Clinical Observation On The Treatment Of Chronic Insomnia With Tongdu Tiaoshen Acupuncture Manipulation

Objective:This clinical study observed and compared the therapeutic effect difference between the acupuncture method of Tongdu Tiaoshen and the conventional acupuncture method in the treatment of chronic insomnia,in order to explore a better clinical treatment of chronic insomnia.Methods:The 60 patients with chronic insomnia selected in this clinical practice were randomly divided into two groups according to the sequence of visiting,namely the control group(conventional acupuncture group)and the treatment group(Tongdu Tiaoshen acupuncture group).There were 30 cases in each group,and 3 cases in the two groups fell off during the study.Finally,the clinical study was completed with 29 cases in the control group and 28 cases in the treatment group.In the control group,acupoints Baihui,Sanyinjiao,Anmian,Shenmen,Zhaohai and Shenmai were selected.The treatment group selected acupoints Yintang,Shenting to Baihui,Shindao to Lingtai,left and right Shencong,Anmian,Taiyang,Fengchi,Shenmen and Neiguan.The needles retaining was kept for 50 minutes in both groups,once a day,and the efficacy was evaluated after 4 weeks of continuous treatment.By observing and comparing the Pittsburgh Sleep Quality Index(PSQI)total score,Insomnia Severity Index(ISI)total score and individual scores in the PSQI before and after treatment between the two groups,the degree of symptom improvement and differences in clinical efficacy were evaluated.Results:1.There were no significant differences in the basic conditions and observation indicators before treatment between the two groups(P>0.05).2.The comparisons of PSQI total score,ISI total score and PSQI individual scores before and after treatment in the two groups were significantly different(P<0.01).3.The comparisons of PSQI total score,ISI total score after treatment and PSQI difference before and after treatment between the two groups were highly significant(P<0.01),and the decrease of PSQI score of the treatment group was more obvious;ISI difference between the two groups before and after treatment was significant(P<0.05),and the decrease of ISI score of the treatment group was obvious.4.Comparing individual PSQI scores between the two groups after treatment,the treatment group was significantly better than the control group in improving sleep quality(P<0.01),and better in improving time before falling a sleep,time of sleep duration,sleep disorders,and daytime function(P<0.05);there is no difference between the two groups in terms of sleep efficiency(P>0.05).5.Comparing clinical efficacy between the two groups,the control group had a total effective rate of 82.76%,and the treatment group had a total effective rate of 92.86%,indicating the difference was highly significant(P<0.01),and the treatment group was better than the control group.Conclusion:1.Tongdu Tiaoshen acupuncture method can improve various related symptoms of patients with chronic insomnia,especially the aspect of sleep quality;2.Tongdu Tiaoshen acupuncture method was better than conventional acupuncture in the treatment of chronic insomnia.