The Clinical Study On The Treatment Of Insomnia Of Liver Depression Forming Fire Type By Acupuncture Of Purging The South And Tonifying The North

ObjectiveInsomnia is a very common disease in clinic at present,and with the development of the times,the age of insomniac is gradually decreasing,and the number of insomniac is increasing day by day.If there is no timely intervention treatment,it will have a great impact on life.Behavioral cognitive therapy and drug therapy in western medicine are commonly used to treatment of insomnia,but drug therapy has side effects,and many people are resistant to taking sleeping pills,behavioral cognitive therapy requires a variety of conditions and needs the guidance of a professional doctor,so it is not only time-consuming,but also slow in efficacy.Acupuncture in traditional Chinese medicine is effective in the treatment of insomnia,and more and more people pay attention to its advantages such as simplicity,convenience and no side effects.With the acceleration of the pace of life,psychological pressure and mood are easily affected,insomnia of liver depression forming fire also increases,purging the south and tonifying the north method through tonifying renal water,purging heart fire to achieve the role of treatment of liver syndrome.In this paper,the acupuncture method of purging the south and tonifying the north was used to treat insomnia of liver depression forming fire,and the curative effect and advantage of the acupuncture method of purging the south and tonifying the north compared with the acupuncture of liver fire in the treatment of insomnia of liver depression forming fire were explored.MethodFrom March 2019 to December,66patients with insomnia due to liver depression and fire were selected from the outpatients of the Department of Acupuncture and moxibustion of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine and the ward of the second traditional Chinese Medicine Hospital of Guangdong Province and were divided into treatment group(n=33)and control group(n=33)according to the random number method.The main acupoints of the two groups were Sishencong,Yintang,Anmian(double)and Sanyinjiao(double).Xinshu(double),Shenshu(double),Shaofu(single),Shenmen(single),Yingu(single)and Taixi(single)were selected in the treatment group.Ganshu(double),Zhigou(double),Xingjian(double)and Taichong(double)were in the control group.The main acupoints of the two groups were treated with regular tonifying and relieving method,and the needle sensation was better with sour and numb distension,moderate intensity stimulation,acupuncture for 30s every 10min,leaving 30min.In the treatment group,Yinggu was treated with directional supplementation and draining method,Shenshu and Taixi were treated with twirling supplementation and draining method,Shaofu and Shenmen were treated with directional supplementation and draining method,Xinshu was treated with twirling supplementation and draining method,acupuncture for 30s every 10min(except Yinggu,Shaofu and Shenmen points),leaving 30min.In the control group,Ganshu,Zhigou,Xingjian and Taichong were treated with twirling supplementation and draining method,acupuncture for 30s every 10min,leaving 30min.The course of treatment is every Monday,Wednesday and Friday,two weeks is a course of treatment,a total of four courses of treatment.At the end of the course of treatment,PSQI,SRSS and TCM symptom score table were observed before and after treatment,and the results were compared and analyzed with SPSS23.0 statistical software,and a conclusion was drawn.ResultThe general clinical data such as age,sex and course of disease between the two groups were compared.The results showed that there was no significant difference in the general data between the two groups(P>0.05),indicating that the patients in the two groups were comparable.Before treatment,the data of PSQI,SRSS and TCM symptom score of the two groups were statistically compared,the results showed that there was no significant difference between the two groups(P>0.05),indicating that there was comparability between the two groups of patients.After 4 courses of treatment,there were significant differences in PSQI,SRSS and TCM symptom scores between the two groups(P<0.05),suggesting that the insomnia of the two groups were improved after treatment,and both the control group and the treatment group were effective.There was a significant difference in PSQI,SRSS and TCM symptom scores between the two groups before and after treatment(P<0.05),suggesting that the treatment group is better than the control group.In the overall clinical efficacy evaluation,the total effective rate of the treatment group(90.91%)was better than that of the control group(84.85%).According to the statistics of rank sum test,there was a significant difference in the total effective rate between the two groups(P<0.05).It shows that the clinical effect of the treatment group is more prominent than that of the control group.ConclusionFrom the results of this study,the acupuncture method of purging the south and tonifying the north can not only effectively improve the symptoms of insomnia,but also significantly relieve the TCM symptoms of liver depression,which is in line with the previous application of purging the south and tonifying the north method in the liver syndrome.At the same time,it has the advantages of acupuncture,which is simple and easy,less pain,good safety and so on,suitable for clinical application.