Clinical Observation On The Therapeutic Effect Of Acupuncture Combined With Acupoint Application In The Treatment Of Insomnia Of Heart And Spleen Deficiency Typ

Purpose:Acupuncture combined with acupoint application was observed and compared with acupuncture treatment to analyze the difference in treatment between the two in the treatment of insomnia with heart and spleen deficiency.In order to prove that acupuncture combined with acupoint application therapy is an effective and advantageous clinical treatment for insomnia with heart and spleen deficiency.Material and method:From 2020.9 to 2021.12,we collected data from patients attending the neurology outpatient clinic of our hospital,clarified the diagnostic criteria of Traditional Chinese and western medicine,and screened 70 patients diagnosed with insomnia of the heart and spleen deficiency type in strict accordance with the inclusion and exclusion criteria,with 35 cases in each group.The treatment group applied acupuncture combined with acupoint application,The control group used acupuncture therapy.Patients in both groups were treated five days a week with two days off,which was a course of treatment,for a total of four consecutive courses of treatment.The observation scales are: Pittsburgh Sleep Quality Index(PSQI),TCM Syndrome Scale,and the Fatigue Scale-14(FS-14).Collection of basic patient information and scoring of observation scales before and after treatment.All items were compared between groups and groups within the change of the score,and the comprehensive analysis the efficacy effect of the difference between two groups.Results:After four treatment sessions,the PSQI scores,TCM Symptom Scale scores and FS-14 scores of insomnia patients in both groups decreased significantly(P<0.05),however,the total PSQI score,the total TCM symptom scale score and the total FS-14 score in the treatment group showed a more significant decrease than in the control group(P<0.05).In terms of PSQI factors,the improvement of sleep quality,sleep disturbance and daytime dysfunction in treatment group was better than that in control group;in terms of each symptom on the Chinese Medicine Symptom Scale,the treatment group had an advantage in improving symptoms of excessive dreaminess and wakefulness,fatigue,bloating after eating,and loose stools,and the treatment group was more able to reduce the fatigue of patients(P<0.05);The overall efficacy analysis,the total effective rate of the treatment group was 91.43%,and the total effective rate of the control group was 77.15%.Statistical analysis yielded a difference of P<0.05,which was statistically significant.Conclusion:Acupuncture combined with acupoint application is an working treatment for heart and spleen deficiency type of insomnia,and compared to acupuncture alone for insomnia with heart and spleen deficiency,although both can improve insomnia symptoms,the acupuncture combined with acupoint application is more effective than acupuncture alone,and this treatment is simple,easy to implement,safe and harmless,it is worthy of clinical promotion.