Clinical Observation On Huanglian E-jiao Decoction In The Treatment Of Insomnia With Difficulty In Falling Asleep

Objective:Under the influence of Shaoyinjun fire luck,the therapeutic effect of Huanglian and E-jiao Decoction on insomnia with difficulty in sleeping(Yin deficiency and fire prosperity)was reobserved,so as to provide a new idea for clinical syndrome differentiation and prescription differentiation.Methods:A total of 60 cases of insomnia with difficulty in falling asleep and the syndrome of Yin deficiency and fire were selected from the outpatient department of Changzhou Hospital of traditional Chinese Medicine from April 2020 to December 2020.They were divided into two groups:treatment group(Huanglian and E-jiao decoction)and control group(estazolam tablet),30 cases in each group,for 4 weeks of continuous treatment.The curative effect of the two groups before and after treatment was compared and evaluated to evaluate the influence of the two groups on sleep quality.Results:The PSQI scores and total scores of the treatment group and the control group after treatment were significantly lower than those before treatment;the sleep time,sleep efficiency and daytime dysfunction of the treatment group after treatment were significantly lower than those of the control group;the differences of other items were not significant.The scores and total scores of TCM syndromes in the treatment group were significantly lower than those before treatment;the total scores of TCM syndromes,insomnia,palpitation and dreaminess,hand foot heart heat,hot flashes and night sweats in the control group were significantly lower than those before treatment,while the scores of other TCM syndromes had no significant difference before and after treatment;after treatment,the scores of TCM syndromes in the treatment group were significantly higher than those in the control group except for insomnia and palpitation and dreaminess In addition,the effective rate of TCM syndromes in the treatment group was significantly higher than that in the control group.Conclusion:Huanglian and E-jiao Decoction has significant efficacy and good safety in the treatment of insomnia with difficulty in falling asleep(Yin deficiency and fire flourishing)affected by Shaoyinjun fire luck.The theory of "five movements and six qi"combined with the idea of"six channels of disease to be solved" can be popularised and used in clinical practice.