The Clinical Curative Effect Research Of Intervention Of Primary Insomnia With Pestle Needle Along The Qi-blood Circulation Path Of Yin-Yang Cycle Theory

Objective:To observe the effectiveness and safety of intervention of primary insomnia with pestle needle along the qi-blood circulation path of yin-yang cycle theory.Explore a new method of pestle neddle treatment and provide reference to treatment of primary insomnia.IRT was used to observe the temperature changes in specific areas and meridians before and after treatment for exploring the value of IRT in the evaluation of insomnia efficacy.Methods:64 patients with primary insomnia were randomly divided into 2 groups.The experimental group was pestle needle group,and the control group was Western medicine group.The pestle needle group was treated by pestle needle therapy;the Western medicine group was given estazolam tablets.All were treated for 4 weeks.Campare PSQI scores,SAS scores,SDS scores and infrared thermal images data(temperature of the frontal face/?T of Du Meridian[Temperature difference between T Du Meridian and T back trunk]/?T of Ren Meridian[Temperature difference between T Ren Meridian and T front trunk]).Results:(1)Baseline analysis: There was no statistically significant difference between the two groups in the baseline data(P> 0.05).(2)The total effective rate of pestle needle group was 83.33%,while the Western medicine group was 74.20%.The diference had statistical significance(P<0.05).(3)PSQI scores:Except for the daytime dysfunction in the western medicine group,the comparison scores in both groups decreased(P<0.05).The pestle needle group was better than the Western medicine group in terms of total score,sleep quality,sleep disturbance and daytime dysfunction score(P <0.05).(4)SAS and SDS scores:the scores of both groups were compared before and after intervention,reduced and had statistical significance(P <0.05).In comparison between groups,the SDS scores of pestle needle group were better than the Western medicine group(P<0.05),but there was no statistically significant difference in the SAS scores(P> 0.05).(5)Infrared thermal image analysis:Comparison within group: T frontal face of both groups decreased(P <0.01).In the pestle needle group,?T Du Meridian increased after treatment(P <0.01),there was no statistically significant difference in ?T Ren Meridian(P>0.05).There was no statistically significant difference in ?T Du Meridian or ?T Ren Meridian in the Western medicine group(P>0.05).Comparison between groups: After treatment,T frontal face of the pestle group was smaller than that of the Western medicine group(P<0.05).There was no significant difference between the two groups of ?T Du Meridian and ?T Ren Meridian after intervention(P>0.05).Changes in PSQI before and after treatment were positively correlated with changes in the relative T frontal face(P<0.05).Conclusions:(1)Both therapies can improve the clinical symptoms of patients with primary insomnia and were safe and effective.The pestle needle therapy was better than estazolam in total effectiveness,improving sleep quality,sleep disorders and daytime dysfunction.(2)The pestle needle therapy based on yin-yang cycle theory can improve anxiety,depression to a certain extent.(3)IRT has a certain application value in the observation of the therapeutic effect of intervention on primary insomnia.