Clinical Observation Of Anshen Dingzhi Decoction Combined With Acupuncture In The Treatment Of Insomnia (Heart-Gallbladder Qi Deficiency Syndrome)

Objective:This study was a randomized controlled trial to observe the clinical efficacy and safety of modified Anshen Dingzhi Decoction combined with acupuncture in the treatment of insomnia(heart and gallbladder qi deficiency syndrome).Method The study cases came from the outpatient department of internal medicine of the Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from January 2022 to December 2022,which met the diagnostic criteria of insomnia(heart and gallbladder qi deficiency syndrome).The patients were divided into four groups,33 cases in each group,and 132 patients with insomnia due to heart and gallbladder qi deficiency syndrome were included.The traditional Chinese medicine group was treated with modified Anshen Dingzhi Decoction,one dose per day;The acupuncture group was treated with acupuncture once every two days;the combined group was treated with modified Anshen Dingzhi Decoction combined with acupuncture;the control group was given esopiclone tablets,and the treatment time of the four groups was 28 days.The clinical efficacy was evaluated by Pittsburgh Sleep Quality Index(PSQI)scale,TCM syndrome integral scale and Insomnia Severity Index(ISI).SPSS26.0 software was used for data statistical analysis and processing.Method:1.PSQI:Before treatment,there was no significant difference in the total score of PSQI and the score of each factor among the four groups(P>0.05),but after treatment,the total score of PSQI and the score of each factor in the four groups were decreased compared with those before treatment(P<0.05),and the decrease degree of the combined group was similar to that of the control group(P>0.05);Compared with the traditional Chinese medicine group and the acupuncture group,the decrease degree of the combined group was more obvious(P<0.05),the total effective rate of the combined group was 84.38%,that of the traditional Chinese medicine group was 73.33%,and that of the acupuncture group was 71.98%;The total The total effective rate of the control group was 87.10%,and the curative effect of the combined group was similar to that of the control group(P>0.05),and the curative effect of the combined group was better than that of the traditional Chinese medicine group and the acupuncture group(P<0.05).2.TCM syndrome score scale:Before treatment,there was no significant difference in the total score of TCM syndrome and the score of each factor among the four groups(P>0.05),but after treatment,the total score of TCM syndrome and the score of each factor in the four groups decreased compared with those before treatment(P<0.05);compared with the Chinese medicine group,the acupuncture group and the control group,the decrease in the combined group was more obvious(P<0.05);The total effective rate was 87.50%in the combined group,73.33%in the traditional Chinese medicine group,68.75%in the acupuncture group and 67.74%in control group,which was superior to the traditional Chinese medicine group,acupuncture group and control group.Among the four groups,there were significant differences between the combined group and the control group in the three factors of difficulty in falling asleep,timidity and fright,shortness of breath and laziness to speak(P<0.05),and there were significant differences between the combined group and the Chinese medicine group in the three factors of waking up from sleep,palpitation and restlessness(P<0.05).There were significant differences between the combined group and the acupuncture group in the three factors of difficulty in falling asleep,waking up and falling asleep,and palpitation(P<0.05).3.ISI:Before treatment,there was no significant difference in the total score of ISI among the four group(P>0.05).After treatment,there was significant difference in the total score of ISI among the four groups(P<0.05),indicating that the treatment of the four groups was effective.by comparison among the four groups,the curative effect of the combined group was similar to that of the control group(P>0.05),and the curative effect of the combined group was better than that of the Chinese medicine group and the acupuncture group(P<0.05).Conclusion:Modified Anshen Dingzhi Decoction combined with acupuncture can improve the overall sleep condition of patients with insomnia(heart and gallbladder qi deficiency syndrome)and has good safety.At the same time,modified Anshen Dingzhi Decoction combined with acupuncture can improve the traditional Chinese medicine clinical syndromes of insomnia(heart and gallbladder qi deficiency syndrome)and improve the quality of life of patients.