| Purpose Firstly,Through bibliometric analysis and research,systematically sort out the literature on the treatment of primary insomnia by Yi medical fire moxibustion and provide theoretical basis for the treatment of primary insomnia by Yi medical fire moxibustion.Secondly,Through clinical randomized controlled trials,objectively evaluate the effectiveness,safety and impaction on the quality of life of patients with primary insomnia treated with Yi medical fire moxibustion,and give full play to the special advantages of national medicine in clinical practice,and expand the clinical practice of Yi medical fire moxibustion application.Thirdly,Through the scientific ideas and methods of this study,it is proposed to provide a research basis for the research on the relevance of traditional medicine in returning to Vietnam.MethodsDocument research: This research uses the method of searching network databases from many large databases such as Pubmed,WF,CNKI,VIP,CBM,etc.and manually search the collections of health libraries in many places to analyze data.With "rescue,wormwood,acupuncture,fire moxibustion,fire grass rescue,insomnia" are search terms.Search time is limited from January 1978(or at the time of database construction)to August 2018 The search strategy is built with logical keywords,based on selection criteria and exclusion criteria to decide suitable documents and research and select the Epidata 3.1 software to build databases,in which the data entry method is entered by 2 people,finally it is corrected by a third party to improve the accuracy of the entered data.Clinical research: This study use the randomized,blind,controlled comparison study design.The study subjects are divided into 2 groups: control group and experimental group.The experimental group use the fire moxibustion method of Yi medicine,the control group used wormwood of traditional Chinese medicine.Each day intervene 1 time,continuous treatment 6 days is a process,the total process of treatment is 4 process.Each process is a day,and is monitored for 12 weeks after the start of treatment.The observation criteria values the effectiveness before and after treatment based on the "Pittsburgh Sleep Quality Index(PSQI)" and the electric mattress values sleep quality as the main observation indicator.Self-Rating Depression Scale SDS,health assessment(SF-36),Self-Rating Anxiety Scale(SAS)are secondary observations.ResultsThe results of the literature review show that a total of 265 related documents were searched in the topic this research.After reading the topic,summary and main content,249 suitable documents were selected,including 239 documents about wormwood cure insomnia and 10 articles about fire moxibustion.No information was found related to saving fire moxibustion to cure insomnia.In fact,in the Sichuan Provincial Library,we found 5 documents related to yi medicine.The Yunnan Provincial Library found 13 theme Research Library of Yi medicine Autonomous Region So Hung found3 documents.Through screening,collating and analyzing documents,the statistical results are as follows: There are 10 documents written about fire moxibustion.including 2 documents mentioning the method of manipulation and 8 documents on the use of methods for specific disease syndromes.In the process of searching for documents.The book?Yi Wen Dian Ji Ji Cheng?contains a large amount of folk content,ancient books,rare books,written in ethnic Di scripts,classified into many categories,including medical books,The documents are related to the ancient medicine origin of the Di ethnic group,all of which record the characteristics of applying the techniques of fire grass rescue method,meticulously recording the name,origin and origin.plants,processing and processing,business rules,functions,traditional applications and methods of use.All of the pharmacopoeia books of di ethnographic medicine record the characteristics and use of fire grass;insomnia is not referred to as a specific disease,in the book?Yi Zu Yi Yao?there are inscriptions related to insomnia using the acupuncture points of Baihui,Qi Hai,Shenshu,Yongquan,Taiyang,Fengchi and some other points;There are 239 documents written about wormwood for treating insomnia,especially after 2010,there are 154 documents accounting for 64.4%,of which in 2016 there were 41 related documents;From 2000 to 2009,there were 59 documents accounting for 24.7%.Before 2000,only 26 documents accounted for 10.9%.Of the 239 documents collected,the paper had 209 documents,the dissertation graded 14 documents and 16 documents were the dissertation thesis;The classification of the types of documents can cover 5 aspects,of which the most are clinical reference studies 158 documents accounting