Clinical Research On The Treatment Of Insomnia Based On The Theory Of Meridians And Tendons

Obj ectiveTo observe the clinical effect of the method of untangling method of the foot three Yin in the treatment of insomnia,and to preliminary explore the method which untangling tendon knot of the foot sanyin in improving the sleeping condition of the patients with insomnia.So as to provide new ideas and new methods for the treatment of insomnia by the traditional Chinese medicine massage,and also provide a basis for the clinical application of the method of untangling tendon knot.MethodsSixty-six cases of insomnia who met the diagnostic criteria and signed the informed consent were randomly divided into observation group and control group,33 cases in each group.Pittsburgh Sleep Quality Index Questionary(PSQI)and Self-Rating Anxiety Scale(SAS)were completed before each group.The control group used the national "13th Five Year Plan" teaching material "Massage Therapy"(Binghua Fan)in the conventional massage treatment of insomnia,each treatment for 30 min;Observation group along the foot three Yin meridians reinforcement in lower limb courses place,according to knead,plucking,finding and selecting patients with muscle focal point 1-5,the strength of 1 min to thumb knead,deep click 3-5 times,plucked 4-6 times,from the distal end to the nearly heart end,from left to right in turn,each operation about 4 min,finally knocked lower limbs 1 min,Each treatment lasted 30 min.All subjects were treated once every other day,6 times as a course of treatment,a total of 12 times of treatment,2 courses of treatment.PSQI and SAS scales were filled out before and after the 12th treatment,respectively.SPSS22.0 statistical software was used for statistical analysis,and age,disease course,PSQI score,SAS score and other measurement data were used for statistical analysis.If they were in line with normal distribution,the t-test of two pairs of samples was used for intra-group comparison,and the t-test of two independent samples was used for inter-group comparison.If it does not conform to the normal distribution,non-parametric test is adopted.Chi-square test of counting data was used for gender.The efficacy was evaluated by nonparametric tests of two groups of grade data.The test level was 0.05,P<0.05,and the difference was statistically significant.Result1.In the observation group,there were 2 cases of abscission(31 cases)left,and in the control group,there were 4 cases of abscission(29 cases)left.There was no statistical significance in gender,age,course of disease,PSQI,SAS score and other baseline data between the two groups(P>0.05),which showed comparability.2.After 12 times of treatment,in the observation group,2 cases were cured,6 cases were significantly effective,and 18 cases were effective.The total effective rate was 83.87%,and the recovery rate was 25.81%.The mean of total score of PSQI decreased(P<0.05),and the difference was statistically significant.In the control group,1 case was cured,5 cases showed marked effect,and 17 cases were effective.The total effective rate was 79.31%,and the cure apparent rate was 20.69%.The mean of total score of PSQI decreased(P<0.05),and the difference was statistically significant.It is suggested that conventional massage method and the method of untangling tendon knot of foot sanyin can improve insomnia to some extent.After 12 times of treatment,there was no statistical significance in the efficacy evaluation between the two groups(P>0.05).3.Compared with before treatment,after 12 times of treatment,the total score of SAS in the observation group decreased(P<0.05),and the difference was statistically significant.The total score of SAS in the control group decreased(P<0.05),and the difference was statistically significant.4.After the 12th treatment,there was no statistical significance in the total score of PSQI between the two groups(P>0.05).Comparison of sleep quality:observation group 2.52 ± 0.72,control group 0.35± 0.49,the difference was statistically significant(P<0.05);Comparison of daytime dysfunction:observation group 1.42±1.06,control group 0.68 ±0.60,the difference was statistically significant(P<0.05);There was no significant difference in sleeping time(P>0.05).There was no significant difference in sleep time(P>0.05).There was no significant difference in sleep efficiency(P>0.05).There was no significant difference in sleep disorders(P>0.05).There was no significant difference in the use of hypnotic drugs(P>0.05).5.The observation group in this experiment had 2 cases of abscission,with abscission rate of 6.06%and treatment compliance of 93.94%;In the control group,4 cases were abscission,with abscission rate of 12.12%and treatment compliance of 87.88%.6.There were no adverse events such as fracture,subcutaneous stasis and fainting in this experiment.ConclusionBoth the method of untangling tendon knot of foot sanyin and conventional massage method have clinical efficacy in treating insomnia.The method of untangling the meridian of foot sanyin has more advantages in improving the sleep quality and daytime dysfunction of patients.