Clinical Research For The Treatment Of Acupuncture Combine With Chinese Medicine On Insomnia Caused By Hepatic Stasis Spleen Deficiency

Objective:By observing the change of Pittsburgh Sleep Quality Index (PSQI) and TCM symptoms accumulation, this paper was to explore the curative effect between the treatment of acupuncture combining with Chinese medicine and the treatment of mere Chinese medicine and each of their advantage on primary insomnia caused by hepatic stasis spleen deficiency; thus, to provide initial investigation of individual acupuncture combined with traditional compound Chinese medicine SNS, and offer a new way of thought and a new kind of therapy on acupuncture combining with Chinese medicine for primary insomnia.Methods:1、60patients of the clinic of Pok Oi Hospital-The Chinese University of Hong Kong Chinese Medicine Centre for Training and Research (Shatin) during the time between November2011and March2013who suffered from primary insomnia cases caused by hepatic stasis spleen deficiency. These patients were divided randomly into two groups:the first group being those who were treated with acupuncture combining with Chinese medicine group (treatment group), and second were those who were merely treated by Chinese medicine alone (control group).2-. In the treatment group, there were14male patients and16female patients at the age between20to60; average at42.3±5.2years of age. Their PSQI value was15.8±1.5and the TCM symptoms accumulation was25.1+3.8. In the Chinese medicine group, there were15male patients and15female patients at the age between21to60; average at41.2±4.8years of age. Their PSQI value was15.8±1.6and the TCM symptoms accumulation was25.2±4.1.3、The individual acupuncture used the points of Ren Meridian and Du Meridian to harmonize and regulate yin-yang. The acupuncture treatment process was4weeks and was applied once every other day, specifically on9to11in the morning, and each treatment lasted around30minutes. While the Chinese medicine, of which treatment process was4weeks, used traditional compound Chinese medicine SNS to be cooked with water and to be served once a day and5times a week. The assessment of the curative effect between these two different treatments was made accordingly after the second week and fourth week of the treatment.4. To assess Pittsburgh sleep quality Index (PSQI) and the TCM symptoms accumulation and to observe and compare the different sleeping factors during pre-therapy and post-therapy.Results:1. The curative effect comparison:After treatment, the clinical recovery rate and the total effective rate of both groups were different. After the second week of treatment, the total effective rate in the treatment group was76.7%, and the total effective rate in the control group was36.7%. After the fourth week of treatment, the clinical recovery rate in the treatment group was63.3%; the curing rate was20%; the improvement rate was13.3%. The total effective rate in the treatment group was96.7%. While in the control group, the clinical recovery rate was33.3%; the curing rate was23.3%; the improvement rate was23.3%. The total effective rate in the control group was80%. Hence, both the clinical recovery rate and the total effective rate in the treatment group were higher than those of the control group.2. The variation of the scale:After the fourth week of treatment, both the scores of PSQI and TCM symptoms accumulation have decreased. The PSQI of the treatment group was11.8±2.5and the TCM symptoms accumulation was11.6±3.2; While the PSQI of the control group was14.8±1.7and the TCM symptoms accumulation was16.5±4.0. Hence, the reduction of both scales was higher in the treatment group than those in the control group.Conclusion:1. The curative effect of the individual acupuncture combined with traditional compound Chinese medicine SNS therapy was better and faster than the mere traditional compound Chinese medicine SNS therapy in curing and improving insomnia.2. Comparing to the control group, the treatment group proved that the individual acupuncture combined with traditional compound Chinese medicine SNS therapy gave better release of patients’clinical symptom and was more excellent at improving sleep difficulty, sleep deficit, early awakening, and etc. Thus, the individual acupuncture combined with traditional compound Chinese medicine SNS is worth popularizing in clinic.