| Insomnia, also known as "sleep disorder", "initiating and maintaining sleep disorder", Chinese medicine called "insomnia", is the clinical common intractable disease, disease, usually refers to all causes in difficulty falling asleep, sleep depth and lack of sleep, frequency too short, wake up early, sleep quality is poor etc. as the main symptoms, and even affect people’s daily life, mental state, has as a common physical and mental disorders diseases, and in recent years, the incidence rate in all ages have, showed the trend of younger. Foreign survey results show that:the incidence of insomnia in the United States, Britain, Germany,32%-35% 10%-14% 15%, Finland 11.9, Japan 21%[1-2]. According to the epidemiological data of insomnia, in Beijing, Shanghai, Guangzhou and Hangzhou respondents, of which 42.5% in answer Yasen Insomnia Scale (AIS). The results showed that the overall quality of sleep is not ideal [3]. Long-term insomnia as if always in a working state, no way to heat no way to stop the machine, from the short term will affect the daily life of patients with, looked for a long time may shorten the life of the patients. Furthermore in the long-term insomnia patients, most of the mental state in the anxiety state, interpersonal relationship, seriously affecting work (which makes insomnia is not only medical problems, has evolved into a social problem), family life, increase the hidden danger of accident, to the individual, family, society brings certain economic pressure. Therefore, to carry out research especially for insomnia, insomnia of clinically effective, economic and convenient operation treatment is necessary, with the social and economic significance.The clinical treatment of insomnia of various diversity, on sedative and hypnotic drugs is the main treatment of Western medicine, Chinese medicine is prescription of traditional Chinese medicine, acupuncture and moxibustion, and combined with the characteristics of traditional Chinese medicine treatment such as ear acupuncture, catgut embedding therapy, acupuncture point injection. As a branch of Chinese medicine acupuncture, treatment with oral drugs, more green, more healthy. The ancients cloud "is the three drug toxicity", any oral drug to be absorbed through the digestive system, through the liver detoxification, this invisible aggravated the digestive system of the load, and the digestion absorption function requires a relatively long time. Acupuncture directly on the acupoints of directly regulating qi and blood, no toxic side effect, simple operation. In the actual treatment and acupuncture in the treatment of different type of insomnia of application has been very widely, but the selection of acupuncture Baihui, Sishencong with medicinal compress sticking Yongquan acupoint treatment heart kidney is not handed in a rare type of insomnia, and the lack of relevant research literature is slightly, we the spirit of desire to study, query relevant literature for the first time to investigate the effects of acupuncture on Baihui, Sishencong with medicinal compress sticking Yongquan acupoint treatment heart kidney is not handed in insomnia, and observe its clinical curative effect, and to provide a new idea for this type of insomnia treatment, to rescue the suffering of this type of patients.ObjectiveThis paper by comparison of three methods, observation of acupuncture Baihui, Sishencong combined drugs sticking Yongquan acupoint treatment of heart and kidney type insomnia. Analysis and preliminary study of acupuncture of Baihui, Sishencong with medicinal compress paste Yongquan acupoint treatment heart renal don’t hand over mechanism treating insomnia may, for acupuncture treatment of insomnia and to provide a new train of thought in clinic.MethodsIn the literature, the pathogenesis of insomnia is summarized from the point of view of traditional Chinese medicine and Western medicine, and the effective treatment method is commonly used in clinic. In the clinical research, according to 1:11:,90 cases of the patients with insomnia of heart and kidney were randomly divided into two groups:treatment group, control group and control group, two. Heart and kidney do not pay type of insomnia, TCM diagnostic criteria to diagnose standard reference 2004 [4] Zhou Zhongying editor in chief of the Chinese medicine "heart disease chapter insomnia heart kidney incoordination:upset, insomnia, difficulty falling asleep, palpitation, dreaminess, dizziness tinnitus, Yaoxisuanruan, hectic fever night sweat, five upset hot, dry throat less Tianjin, man seminal