Clinical Study On Treating Insomnia Of Liver Depression And Spleen Deficiency With Acupuncture Of Abdomen

Objective:To evaluate the efficacy and clinical safety of this method in treating patients with liver-stagnation and spleen-deficiency insomnia.Methods:A total of 70 cases of liver depression and spleen deficiency insomnia patients were collected from the second Chinese medicence hospital.A total of 66 cases were included in this study,including 34 cases in the experimental group and 32 cases in the control group.In the experimental group,the acupoints were selected: head: baihui ba array;Abdominal acupuncture points: tianshu(shuang),daheng(shuang),shimen(shuang),zhongwan and guanyuan;Five days a week.The control group take alprazolam tablet 1mg half an hour before bedtime.Four weeks for a course of treatment,follow-up period of one month.The Pittsburgh sleep quality index(PSQI)scale and the TCM syndrome scale of liver stagnation and spleen deficiency insomnia were used as the therapeutic observation indexes,and SPSS25.0 was used for data analysis.Results:1.There was no statistical difference between the two groups in gender,age,disease course and scores of all scales before treatment(P>0.05).Comparable;2.After the treatment,the PSQI and TCM syndrome score of the two groups decreased compared with that before the treatment.there was no statistical difference in the total score of PSQI between the two groups after treatment;The score of sleep quality,sleep time and daytime dysfunction in the experimental group was lower than that in the control group,and the score of sleep time in the control group was lower than that in the experimental group(P<0.05).The difference was statistically significant.Compared with PSQI in the two groups,the total effective rate was 88.24% in the experimental group and 81.25% in the control group(P<0.05).After treatment,the total score of TCM syndromes in the two groups was lower in the experimental group than in the control group,and the difference was statistically significant(P<0.05).In the score of TCM syndrome,the effective rates of the experimental group and the control group were 88.2% and 62.6%,respectively,with statistically significant differences(P<0.05).3.During the follow-up,the total PSQI score and TCM syndrome score of the experimental group were lower than those of the control group,and the scores of sleep quality and hypnotic drug use in the experimental group were lower than those of the control group,with statistically significant differences(P<0.05).Conclusion:1.Acupuncture and pestle combined with baihuiba matrix combined with abdominal acupuncture for the treatment of insomnia has a significant effect on the improvement of symptoms ofliver stagnation and spleen deficiency;2.The overall efficacy of acupuncture combined with abdominal acupuncture in treating insomnia was better than that of oral alprazolam group,and was better than that of the control group in improving sleep time,sleep quality and daytime dysfunction.