| Purpose:To observe the clinical effect of the acupuncture method of dredging governor vessel and calming nerves on insomnia with deficiency of both heart and spleen,to explore its mechanism,and to provide clinical basis for further trial and promotion.Material and method:62 insomniacs who met the criteria of case screening were collected from March 2019 to September 2019 in the Department of Neurology,Affiliated Hospital of Liaoning University of traditional Chinese medicine.According to the ratio of 1:1,the patients were randomly divided into two groups: the control group and the treatment group.Two groups of patients were treated with the empirical prescription based on Guipi Decoction,one dose was taken twice,between 11-13 o’clock at noon and 7-9 o’clock at night.On this basis,the treatment group was treated with the acupuncture method of dredging governor vessel and calming nerves.The treatment period is 5 days,3 courses in total.At the end of the treatment course,the clinical efficacy was evaluated by insomnia efficacy evaluation standard;the sleep quality was evaluated by Pittsburgh sleep index scale(PSQI),sleep latency and awakening times recorded by patients’ sleep diary;the symptom of deficiency of heart and spleen was evaluated by TCM symptom score table,and the changes of TCM symptom score.Spss21.0software was used to analyze the data,and then the therapeutic effects of the two groups were compared.Results:In this study,62 cases of insomnia with deficiency of heart and spleen were observed.One case in the control group and the treatment group failed to complete the treatment due to their own reasons.The number of cases included in the statistical analysis was 60,30 in the treatment group and 30 in the control group.1.Comparative analysis of case general data and baseline data:Before treatment,the gender,age,course of disease,PSQI score and other factors of the two groups were compared,the results showed that p>0.05,the differences were not statistically significant and comparable.2.Analysis of data in the group after treatment:Before and after treatment,PSQI score,sleep latency,awakening times and TCM syndrome score of the two groups all decreased in varying degrees,the difference was statistically significant(p < 0.05).3.Data analysis between groups after treatment:After the treatment,there were statistically significant differences between the two groups in PSQI scores in terms of sleep time,sleep time,sleep quality,sleep efficiency and total scores(all P < 0.05).There was a significant difference in the sleep latency and the number of wakes in the patients’ sleep diary(P < 0.05).There were significant differences in the scores of insomnia,palpitation,fatigue and total scores in TCM symptom score(P < 0.05).There was no significant difference among the other parameters(P > 0.05).4.After treatment,the effective rate of the two groups was compared:After the course of treatment,the total effective rate of the treatment group was 93.33%,and the total effective rate of the control group was 83.33%.The difference was statistically significant(P < 0.05).Conclusion:1.The empirical prescription based on Guipi Decoction can improve the overall sleep quality of insomnia patients with deficiency of both heart and spleen and the symptoms of deficiency of both heart and spleen in traditional Chinese medicine.2.The acupuncture method of dredging governor vessel and calming nerves can shorten sleep latency,reduce the number of awakenings,improve sleep quality and sleep efficiency,prolong sleep time and improve the symptoms of insomnia,palpitation and fatigue.3.The clinical effect of adding the acupuncture method of dredging governor vessel and calming nerves on insomnia of heart and spleen deficiency is better than that of pure the empirical prescription based on Guipi Decoction,which can be further tested in the clinic. |