emission, women’s menstruation. Red tongue, little coating, thready pulse. Treatment group by Acupuncture of Baihui, Sishencong combined drugs sticking Yongquan (5g of Evodia rutaecarpa research in the last, the vinegar to tune into a paste adhesive tape placed two pieces of 3 cm x 3 cm size, respectively, at bedtime for 0.5 h sticking on Yongquan acupoint of bilateral, tomorrow 07:00 exposing except), every 3 days,1,2 times per week, with two weeks as a course of treatment. Control group with normal acupuncture:God door, Baihui, sleeping, Neiguan, with auricular apex bloodletting, every 3 days,1,2 times a week, two weeks as a course of treatment. Two in the control group with oral administration of estazolam, as the condition of taking 1-2mg, at bedtime, a total of 2 courses of treatment;The Pittsburgh sleep quality index (PSQI) was observed and assessed the clinical effect before and after treatment.ResultsThe research shows that the clinical approach for the treatment of heart kidney incoordination insomnia many kinds of Chinese medicine or western medicine, or most side effects. Acupuncture treatment is currently the most patients are willing to choose the treatment means, exactly in line with the modern "green" philosophy of life, but literature research is mainly based on the clinical efficacy of mainly, less research to fully understand the mechanism of acupuncture treatment of insomnia and clinical typing, no unified approach and curative effect of judgment also is not uniform, so it is difficult to comprehensively and objectively evaluate the efficacy of treatment.After 2 courses of treatment, the subject included in the study of 90 cases, the completion of all treatment with 81 cases,9 cases to fall off, which treatment group shedding in 3 cases, control, control group respectively, each shedding in 3 cases, and finally into a statistical analysis of the number of cases into treatment group (27 cases) and control group (27 cases), the control group (27 cases). After statistical test, the three groups of patients in age, sex composition, course of disease was not statistically significant (P>0.05), the group showed comparable;Research results of PQSI 3.2.2 score. There was no significant differ ence in the total score between the three groups before treatment (P>0.0 5). The three groups have obvious difference between two groups before an d after treatment, with statistical significance (P<0.05), suggesting tha t the three methods of treatment can significantly reduce PSQI score. In t he treatment of sleep time, sleep efficiency, sleep quality, sleep disord ers, three groups before and after treatment were statistically significa nt in the treatment of daytime dysfunction, the difference was not statis tically significant. Comparison of clinical efficacy after treatment in th e three groups, the treatment group cured in 4 cases,18 cases were marke dly effective, effective in 5 cases, invalid 0 cases, the total efficienc y of 100%; the control group A,0 cases were cured,2 cases were markedly effective,17 cases were effective,8 cases ineffective, the total effic iency of 70.37%; the treatment group 20 cases were cured,0 cases marked ly effective, effective 13 cases, invalid in 14 cases, the total efficien cy of 48.14%. Finally, the efficacy of the three groups were Kruskal-Wall is test, the results suggest that P<0.05, so the effect of the treatment group than the control group, the control group is better than the effect of a control group of two.ConelusionThree groups of treatment methods for the treatment of heart and kidney do not pay type insomnia have the effect, and the quality of sleep, sleep time, sleep time, sleep efficiency, sleep disorders were improved; in the treatment group received acupuncture Baihui, Sishencong with medicinal compress sticking Yongquan acupoint treatment of heart and kidney do not pay type insomnia clinical efficacy than the control of a group of ordinary acupuncture combined with auricular apex bloodletting therapy and control group oral estazolam and ordinary acupuncture with ear apex bloodletting therapy was superior to that of oral AI our estazolam. But improve the sleep time and daytime dysfunction in the third person effect is not obvious, overall acupuncture Baihui, Sishencong with medicinal compress sticking Yongquan acupoint treatment of heart and kidney incoordination insomnia therapeutic, in clinical on have profound significance, should be attached great importance to, and conduct a comprehensive promotion. |
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