Clinical Research On The Treatment Of Primary Insomnia With Irascibility Disturbing Heart Type By Shu-mu Points Combined With Auricular Bleeding Therapy

Objective: To observe the clinical effect of shu-mu points combined with auricular acupuncture point to treat primary insomnia,evaluate the difference of efficacy and safety,and provide valuable data for clinical promotion.Methods: The collected 84 patients with primary insomnia due to irascibility disturbing heart type were randomly divided into acupuncture group and western medicine group.Both groups were given health education.Acupuncture Group,the acupoints of shu-mu points combined with auricular bleeding therapy.Choosing xinshu,ganshu,danshu,juque,qimen,riyue,anmian,neiguan,shenmen(both sides were taken),baihui.After getting the qi,the twisting and turning method was performed,and the needles were kept for 20-30 minutes.The auricular acupoint:Erjian(HX67i),xin(CO15),shenmen(TF4),Use aseptic injection needle point Thorn and extract a small amount of blood(total amount: 1～2ml).Alternate one ear to the other each time.Once a day,5 days for a course of treatment,a total of 4 courses of treatment,Each treatment course is 2 days apart.Western Medicine Group,esazolam tablets were taken orally,1mg,once per night,for a total of 4 courses of treatment,with each course of treatment every 2 days.Before and after treatment,the score changes of PSQI and TCM syndrome scale were compared,and statistical analysis was conducted to evaluate the clinical efficacy and safety.Results:1.Baseline data analysis:(1)Comparison of subjects’ completion status and number of shedding cases,Fisher’s test showed no statistically significant difference(P>0.05),indicating that the total number of patients in the two groups was comparable.(2)Before treatment,there were no significant differences in gender,age,course of disease,Pittsburgh sleep quality scale(PSQI)and TCM syndrome scale between the two groups(P>0.05),indicating that the two groups were comparable.2.Scale comparison:(1)PSQI:(1)PSQI score decreased in 7 dimensions of sleep quality,sleep time,sleep time,sleep efficiency,sleep disorder,hypnotic drugs,and daytime dysfunction after treatment in the two groups,with statistically significant differences(P<0.05).The efficacy of acupuncture group was better than that of western medicine group,and the differe-nce was statistically significant(P<0.05).(2)Before and after treatment,except for daytime dysfunction,patients in the acupuncture group showed statistically significant differences in other dimensions such as sleep quality and sleep time(P<0.05).(2)TCM symptom scale:(1)Before and after treatment,acupuncture group had significant differences inalleviating insomnia,improving emotional depression,alleviating fatigue,dizziness and dizziness(P<0.01).(2)The western medicine group showed statistically significant differences in the improvement of insomnia,emotional depression,palpitations,dizziness,dry mouth,bitter mouth,chest swelling pain and other symptoms(P<0.05),but no statistically significant differences in the improvement of fatigue,diet,constipation symptoms(P>0.05).3.Comparison of effective rate:(1)After treatment,the total effective rate of acupuncture group was 92.5%,and that of western medicine group was 78.5%.The difference was statistically significant(P<0.05).(2)Safety: the incidence of adverse reactions in the acupuncture group was 2.5%,and that in he western medicine group was 19%,significantly higher than that in the acupuncture group.The difference was statistically significant(P<0.05).Conclusion:1.The clinical effect of shu-mu points combined with auricular puncture therapy on primary insomnia with irascibility disturbing the heart type is significant,and the overall effect is better than that of western medicine group.2.The combination of shu-mu points and auricular acupuncture can improve the sleep quality,shorten the sleep time,prolong the sleep time and improve the sleep efficiency of patients with irascibility disturbing primary insomnia.However,it is not effective in improving daytime dysfunction(such as daytime sleepiness and Low energy).3.The combination of shu-mu points and auricular acupuncture for the treatment of primary insomnia has definite efficacy,less adverse reactions and high safety,which is worthy of further clinical research and promotion.