Clinical Observation On Tiaoji Tongdu Acupuncture Therapy Combined With Blood-letting In The Treatment Of Cervical Insomnia(Liver Depression Transforming Into Fire)

Object:Observe the difference in curative effect between Tiaoji Tongdu acupuncture combined with pricking blood with cupping for treating liver-stagnation and fire-type cervical insomnia,in order to find a more convenient and effective therapy,and provide ideas for the treatment of cervical insomnia.It can better serve the clinic,so as to better improve the patient’s insomnia and improve the patient’s quality of life.Methods:From November 2018 to December 2020,a total of 68 patients with cervical insomnia of liver depression and fire-type cervical insomnia were screened out of the patients treated in the outpatient and inpatient department of the Acupuncture Department of Guanggu District,Hubei Provincial Hospital of Traditional Chinese Medicine,and they were numbered according to the order of treatment.According to the ratio of 1:1,they were randomly assigned to the Tiaoji Tongdu acupuncture group and the conventional acupuncture group with 34 cases each.The number of people who completed the project finally was 33 and 32 respectively.Tiaoji Tongdu acupuncture group: Baihui,Fengfu,Fengchi(double),Tianzhu(double),neck 3-6 Jiaji points(double),neck 4-5 spinous process Du Channel point and Dazhui point puncturing and cupping;in the conventional acupuncture group,Baihui,Tianzhu(double),Cervical Jiaji(double),Shenmen(double),Anmian(double),interline(double),Taichong(double),Fengchi(double);the two groups of acupuncture treatments are 3 times a week,puncturing and cupping once a week,every 3 times acupuncture is a course of treatment,a total of 4 courses of treatment.Before and after treatment,the PSQI scores,total scores,and NDI scores of the two groups of patients were recorded in detail,and then statistical software was used to analyze the differences in the efficacy of the patients’ sleep quality and neck movement function.Results:1.Baseline data: Comparing the gender,age,course of disease and other aspects of the two groups of patients,there is no statistical significance(P>0.05),so it is comparable.2.PSQI scores and total scores: Before the treatment,two groups’ PSQI scores and total scores were not statistically significant(P>0.05).After one month,Comparing the PSQI scores and total scores of the two groups with those before treatment within the group,there are significant differences(P<0.01);The comparison between the two groups showed that the sleep quality and the time of falling asleep,sleep disturbance,daytime dysfunction,and total score are statistically significant(P<0.01),while comparisons in sleep time and sleep efficiency are not significant(P>0.05).3.NDI score: There is no difference in NDI score between the two groups before treatment(P>0.05),which is comparable.One month later,the NDI scores of the two groups were compared with those before treatment,and they showed significant differences(P<0.01);the comparison of NDI scores between the two groups showed that compared with the conventional acupuncture group,The therapeutic method of adjusting the spine and dredging the governor needle combined with pricking and cupping improved the neck function to a greater extent,and the difference was also statistically significant(P<0.01).4.Clinical efficacy: After the treatment,the effective rate of the two groups was 100%,but the cure rates of the observation group and the control group were 87.9% and 62.5%,respectively.After the?2 test,P<0.05,indicating that the cure rates of the two groups are significantly different,Tiaoji Tongdu needling method combined with pricking and cupping therapy has more advantages in the treatment of cervical insomnia.Conclusion:1.Tiaoji Tongdu acupuncture combined with pricking and cupping and conventional acupuncture have a certain effect on cervical insomnia caused by liver depression and fire.But relatively speaking,the former is more effective in improving sleep quality,shortening the time to fall asleep,reducing sleep and daily dysfunction.2.Tiaoji Tongdu acupuncture combined with pricking and cupping and conventional acupuncture can improve the related symptoms of liver-stagnation and fire-type cervical insomnia,and improve the quality of life and level of patients,but the former has more obvious effects.3.The clinical efficacy of the method of regulating the spine and dredging the governor combined with pricking and cupping for the treatment of liver-stagnation and fire-type cervical insomnia is significantly better than conventional acupuncture,and it is more targeted,simple and convenient to operate,and highly acceptable to patients,and it is worth further promotion application.