Clinical Study Of ’Old Ten Needles’ Combined With Warm Acupuncture In The Treatment Of Insomnia Of Heart And Spleen Deficiency Type

Objective: The purpose of this study was to observe the clinical efficacy of ’old ten needles ’ combined with warm acupuncture in the treatment of insomnia with deficiency of heart and spleen,and to evaluate the efficacy and safety of ’ old ten needles ’ combined with warm acupuncture in the treatment of insomnia with deficiency of heart and spleen,so as to provide new ideas for clinical treatment of insomnia.Methods:In this study,from December 2021 to November 2022,patients from the acupuncture and moxibustion clinic,neurology clinic of Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine and school volunteers who met the diagnosis of insomnia with both heart and spleen deficiency were selected according to the diagnostic criteria.According to the random number table,they were randomly divided into 2 groups:control group(oral alprazolam tablets)and treatment group(" Lao Ten needles " combined warm acupuncture group)with 30 cases each.The control group was given alprazolam tablets orally,0.4mg each time,once a day,for21 days.The treatment group was treated with "old ten needles" combined with warm acupuncture.The main points are Shangwan,Zhongwan,Xiawan,Qihai,Tianshu(Shuang),Neiguan(shuang)and Zusanli(shuang).Warm acupuncture and moxibustion are performed in Zhongwan and Zusanli(shuang)after obtaining qi through acupuncture.Leave the needle for 30 minutes until the moxa strip burns out,remove the ash,and then remove the needle.The treatment group was treated for 10 days as a course of treatment,with 1 day rest between courses,for 2 consecutive courses of treatment,a total of 21 days.Record respectively in the two groups before and after treatment of Pittsburgh sleep quality index scale(PSQI)Pittsburgh Sleep Quality Index,ratings and syndromes,the curative effect of grading,SPSS25.0 analysis data with statistics software evaluation.Results:1.Before treatment,the course of disease,gender,age and clinical index scores of the two groups were compared,suggesting that the baseline levels of the two groups were not statistically significant(P> 0.05)and comparable.There was no significant difference in PSQI score and TCM syndrome score between the two groups before treatment(P > 0.05).2.After treatment,the total score of PSQI and the score of TCM syndromes and signs were compared within the group,and the two groups were lower than before treatment,the difference was statistically significant(P < 0.05);after treatment,the PSQI score and TCM syndrome score of the two groups were significantly different(P < 0.05),and the PSQI score and TCM syndrome score of the treatment group were better than those of the control group.3.The clinical efficacy evaluation of the two groups after treatment showed that the effective rate of the treatment group was 90 %,and that of the control group was 60 %,the difference was statistically significant(P <0.05).Conclusions:1.Oral alprazolam tablets and ’ old ten needles ’ combined with warm acupuncture can reduce PSQI score and TCM syndrome score,and improve sleep quality and quality of life of patients with insomnia of heart and spleen deficiency.2.The clinical efficacy of ’ old ten needles ’ combined with warm acupuncture is better than that of alprazolam tablets,and the score is improved more obviously.There is no obvious adverse reaction during the treatment,indicating that the ’ old ten needles ’ combined with warm acupuncture group is safe and reliable,which is worthy of clinical promotion.