| Objective:This study is guided by the thought of Sancai,takes Dou Hanqing’s Sancai acupoint as the prototype,combined with the cause of disease of clinical and insomnia of heart-kidney imbalance type,uses "Sancai Mind-tranquilizing " method with acupuncture in Baihui and Danzhong,Box-moxibustion on yongquan to treat primary insomnia due to heart-kidney imbalance,observes and analyzes clinical curative effect to provide a new treatment idea and method for insomnia of heart-kidney discordance type.Method:In a randomized,controlled clinical study,72 patients with insomnia of heartkidney incoordination type were randomly divided into two groups: group A(n = 36)and group B(n = 36).Group A was the "Sancai Mind-tranquilizing " group and group B was the ordinary acupuncture group.Both groups received 20 treatments for 4 weeks.using the sleep condition score(Pittsburgh sleep quality index,TCM syndrome scale)and its improvement as the evaluation index.All data were processed using statistical software.Results:1.65 patients completed the trial.There was no significant difference in the number of patients included and excluded between the two groups(P> 0.05).The groups were balanced.2.The results of the baseline analysis showed that there was no statistical difference between the two groups(P> 0.05).3.The PSQI : The two treatment methods can significantly reduce the patients’ PSQI score,the difference is statistically significant(P<0.05);After treatment,the treatment group was better than the control group in improving sleep disorder,sleep quality and daytime dysfunction,and the difference was statistically significant(P<0.05).After follow-up,the total PSQI score,sleep quality,hypnotic drugs and daytime dysfunction in the treatment group were better than those in the control group(P<0.05).4.The TCM syndrome :The two treatment methods can significantly reduce The TCM syndrome score,the difference is statistically significant(P<0.05);After treatment and follow-up,the treatment group was better than the control group in improving the total score of TCM symptom scale and night insomnia and even sleepless,upset in the heart and dizziness in the control group,and the patients in the treatment group were better than those in the control group after treatment and followup.The difference was statistically significant(P<0.05).6.Efficacy Analysis6.1 The clinical efficacy: The total effective rate of the group A and the group B were 87.87% and 81.25%,there was no significant difference between the two groups(P> 0.05).6.2 The Effective rate of sleep quality: The total effective rate of the group A and the group B were 81.81% and 75.00%,there was no significant difference between the two groups(P> 0.05).6.3 The Efficacy of TCM symptoms: The total effective rate of the group A and the group B were 84.84% and 81.25%,there was no significant difference between the two groups(P> 0.05).7.There was no significant difference between the two groups in terms of safety and compliance,there was no significant difference between the two groups(P> 0.05).Conclusions:1.The "Sancai Mind-tranquilizing" method and the common acupuncture method are effective in the treatment of insomnia of heart-kidney discordance type,and the overall curative effect of the two methods is the same.2.The method of " Sancai Mind-tranquilizing " is superior to the routine acupuncture method in improving the sleep disorder,sleep quality and daytime dysfunction.3.The method of " Sancai Mind-tranquilizing " is superior to the routine acupuncture method in improving night insomnia and even sleepless,upset in the heart and dizziness.4.The method of " Sancai Mind-tranquilizing " is superior to the routine acupuncture method in improving the long-term curative effect.5.Compared with the common acupuncture method,the“Sancai Mindtranquilizing” method,which has the characteristics of convenient operation and simple acupoints selection,is deserved to be spreading around. |
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