Clinical Efficacy Of Round-trip Moxibustion Along The Meridian Combined With Acupuncture In The Treatment Of Insomnia With Heart-spleen Deficiency

Purpose:Subjects with insomnia with heart-spleen deficiency were selected as the study object,and the treatment with round-trip moxibustion along the meridian combined with acupuncture was conducted to observe its clinical efficacy,aiming at optimizing the treatment plan of insomnia with heart-spleen deficiency and to provide more data support for clinic.Method:64 insomniac with heart-spleen deficiency who met the inclusion criteria of this study were randomly divided into two groups,with 32 cases in each group.In the control group,2 cases gave up because they can’t bear pain work and treatment respectively,and in the observation group,2 cases gave up because of family relocation and self-administration of sleeping drugs.30 cases were actually completed in the observation group and 30 cases in the control group.The observation group followed round-trip moxibustion along the meridian combined with acupuncture treatment,in which acupuncture selected Zhaohai(double),Shenmai(double),Shenmen(double),Sanyinjiao(double),Anmian(double),Sishencong,Xinshu(double),Pishu(double)that tonifying in Xinshu,Pishu and Sanyinjiao and the rest of the acupoints are in the needling sensation response after the needle to keep 30 minutes.Then the operating rules of round-trip moxibustion along the meridian was to use the moxa sticks moxibustion back and forth equably in the first line of the bladder meridian and the governor meridian in about 3cm-5cm away from the exposed skin during the period of acupuncture.The range of moxibustion was controlled in the area of the subject’s back(from Dazhui point on the governor meridian to the horizontal plane of Yaoshu),and the speed was controlled at 2cm/s-4cm/s.The control group was treated with traditional moxibustion combined with acupuncture.Traditional moxibustion operation was to fix the lit moxa sticks on the Xinshu and Pishu of the subjects on both sides of the back with a moxibustion rackfor 30 minutes during the period of acupuncture.The appropriate distance between moxa sticks and skin should be 3-5cm,which can be adjusted according to the different heat resistance degree of the subject.The observation group and the control group were treated with an interval of 1 day after each treatment,and a total of 15 treatments were treated as a course of treatment.On the day of the first treatment and the second day after the total course of treatment,PSQI SAS score and TCM syndrome were respectively filled in the corresponding scales to evaluate the short-term efficacy.In addition,a follow-up was conducted 3 months after the end of treatment to assess long-term efficacy.Results:1.General baseline comparison:subjects’ gender,age,course of diseaseof the two groups were compared and the difference shows there is no statistically meaning(P>0.05),which was comparable.2.Comparison of observation indicators:(1)Comparison between each group after treatment and at follow-up:the PSQI score,SAS score and TCM syndrome score of the two groups were greatly decreased than before(P<0.05),showing that both the observation group and the control group could improve the sleep quality,anxiety as well as TCM symptoms of insomnia people who have insufficiency in heart and spleen,The long-term efficacy of the observation group was better than that of the control group.(2)Comparison between the two groups after treatment:If the PSQI score,SAS score and TCM syndrome score of the observation group were greatly lower than those of the control group(P<0.05),it indicates that the improvement of sleep quality,anxiety as well as TCM syndrome score of insomnia subjects who are deficient in heart and spleen of the observation group was better than the control group.Moreover,the improvement of sleeping condition,palpitation,fatigue as well as dreaminess of the observation group was superior to that of the control group.3.Comparison in clinical efficacy:After treatment,statistics showed the total effective rate of the observation group was 93.33%and total effective rate of the control group was 73.33%.The total effectively rate of the observation group greatly exceeded that of the control group(P<0.05),showing that the overall efficacy of round-trip moxibustion along the meridians with the combination of acupuncture treatment was superior to that of traditional moxibustion combined with acupuncture.4.Correlation analysis between sleep assessment and quality of life:TCM syndrome scores and PSQI scores of control group and observation group both were positively correlated before and after treatment,and the difference was statistically significant(P<0.05).Conclusion:The Round-trip moxibustion along the meridian combined with acupuncture can effectively shorten the time to fall asleep of insomniac with heart-spleen deficiency,improve sleep quality and relieve anxiety.The curative effect is better than the traditional moxibustion combined with acupuncture,and it is worth popularizing and applying.