and the assistant acupoints were bilateral Xingjian and bilateral Xiaxi.The treatment was performed once a day,and the needles were retained for 30 minutes,1 course contained 5 days,and continuous treating for 5courses.The acupuncture and scraping group received acupuncture treatment first.The method,time and course of treatment were the same as that of the acupuncture group.The treatment was performed once on the first day of each acupuncture course for a total of 5 times.Each scraping time was about 20 minutes.The scrapping parts choose nape waist du meridian(from Fengfu to Yaoyangguan),bladder after sufficient sun(1 side from Tianzhu to Dachangshu,lateral line 2 from the Fufen to the fourth lumbar spine).The PSQI scale scores,SAS scores and TCM syndrome scores were recorded before and after treatment in the two groups to evaluate the difference in efficacy.Results:1.comparison in the group: acupuncture and scraping group andacupuncture group can significantly reduce the PSQI scale scores,TCM syndrome scores and SAS scores of insomnia patients(P < 0.01).2.Comparison between groups:In terms of PSQI scale scores,acupuncture and scraping group was better than acupuncture group in improving sleep quality,sleep time,time to fall asleep,Daytime dysfunction and total scores(P < 0.05).In terms of TCM syndrome scores,acupuncture and scratching group was better than acupuncture group in improving insomnia patients' upset and unable to fall asleep,upset and irritable,chest swelling pain,headache,red face and eyes,bitter and dry mouth,Constipation and yellow urine and total scores(P < 0.05).In terms of SAS scores,the SAS score of acupuncture and scraping group was lower than that of acupuncture group(P < 0.01).3.Clinical efficacy: the total clinical efficiency of acupuncture and scraping group and acupuncture group were 87.88% and 88.23%,respectively,with no statistically significant difference(P > 0.05).The difference of overall efficacy between the two groups was statistically significant(P <0.05).Conclusion:1.Acupuncture and scraping therapy is better than acupuncture in improving the total score of PSQI,total score of TCM syndromes and SAS of patients with liver-fire type insomnia,which can significantly improve the sleep quality,clinical symptoms and anxiety of patients with insomnia.2.The clinical total effective rate of acupuncture scrapping therapy and acupuncture therapy for Liver-fire type insomnia is similar,but the overall curative effect of acupuncture scrapping therapy is better than that of acupuncture therapy.3.Acupuncture and scraping therapy has good efficacy and safety,which provides a new method and thinking for the clinical treatment of Liver-fire type insomnia and is worthy of further clinical research.