Clinical Observation On Treatment Of Insomnia With Acupuncture And Auricular Point

Objects:Insomnia is a sleep disorder. People with insomnia have trouble with sleeping: difficulty falling asleep, or getting awake at night. Currently more people have problems with sleeping. Insomnia has become an important factor affecting people’s health, life quality and productivity. Nowadays there are many ways in the treatment of insomnia, mainly in psychological therapy, physical therapy, massage, Chinese medicine therapy, sedative drugs, acupuncture. The treatment of primary insomnia often use sedative-hypnotic drugs and psychological therapy, however the side effects of medication is obvious, and the effect of psychological therapy is often not stable, many factors can influence it. Acupuncture therapy in insomnia has overall adjustment features and advantages, and this is more secure, economic, more effective, and has no side effects. It is widely used. This study was designed to observe the clinical effect of acupuncture combined with pressing ear-acupoint therapy in insomnia.Methods:Considering the lasting period of acupuncture may not be long enough, we used body acupoint with ear acupoint to treat primary insomnia. Acupuncture part:the main points used is the Extraordinary points:Anmian, Sishenchong(EX-HNl) and Yintang(GV29), Shenmen(HT7) with normal reinforcement and normal reduction method. The liver stagnation transforming to fire pattern adds Taichong(LR3), Xingjian(LR2) with normal reduction method.The phlegm-heat disturbing mind pattern, used Fenglong(ST40), Neiting(ST44), Gongsun(SP4) with normal reduction method.The pattern of qi deficiencies of the heart and gall used Qiuxu(GB40) and Neiguan(PC6) with normal reinforcement method. The deficiency of both heart and spleen pattern used Sanyinjiao(SP6), Zusanli(ST36) and Neiguan(PC6) with normal reinforcement method. The yin deficiency and five Exuberance pattern used Zhaohai(KI6) Daling(PC7) with normal reduction method and Taixi(KI3) with normal reinforcement method. Manipulate the needles to get needle sensation and retain the needle for 20 minutes each time. Every patient take the therapy 3 times a week, a course of treatment takes 4 weeks.Pressing ear acupoint therapy mainly used Subcortex, Shenmen and Heart.The liver stagnation transforming to fire pattern adds Liver, Ear apex. The phlegm-heat disturbing mind pattern used Spleen and Large intestines. The pattern of qi deficiencies of the heart and gall used Gallbladder and liver. The deficiency of both heart and spleen pattern used Spleen and Endocrine. The yin deficiency and five Exuberance pattern used kidney and liver. Every patient toke this therapy 2 times each week, and they were told to press the beans on the ear accupoint 3 times every day with, and each point lasts 30 seconds each time. And the pressing should have pain withing bearing. The original use of sleeping pills can be gradually reduced as the effect of the treatment triumphs. Keep a record before treatment,1 week later, 2 weeks later and 4 weeks later of the patients’sleep quality, time getting into asleep, actual sleep time, sedative dosage, Pittsburgh sleep quality index (PSQI) changes and clinical effect in treatment and follow up one month after the whole therapy.Results:Of 20 patients, there were 15 women and 5 men with an average of 49.5.The youngest was 27 and the eldest was 64.The had sleep disorder with 4.47 years on average. There were 10 patients with deficiency of both heart and spleen pattern,6 patients with liver stagnation transforming to fire pattern,2 patients with yin deficiency and five Exuberance pattern,1 patient with phlegm-heat disturbing mind pattern,1 patient with qi deficiencies of the heart and gallbladder,The result of the treatment showed that most of the patients’ sleep problem got better.3 examples (15%) of patients were totally cured,10 examples (45%) were markedly effective, 6 examples (30%) were effective and 1 example (5%) was ineffective. The total effective rate got 85 percent. The PSQI each data’s scores after the treatment including sleep quality, time to fall asleep, sleep efficiency, actual sleep time, reducing sedative dosage, sleep disorder, during daytime function, total PSQI score were lowered compared with the sores before the treatment. And the difference had obvious statistics significance(P<0.01).Conclusions:Acupuncture combined with pressing ear acupoint therapy in insomnia was effective in improving patients’sleep quality, actual sleep time, during daytime function, sleep efficiency, and reducing sedative dosage and it has an obvious effect on improving the patients’sleep problems.