A Practical Research On Herb-partition Moxibustion At Navel For Insomnia Caused By Heart And Spleen Deficiency

ObjectiveThe objective of this study was to explore the clinical efficacy of herb-partition moxibustion at navel on medical students with insomnia caused by heart and spleen deficiency.To guide medical students to develop good sleep and living habits from the perspective of external treatment of Chinese medicine,and to find a simple,effective,and suitable-for-promotion method for insomnia intervention.MethodsFrom April to May,then October to November,2019,based on a prospective,randomized controlled experimental study,enrolled 62 medical students with PSQI≥8 and insomnia caused by heart and spleen discipline through advertisement.The subjects were randomly divided into treatment group(31 cases)and control group(31 cases).The treatment group went through herb-partition moxibustion at navel,while the control group was applied with moxibustion at navel with whole wheat flour.A course of treatment constitutes 4 times of treatment,each treatment with a 2-3 day interval.The subjects were asked to fill in the PSQI scale and TCM Syndrome Scale before and after treatment.Results1.Before the intervention,there was no significant difference between the two groups of medical students in gender,age,total PSQI scores,the 7 sleep factor scores,and TCM Symptom Scores(P>0.05),so they were comparable.2.After intervention,the scores of total PSQI and sleep quality,time to sleep,sleep time,sleep efficiency,sleep disturbance and daytime dysfunction factor in the treatment,group were significantly lower than those in the control group,so the differences were statistically significant(P<0.05).3.After the intervention,the difference between the total PSQ1 score of the treatment group was(5.63±2.72)and that of the control group was(1.11±4.11).The difference was statistically significant(t-4.766,P=0.013).4.After the intervention,the effective rate of the treatment group was 59.26%;the effective rate of the control group was 11.11%,so the difference was statistically significant(z=13.829,P<0.05).5.After the intervention,the TCM Symptom Score of the treatment group was(12.07±3.92),and the control group was(16.19±3.32).The difference was statistically significant(P<0.05).6.The TCM symptom difference between the treatment group before and after the intervention was(8.44±5.50),and the control group was(4.41±5.26),so the difference was statistically significant(P<0.05).7.After the intervention,statistics on the efficiency of TCM symptoms in the two groups were collected.The effective rate in the treatment group was 66.67%,the effective rate in the control group was 37.04%.The difference was statistically significant(z=8.181,P=0.042).ConclusionHerb-partition moxibustion at navel can improve the sleep quality and relieve TCM symptoms of medical students with insomnia caused by heart and spleen deficiency.This treatment worth promoting.