Clinical Observation On Treatment Of Primary Insomnia By Regulating Yin-Yang Crossing Vessel With Yingsui Replenishing Needle Method

Aim:To study and evaluate ying sui tonifying and purging needling method in regulating yin qiao and yang qiao meridians for clinical efficacy of treatment for primary insomnia.Review of literature inquiry:1.Comprehend the relationship between insomnia,yin qiao and yang qiao meridians,and wei qi as well as the usage of definite acupoints with acupuncture tonifying and purging methods in regulating yin qiao and yang qiao meridians for treatment of insomnia through studying ancient works and literature;2.Comprehend distinct views of ancient physicians/medical works on "ying sui" as proposed by Huang Di Nei Jing through studying ancient works and literature in addition to comprehending the thoughts of contemporary physicians upon their knowledge on ying sui tonifying and purging method as well as their clinical research on the concrete uses of ying sui tonifying and purging needling method;3.Comprehend the understanding of western medicine towards somnus along with the diagnosis and medical treatment towards primary insomnia through reviewing literature;4.Study literature in order to understand the mechanism behind regulating yin qiao and yang qiao meridians through tonifying Zhaohai and purging Shenmai.Method of research:Altogether 50 cases of treatment are completed in this study,the treatment group and the control group,consisting of 25 cases each.Bilateral Zhaohai and Shenmai are the selected main acupoints in both groups;while the adjunct acupoints are chosen according to other symptoms.Tonifying and purging method through rotating is applied to the main and adjunct acupoints in both groups.The duration of time used in manipulating the needle for the main acupoints is one minute.On this basis,upon insertion of the needle,the main acupoints of the treatment group are acupunctured according to the direction of meridian circulation with relation to ying sui tonifying and purging method.The rest of the procedure is operated in the same way as the control group.All needles in both groups are retained for 30 minutes,and the needles at the main acupoints are manipulated once more halfway through the designated time.The two groups have 3 treatment sessions per week.There are two courses of treatment in total,for which one course of treatment takes two weeks.Pittsburgh Sleep Quality Index(PSQI)and Insomnia TCM Syndrome Integral Scale is used in every case before treatment,during treatment(after completing one course of treatment)and after treatment(after completing two courses of treatment)as a clinical efficacy observation index to evaluate and compare the improvement in sleeping state of both groups during and after treatment.In reviewing changes in mental aspects such as anxiety and depression,Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)is used before and after completing one month of treatment.All data collected is analysed by SPSS20.0 software.Results of research:1.The difference is statistically significant(P<0.05/P<0.01)for the intragroup comparison of PSQI overall score and Insomnia TCM Syndrome Integral Scale score of both groups before treatment and during treatment,showing that after the first two weeks of treatment,both groups have significantly/highly significantly improved the sleeping state.For the intragroup comparison of PSQI overall score and Insomnia TCM Syndrome Integral Scale score of both groups during treatment and after treatment,there is no statistical significance(P>0.05),indicating that the sleeping state improvement of both groups maintained efficacy during the last two weeks of treatment.This suggests that both groups show rapid improvement in sleeping state after the first two weeks of treatment.When the curative effect reaches a certain extent,continuous treatment(last two weeks)has the effect of maintaining efficacy,thus the sleeping state improvement becomes slow relative to the first two weeks of treatment;2.The Insomnia TCM Syndrome Integral Scale score of the control group during treatment shows a significant decrease(P<0.05)as compared to the score before treatment.As for the treatment group,the Insomnia TCM Syndrome Integral Scale score during treatment shows a highly significant decrease(P<0.01)in comparison to the score before treatment.This indicates that the improvement extent of the control group is relatively smaller compared to the improvement extent of the treatment group;3.The PSQI components subjective sleep quality,sleep latency,sleep duration,habitual sleep efficiency,daytime dysfunction score differences have statistical significance(P<0.01)intragroup before treatment and after treatment,which shows that both groups have highly significant curative effects towards these components.4.For the PSQI component sleep disturbances score difference intragroup before treatment and after treatment,the score difference is statistically significant(P<0.01)for the treatment group while there is no statistical significance(P>0.05)for the control group.This shows that the improvement towards this component is comparatively better for the treatment group than of the control group.5.Intergroup comparison of PSQI overall score,PSQI component scores,Insomnia TCM Syndrome Integral Scale score,and therapeutic effects on insomnia indicate that the difference is not statistically significant(P>0.05).This shows that the curative effect of both groups on sleeping state improvement is similar.Conclusion:1.Tonifying Zhaohai and purging Shenmai to regulate yin qiao and yang qiao meridians in treating primary insomnia can effectively improve the sleeping state of patients,achieving a highly significant curative effect.2.Ying sui tonifying and purging needling method in regulating yin qiao and yang qiao meridians can improve subjective sleep quality,reduce sleep latency,prolong sleep duration,improve habitual sleep efficiency,as well as improve daytime function.The curative effects are highly significant(P<0.01)in all of these aspects,thereby effectively improving the overall sleeping state of patients.At the same time,ying sui tonifying and purging needling method can effectively improve syndromes of insomnia in patients.3.The methods used in the treatment group(ying sui tonifying and purging needling method+ tonifying and purging method through rotating)and control group(tonifying and purging method through rotating)are both effective in treating primary insomnia,and the curative effects are similar.