| Objective:With the acceleration rhythm of people’s life,Insomnia has a tendency to increase year by year,and has serious effect on health,quality of life and public security,meanwhile,it caused wide attention of experts and social.My tutor prof. Zhao Min engages through the clinical treatment experience of insomnia and literature review summarize that there are many phlegm-fire disturbing heart among the insomniacs,This research according to the experience of my tutor treat insomnia and revised the Qinghuohuatan decoction on the basis of Wendan Tang. This research using the method of randomized controlled studies observes the clinical effects of Qinghuohuatan decoction treating phlegm-fire confusing heart insomnia,and provide Provide methods and basis for Chinese medicine treatment of insomnia.Methods: Collected 58 cases who treatmented in the first affiliated hospital of henan university of TCM during October 2013 to December 2014 and accordance with the inclusive criteria.The 58 patients were divided into two group,both of them were given cognitive behavioral therapy as basis treatment,in the meantime,treatment group was given the Qinghuohuatandecoction,the control group was given dexzopiclone tablets,4 weeks of treatment cycles.Observe and record the treatment of 4 weeks and 12 weeks after treatment the curative effect of traditional Chinese medicine(TCM),Pittsburgh sleep quality index(PSQI), syndrome score, faith and attitude scale of sleep(DBAS) change and the integral safety index of two groups respectively.Results:In terms of efficacy,4 weeks after treatment the treatment group compared with control group no statistical difference(P>0.05),12 weeks after treatment the treatment group is better than that of control group(P< 0.05);In terms of PSQI score before and after difference,4 weeks after treatment the treatment group compared with control group no statistical difference(P>0.05),12 weeks after treatment the treatment group curative effect is better than that of control group(P<0.05);In the aspect of TCM symptom score before and after the treatment difference,4 weeks,12 weeks after treatment the treatment group compared with control group was statistically difference(P<0.05);In sleep beliefs and attitude scale(DBAS) before and after the integration value,4 weeks,12 weeks after treatment the treatment group and control group was statistically difference(P<0.05).Conclusion:Qinghuo Huatan decoction combied cognitive behavioral therapy on the primary insomnia fire disturbance heart-shaped has better clinical efficacy, 4 weeks after treatment curative effect same with eszopiclone tablets, 12 weeks after treatment curative effect is better than that of eszopiclone tablets, right shows that lowering phlegm can improve the symptoms of insomnia, and eszopiclone efficacy lasting, and can improve phlegm fire disturbance heart-shaped insomnia patients with corresponding nerves, chest tightness, dry mouth, mouth pain and other symptoms, improve for insomnia symptoms in patients with excessive worry, at the same time help patients establish the belief that insomnia is could be cure. |
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