Clinical Study On Insomnia Of Heart And Spleen Deficiency Treated By Neigongtuina And Gong-Fa Exercise

Objective:To observe the clinical effect and safety of Neigong Tuina combined with Gongfu exercise on insomnia of deficiency of both heart and spleen.Methods: 72 cases of insomnia with deficiency of both heart and spleen were randomly divided into two groups.The treatment group(n=36)was treated by internal work massage combined with exercise,while the control group(n=36)was treated by common massage intervention.The treatment time was 25 minutes for each treatment group,twice a week for 8 weeks,and exercises were performed in the morning and evening,five times each time.The treatment time of the control group was 25 minutes for each treatment,twice a week for 8 weeks.Pittsburgh Sleep Quality Index(PSQI)was scored before treatment,4 weeks,6 weeks and 8 weeks after treatment,and SF-36 was scored before treatment and 8 weeks after treatment.The adverse reactions caused by massage were recorded.Results:A total of 72 patients were enrolled.In the treatment group,2 cases fell off,34 cases completed,the falling off rate was 5.6%;in the control group,3 cases fell off,33 cases completed,the falling off rate was 8.3%.The baseline conditions of the two groups were compared,including age,sex,course of disease,smoking and drinking,education level and observation indicators,there was no significant difference(P > 0.05).Clinical efficacy: The total effective rate of the treatment group was 94.1%,and that of the control group was 78.7%.There was significant difference between the two groups(P < 0.05).Each score result: 1.The treatment group before and after treatment: PSQI,TCM symptoms,ISI,SF-36 compared with before treatment had significant difference(P < 0.05);2.The control group before and after treatment: PSQI,TCM symptoms,ISI,SF-36 compared with before treatment,there were significant differences(P < 0.05);3.The treatment group compared with the control group: PSQI,TCM symptoms,ISI,SF-36 compared with before treatment(P < 0.05);3.The treatment group compared with the control group: There was significant difference in PSQI(P < 0.05),but no significant difference in TCM symptoms and SF-36(P > 0.05).4.Safety evaluation: There were no adverse reactions in both groups.Conclusion:1.Neigong Tuina combined with Gongfu exercise program has a definite effect,and its clinical effective rate is higher than that of simple massage therapy.2.Neigong Tuina combined with exercise can improve the sleep quality of patients with deficiency of both heart and spleen.3.Neigong Tuina combined with exercise and simple massage can improve the symptoms of deficiency of both heart and spleen in patients with deficiency of both heart and spleen.4.Neigong Tuina combined with exercise can improve the quality of life of insomniacs.5.Neigong Tuina combined with Gongfa exercise has no obvious adverse reactions in the treatment of deficiency of both heart and spleen,and has high safety.