Observation On The Clinical Effect Of Needle Warming Moxibustion On Insomnia Of Constitution Of Yang Deficiency

Objective:To observe the clinical efficacy and safety of needle warming moxibustion in the treatment of insomnia patients with constitution of Yang deficiency.Methods:64 cases of Yang deficiency constitution patients with insomnia were randomly divided into experimental group and control group,32 cases selecting acupoints in experimental group patients will choose the best,god door,three vaginal intercourse,according to the sea,shen mai,sleeping,renal shu warm acupuncture treatment.The frequency of treatment was 30 minutes twice a week.Control group was given lmg estazolam orally half an hour before going to bed every night.The frequency of treatment in both groups was 2 weeks.The changes of PSQI scores and TCM syndrome scores in 2 groups before and after treatment were observed,and the occurrence of adverse events was recorded.Results:1.Clinical efficacy:In the experimental group,0 cases were cured,14 cases were significantly effective,13 cases were effective,and 5 cases were ineffective.The total number of effective cases was 27,and the effective rate was 84.38%.In the control group,0 cases were cured,3 cases were significantly effective,26 cases were effective,and 3 cases were ineffective.The total number of effective cases was 29,and the effective rate was 90.63%.The results showed that there was no significant difference in the clinical efficacy of needle warming moxibustion and estazolam in the treatment of Yang deficiency constitution insomnia.2.PSQI score:Needle warming moxibustion and estazolam can improve sleep quality,time to fall asleep,sleep time,sleep efficiency and daytime dysfunction of patients with Yang-deficiency constitution insomnia.But in the improvement of sleep quality,sleep time,sleep efficiency and sleep disorders,the curative effect of estazolam is better than needle warming moxibustion.3.TCM syndrome scoring:(1)On the other hand,needle warming moxibustion in the treatment of the insomnia patients with Yang deficiency constitution showed obvious improvement in the symptoms such as difficulty in sleeping,easy to wake up from many dreams,morning sleepiness,cold waist and knees,listlessness of spirit,loose stools,and lacklustre complexion,while the effect of frequent nocturnal urination was not obvious in many aspects.(2)Estazolam can improve the insomnia patients with Yang deficiency constitution in the aspects of hard to sleep,easy to wake up from dreams,frequent urination at night,listlessness of spirit,loose stools and so on,but it is not obvious to improve the morning drowsiness,cold waist and knee,complexion and so on.(3)In terms of traditional Chinese medicine syndromes such as difficulty in sleeping,easy to wake up from many dreams,drowsiness in the morning,cold waist and knees,listlessness of spirit,loose stools,and flat complexion,the therapeutic effect of needle warming moxibustion is better than that of needle warming moxibustion for the improvement of frequent nocturnal urination.Conclusion:Both needle warming moxibustion and estazolam can effectively improve the sleep quality of patients with Yang-deficiency constitution insomnia.In terms of improving PSQI total score,the effect of needle warming moxibustion group is better than that of needle warming moxibustion group.In terms of the overall TCM syndromes of Yang deficiency constitution,the therapeutic effect of warm acupuncture is better than that of estazolam.But in the overall efficiency,the difference between the two is not obvious.