A Clinical Study On The Treatment Of Perimenopausal Insomnia Based On The Combination Of Tongbuqijing Method And Acupuncture And Medicine

Purpose:Insomnia is one of the common symptoms of menopausal women,its incidence is on the rise,Peri-menopausal insomnia seriously affects the physical and mental health of women in peri-menopausal period.At present,the majority of insomnia patients need to rely on sedative and hypnotic drugs to maintain treatment,and long-term use of such drugs,not only difficult to achieve the ideal goal of complete cure,but also make patients become dependent on drugs.The history of traditional Chinese medicine(TCM)has a long history,and there are many books about insomnia treatment in ancient and modern literature,not only the curative effect is obvious,but also the side effect is small.The author,under the guidance of his tutor,consulted the relevant literature.Based on the basic theory of traditional Chinese medicine and combined with clinical cases,starting from the theory of syndrome differentiation of Qi Jing,Found that there are many peri-menopausal insomnia patients with deficiency of the cause and pathogenesis.On the basis of the experience summarized by the predecessors,according to the treatment principle of Tongbu Qijing,the acupuncture and medicine combined with medicine is used to treat peri-menopausal insomnia,and good curative effect has been obtained.Through further theoretical discussion and observation of clinical treatment based on differentiation of symptoms and signs,this study has opened up new ideas and methods for the treatment of peri-menopausal insomnia,and attempted to provide new effective prescriptions for clinical practice,which is of great significance in theory and practice.Material and method:From February 2016 to April 2017,33 female patients were enrolled in the clinic of affiliated Hospital of Liaoning University of Traditional Chinese Medicine,of which the youngest was 45 years old and the oldest was 55 years old.All of them were given Tongbu Qijing decoction combined with acupuncture intervention for 4 weeks,each week according to the symptoms change on the basis of the basic prescription appropriate to add or subtract.The history and symptoms were collected and evaluated before and after intervention,including subjective sleep quality evaluation: Pittsburgh Sleep quality Index(PSQI),emotion Self-Rating scale(SAS)and Self-Rating Depression scale(SDS).Results:After 4 weeks of treatment,the total effective rate of insomnia in 33 patients with peri-menopausal insomnia was 93.94% and the total effective rate of TCM symptom was 90.91%.There was significant difference in PSQI 、SDS、SAS score before and after treatment(P < 0.05).Conclusion:The combination of Tongbu Qijing method and acupuncture and medicine can effectively improve the sleep quality,anxiety and depression degree of the patients with peri-menopausal insomnia.At the same time,the patients with peri-menopausal insomnia have many insomnia dreams,irritability,irritability,drying and sweating.Syndromes such as hand(and / or)foot syncope can be alleviated.