Objective:In this paper,we analyzed the literature of acupuncture for treating insomnia of the heart and spleen deficiency type in the past ten years through data mining,summarized the rules of acupuncture selection for treating insomnia of the heart and spleen deficiency type,combined with the clinical experience of our supervisor,and conducted clinical efficacy observation to verify its effectiveness and practicality.In order to provide new therapeutic ideas for clinical acupuncture treatment of insomnia of the heart and spleen deficiency type.Methods:Sixty patients who met the inclusion criteria were divided into the control and treatment groups according to the random number table method,with 30 cases in each group.In the control group,the main acupuncture points and acupoints were prescribed according to the main acupuncture points and acupuncture points for treating insomnia with deficiency of the heart and spleen in the "Thirteenth Five-Year Plan" of Acupuncture.Acupuncture prescriptions:Baihui,Shenmen,Sanyinjiao,Zhaohai,Shenmai,Anmian,Xinshu,Pishu,and Zusanli.The treatment group finalized the acupuncture prescriptions according to the acupuncture prescriptions derived from the data mining analysis and combined with the clinical experience of the instructors.The acupuncture prescriptions were:Baihui,the left and right sides of Sishencong,Neiguan,Shenmen,Anmian,Shenmai,Zhaohai,YinTang,Sanyinjiao,Yinlingquan,Xinshu,Pishu,and Zusanli.Both groups were treated continuously for 4 weeks,6 consecutive days per week,with one treatment session per day and one rest day per week.Insomnia Severity Index(ISI),Self-Assessment Anxiety Scale(SAS),Pittsburgh Sleep Quality Index(PSQI),the Chinese medicine symptom score were recorded before and after treatment,respectively,and the results were evaluated for efficacy and statistically analyzed.Results:1.Comparison of baseline data:The differences between the treatment and control groups were not statistically significant(P>0.05)when comparing gender,age,and duration of illness,and were comparable.2.Comparison of scales:There was no significant difference between the two groups before treatment(P>0.05),and the two groups were comparable.After 4 weeks of treatment,the intra-group comparison between the two groups was statistically significant(P<0.05);the scores of all scales in the treatment group were lower than those in the control group,and the difference was statistically significant(P<0.05).3.Comparison of total efficiency:After treatment,patients in both groups showed improvement,and there was no healed patient in the control group,and there was one healed patient in the treatment group.The total effective rate was 86.7%in the treatment group and 73.3%in the control group.The treatment group was significantly better than the control group,and the difference in the total effective rate between the two groups was statistically significant(P<0.05).Conclusion:1.Both the control group,the conventional acupuncture group,and the treatment group,the data mining combined with the tutor’s experience acupuncture group,were effective in improving the insomnia of the patients.Both the treatment and control groups showed improvement in ISI,SAS,PSQI,and the Chinese medicine symptom score,and the treatment group had better efficacy than the control group.2.The treatment and control groups showed improvements in sleep quality,sleep duration,and number of awakenings,and the treatment group had better efficacy than the control group. |