for 61.92%,followed by empirical research documents with 47 documents accounting for 19.67%.Through data collection and content analysis statistics show,there are 111 documents talking about insomnia.According to Chinese medicine dialectical classification,wormwood treatment of dysfunctional heart disease(25 documents),bipolar heart disease(20 documents)and many other conditions;There are 126 documents detailing wormwood treatment.The treatments can be divided into three categories:simple acupuncture therapy,wormwood combined with acupuncture and other rescue methods.Acupuncture combined with wormwood is the most widely used,but in wormwood alone is the treatment of insomnia,the use of a rescue box is the most common.Statistics on the frequency of using different rescue methods in the treatment of insomnia show that the most commonly used method is the combination of wormwood,rice blast,box rescue,object rescue,rotation.The frequency of using acupoints used to treat insomnia in the statistics is as follows: The top 5 points of frequency used are: Yongquan(75 times)Baihui(63 times)Sishenchong(46 times)Shenshu(39 times)Sanyinjiao(33 times).2.Clinical research results show that:(1)This study collected 116 cases that matched the study criteria.7 of which were excluded due to personal failure to complete the treatment process,including 4 cases were excluded from the trial group and 3 cases were excluded from the control group.Finally,a 109-case study was completed,a test group of 54 cases and a control group of 55 cases.Basic indices of the two groups before treatment were similar.After the treatment,the control group achieved the total effectiveness of treatment reached 75.9%,and the control group the total treatment effect reached 65.5%.The difference is not statistically significant.(2)Comparison of PSQI scores: Comparison of treatment efficacy before and after in a group: Comparison of total PSQI scores,time of sleep,duration of sleep,quality of sleep,sleep performance,sleep disturbance,daytime dysfunction and sleep effect between the trial and control groups at 4W and 12 W compared to before treatment.The difference is statistically significant(P <0.05).(3)Comparing the sleep monitoring score of electric mattresses: Comparison of preand post-treatment efficacy in 1 group: total sleep time,REM sleep interference and REM sleep time at 4W,significant difference Statistical(P <0.05);comparing the wake-up time in the experimental group at 4W,the difference was statistically significant(P <0.05),the control group was not statistically significant(P> 0.05).(4)Scale of inhibitory score(SDS)and anxiety score(SAS)::(1)Comparison before and after treatment in the group: There is no significant difference in SAS between the two groups at 4W and 12W(P> 0.05).When comparing SDS score,the difference between the two groups was statistically significant at 4W(P <0.05)and the difference was not statistically significant at 12W(P> 0.05).(5)Quality of Life Scale(SF-36): Compare results before and after treatment in a group: Compared to before treatment,the SF-36 score of before and after treatment of each group is significant.statistically significant at 4W and 12W(P <0.05);Conclusion1.The results of document research show that:Although there has been no mention of treating insomnia with fire moxibustion method in the relevant literature,it can be seen that the use of fire moxibustion method to treat symptoms related to insomnia is documented in the Yi medicine documents,acupuncture points often use treatment including: Baihui,Qi Hai,Shenshu,Yongquan,Taiyang,Fengchi and other acupuncture points.By the collection of data and data analysis about the use of wormwood to treat insomnia,screening shows that the combination of wormwood is most often used to treat insomnia,in a simple rescue method,Rescue box is most often used.In the analysis of the acupuncture points used in the treatment of insomnia it can be seen that yongquan,Baihui,the Sishenchong,Shenshu,Sanyinjiao...the most commonly used acupuncture points,the disordered syndrome is mainly suitable cure the disease.2.Clinical research results show that:(1)fire moxibustion and wormwood are effective for insomnia treatment but the effect of the two methods are similar.(2)Healing by fire grass is superior to wormwood in terms of sleep quality,sleep time and waking time.(3)Both saving firewood and wormwood can improve the quality of life of insomnia patients and have similar healing effects.(4)saving fire grass and wormwood can improve the depressive state of insomnia patients and the healing effect is similar,but there is no significant improvement in anxiety state. |
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