Clinical Effect Of Aromatic Tuina Combined With Acupuncture In The Treatment Of Chronic Insomnia

Objective:To observe the clinical efficacy of compound calming essential oil in the treatment of chronic insomnia,to provide a novel idea for the clinical prevention and treatment of CI,and to provide a reference for standardizing the treatment process of aromatherapy tuina.Methods:Sixty eligible patients with CI were recruited and the subjects were randomly divided 1:1 into a test group(aromatic tuina group)and a control group(jojoba tuina group).Utilizing a random number table,we had 30 cases in each group.Acupuncture was the fundamental treatment for both,while aromatic tuina therapy was employed as a supplement by the test group compound tranquillity essential oil(the main components are essential oil of incense,essential oil of Chen Pi,essential oil of green peel and essential oil of frankincense)as the aromatherapy medium combined with tuina therapy.The control group used the same tuina manipulation and essential oil use as the test group,using jojoba oil as the aromatherapy medium.Intervention was conducted over a period of 4 weeks,with patients in both groups receiving treatment every other day,three times a week.Subjects were evaluated at enrollment,after treatment,and 1 month after completion of treatment.The Pittsburgh Sleep Quality Index was employed to measure sleep,the Hamilton Anxiety Scale and the Hamilton Depression Scale 17-item version to evaluate negative feelings of anxiety and depression in both groups,and the Chinese Medicine Symptom Score Scale to measure patients’ quality of life.Analysis of results:1.No statistically significant distinctions were found between the two groups before treatment in terms of gender,age,duration of illness,total PSQI score,HAMA score,HAMD-17 score,and TCM symptom score,apart from hypnotic drugs.2.Comparison before and after intervention:(i)intra-group comparison:after treatment,the total PSQI score and six components,total HAMA score,total HAMD-17 score and TCM symptom score in both groups were lower than those before treatment,and the differences were statistically significant(P<0.05);(ii)inter-group comparison: compared with the jojoba tuina group,the aromatic tuina group showed no statistically significant disparities between total PSQI score and sleep quality,the time taken to fall asleep,sleep time,sleep(P<0.05),and statistically significant differences were observed.HAMA total score,HAMD-17 total score and TCM symptom score(P<0.05).3.Comparison of follow-up period:(i)Within-group comparison:The aromatherapy group’s total score of PSQI and its six components,as well as HAMA and HAMD-17,decreased in comparison to those before treatment,with the differences being statistically significant(P<0.05).This was compared withingroup.The PSQI total score and scores of sleep quality,time to fall asleep,sleep time and sleep efficiency in the control group were lower than those before intervention,and the differences were statistically significant(P<0.05);(ii)comparison between groups:significant statistical differences(P<0.05)were observed between the aromatic tuina group and the total PSQI score,as well as the four factors of sleep quality,time to sleep,sleep efficiency,and daytime dysfunction.Additionally,the total HAMA score,total HAMD-17 score,and TCM symptom score all showed statistically significant differences(P<0.05).4.The PSQI total score’s subtraction rate determined the overall effective rate of treatment;the aromatic tuina group achieved 90%,a figure that was greater than the control group’s 76.67%(P<0.05).5.Safety evaluation: No serious adverse reactions and no essential oil allergy were observed in both groups receiving the intervention.Conclusion:1.In terms of recent efficacy,both intervention groups were able to effectively improve the sleep quality of CI patients,reduce their negative emotions of anxiety and depression and improve their quality of life,and the efficacy of the aromatic tuina group was superior to that of the jojoba tuina group.2.The compound calming essential oil can improve the sleep quality of chronic insomnia patients,relieve negative emotions and improve the quality of life of patients,and has both immediate and long-term effects on insomnia patients.