Clinical Observation On Treating Insomnia Of Heart-Kidney Disharmony Type With Wuweizi Decoction Sticking To Shenque Based On The Theory Of Five Evolutive Phases And Six Climatic Factors In Xin Ugli Year

Objective:In this study,based on the theory of Yunqi in Xin ’ ugly years,the acupoint sticking of ’ Wuweizi Decoction ’ was made and applied to Shenque acupoint for the treatment of insomnia with heart-kidney disharmony.The improvement of insomnia was observed,and the therapeutic effect of Yunqi prescription on insomnia with heart-kidney disharmony was evaluated,so as to provide reference for clinical application.Method: A total of 72 patients were included in the experiment,and they were divided into two groups according to the random number table method.On the basis of daily management,the control group was given conventional acupuncture treatment,and Yintang,Anmian,Shenmen,Zhaohai and other acupoints,needle retention 30 minutes,were selected once a day for 14 days.On the basis of the control group,the treatment group was treated with acupoint sticking at Shenque point,applied before bedtime every night,fixed at acupoint for 6 hours,and treated for 14 days.After treatment,the PSQI score,TCM syndrome score and clinical efficacy of TCM were observed in the two groups,and the clinical efficacy was analyzed and evaluated by SPSS software.Results:1.Baseline data comparison : Two groups of patients with gender,age,course of disease,PSQI total score and single score,WHOQOL total score,TCM syndrome score were statistically processed,no statistical significance(P>0.05),comparable between groups.2.PSQI score comparison : Two groups of patients,respectively,before and after treatment PSQI six single and total score comparison,the difference was not statistically significant(P<0.05),suggesting that the treatment group in improving sleep quality,sleep time,sleep time,sleep efficiency,dysfunction and PSQI total score,the treatment group curative effect is better than the control group,and sleep disorders,no difference between the two groups.3.WHOQOL score: two groups before and after treatment WHOQOL score comparison,have significant differences(P<0.05),indicating that the two groups can improve WHOQOL score;after treatment,the WHOQOL scores of the two groups were compared(P<0.05),showing significant differences,indicating that the improvement of WHOQOL score in the treatment group was better than that in the control group.4.TCM syndrome score comparison : before and after treatment,two groups of TCM syndrome score comparison,have significant differences(P<0.05),indicating that the two groups can reduce TCM syndrome score;after treatment,the TCM syndrome scores of the two groups were compared,with significant differences(P<0.05),indicating that the treatment group was better than the control group.5.Comparison of clinical efficacy : The total effective rate of the treatment group was 87.88%;the total effective rate of the control group was72.73%.The total effective rate of the two groups was compared,with significant difference(P<0.05),indicating that the effective rate of the treatment group was better than that of the control group.6.Comparison of recurrence rate : the recurrence rate of treatment group was 9.09%;the recurrence rate of the control group was 27.27%.The recurrence rate of the two groups was compared,with significant difference(P<0.05),indicating that the recurrence rate of the treatment group was lower than that of the control group.7.Safety evaluation : No adverse situation occurred during treatment.Conclusion:1.Acupuncture combined with acupoint application therapy and simple acupuncture therapy have therapeutic effects on patients with heart-kidney disharmony insomnia.2.Acupuncture combined with acupoint application therapy in improving PSQI score,WHOQOL score,TCM syndrome score,clinical efficacy,reduce the recurrence rate of five aspects are better than simple acupuncture treatment.