Clinical Observation On The Treatment Of Insomnia Of Heart And Spleen Deficiency Type By Refined Moxibustion On Five Zhi Pointscombined With Acupuncture

Objective:To observe the clinical effect of refined moxibustion at Wuzhi points combined with acupuncture in the treatment of insomnia patients with deficiency of heart and spleen.Methods:In this project,66 patients with insomnia of heart and spleen deficiency were selected and divided into control group and observation group,33 cases in each group.In the control group,the conventional acupuncture angle depth was used to acupuncture bilateral SP6 point,bilateral BL20 point,DU20 point,bilateral Anmian point,bilateral KI6 point,bilateral HT7 point,bilateral BL62 point,bilateral BL15 point and bilateral ST36 point.Among them,the BL62 acupoint was treated with purgation,and the remaining acupoints were treated with tonifying method,6 times a week,30 minutes each time;on the basis of the control group,the observation group was treated with fine moxibustion at five Zhi points after acupuncture,namely,bilateral BL44 point,bilateral BL49 point,bilateral BL52 point,bilateral BL42 point and bilateral BL47 point.Among them,BL44 point and BL49 point were treated with refined moxibustion for 3 Zhuang,BL47 point,BL42 point and BL52 point for 2 Zhuang,2-3 times a week,with an interval of 2 days between the two treatments.After 3 weeks of continuous treatment,PSQI score and sub-item score,AIS score,WHOQOL-BREF score and TCM syndrome score scale score were compared before and after treatment,and the curative effect was evaluated.SPSS26.0 statistical analysis was used.Results:In this project,66 cases of insomnia with deficiency of both heart and spleen were included,and 4 cases were lost,including 1 case in the control group and 3 cases in the observation group.Finally,32 cases in the control group and 30 cases in the observation group entered the statistical link.1.There was no significant difference in gender,age,course of disease,PSQI score and sub-item score,AIS score,WHOQOL-BREF score and TCM syndrome score between the two groups before treatment(P > 0.05).2.Comparison of PSQI scores : after treatment,the comparison within the group was P < 0.05,with statistical difference.There was significant difference between the two groups(P < 0.05).There was no significant difference in sleep quality,sleep efficiency,sleep disorder and daytime disorder among PSQI sub-items(P > 0.05).The sleep time and sleep time P <0.05,there was statistical difference.3.Comparison of AIS scores : after treatment,the comparison in the group was P < 0.05,with statistical difference.There was significant difference between the two groups(P < 0.05).4.Comparison of WHOQOL-BREF score : after treatment,the comparison in the group was P < 0.05,with statistical difference.There was significant difference between the two groups(P < 0.05).5.Comparison of TCM syndrome score scale scores : after treatment,the comparison within the group was P < 0.05,with statistical difference.There was significant difference between the two groups(P < 0.05).6.The total effective rate was 84.38 % in the control group and 90.00 %in the observation group,P > 0.05,the difference was not statistically significant.Conclusion:1.Comprehensive refined moxibustion at Wuzhi points combined with conventional acupuncture and simple conventional acupuncture can improve the sleep status of patients with insomnia due to heart and spleen deficiency and improve the quality of life of patients.2.Refined moxibustion Wuzhi point combined with conventional acupuncture in clinical efficacy,especially in shortening sleep time,prolong sleep time,better than conventional acupuncture alone.