| Anxiety is a common mood disorders, expressed as a persistent state of a nxiety and depression, with depression, physical discomfort and sleep distur bances and other symptoms. Closely related to anxiety and insomnia, many pati ents with insomnia are associated with anxiety, many patients with the onset of anxiety often the first symptom of insomnia. With the development of mod ern society, the accelerated pace of lif.e, the increasing pressure of life, insomnia and anxiety incidence increased year by year, seriously affect peop le's quality of life, therefore, the current treatment of insomnia and anxie ty disorders have received increasing attention. Acupuncture is in traditio nal Chinese medicine(TCM) as a unique treatment, a variety of neuropsychiatr ic disorders has a good effect, for improving sleep quality, relieve insomni a with anxiety patients have a good effect.The coordination of acupoints by regulating spirits is my teacher Profes sor Wang Fan under the guidance of traditional Chinese medicine "Treatment o f spirit" theory, combined with his years of clinical experience in acupunct ure and select a adjustment function of acupoints of spirit, according to "t he five viscera generating spirits" theory modified and change the treatment s of an acupuncture method.1 Objective:By using The coordination of acupoints by regulating spirits treatment insomnia patients with anxiety, were observed The coordination of acupoints by regulating spirits to improve intractable insomnia with anxiety clinical efficacy. Analysis the value of The coordination of acupoints by re gulating spirits.2 Significance:①.The coordination of acupoints by regulating spirits to im prove the treatment of anxiety provide clinical basis.②.By The coordinatio n of acupoints by regulating spirits treatment of intractable insomnia associated with anxiety clinical efficacy, the situation analysis of five viscera in the generating of spirit theory of acupuncture in the clinical application.3 Methods:The Beijing Tibetan Hospital and Beijing Royal Integrative Medici ne Hospital outpatient acupuncture in patients with refractory insomnia meet inclusion criteria of the 70 cases of anxiety were randomly divided into observation group (35 cases), the control group (35 cases). The coordination of acupoints by regulating spirits act by adjusting the observation group, the basic acupoints are:Baihui (DU20), Shenting (DU24), Yintang (EX-HN3), Anm ian, Shenmen(HT7), Zusanli (ST36), Sanyinjiao (SP6), and electronic pulses to stimulate the therapeutic apparatus; Normal control group according to the higher education, "Fifteenth" National Planning materials "acupuncture"-"Insomnia" edited by Shi Xuemin, taking the main point:Zhaohai (KI6),Shenmai (BL62), Shenmen(HT7), Yintang (EX-HN3), Sishencong(EX-HN1), Anmian, and elect ronic pulse therapeutic apparatus for stimulation. Treatment 3 times a week, every week between the interval of 2 days,2 weeks as a course; were treated with 2 courses,1 month after the end of treatment follow-up. HAMA scale an d TCM clinical symptoms using scales to observe the spirit of anxiety, physical anxiety, and the behavior of conversation times. Before in the inco me group, after each treatment and follow-up proceed efficacy rates. After o bserving the results of statistical'analysis, all data processing and analys is software package to SPSS17.0.4 Results:A total of 57 cases of patients with complete data, including the observation group 29 cases and in the control group 28 cases. Analysis of t he data showed, that the total observation group 93.10%,the control group a fter treatment, the total effective rate was 85.71%,higher than the control group, the x2 test:the difference between the two groups are statistically significant (P< 0.05), Prompted the clinical effect of the observation gro up was significantly better than the control group.Before treatment two groups HAMA rate of the highest, after 1 course of treatment rate was significantly lower, after 2 courses of treatment rate to reduce to a minimum level,1 month after the end of treatment follow-up rate s have rebounded to varying degrees, but the rate of not more than when after 1 course of treatment. Indicate length of treatment and acupuncture treatment effects are related. Within the scope of this experimental observa tion, the longer course of treatment, acupuncture effect is more obvious. Ob servation group and control group were able to significantly improve the cli nical symptoms of anxiety, differences in scores after treatment compared to before treatment, there was statistical significance (P all< 0.01);Comparison from the group, after 2 treatment, two groups of HAMA total rate have significantly statisticalsignificance (P=0.010< 0.05), observ ation group in the two treatment after the improvement is significantly bett. er than the control group. HAMA score of the three sub-score results are no t the same, in which mental state of anxiety after 2 courses of treatment an d follow-up rate between the two groups have difference statistically signif icant (P< 0.05), observation group, the mean rates were lower than the cont rol group. And physical anxiety and talking with people behave, although the observation group than in the control group in terms of improvement are an a dvantage, but the difference was not statistically significant (P>0.05)5. Discussion:5.1 The coordination of acupoints by regulating spirits and the control grou p methods, although the legislative basis for the difference, but the simila rities with the acupoints, same acupoints is Shenmen(HT7), Yintang (EX-HN3), Anmian; location closer to the acupoints is observation group have a Baihui (DU20), Shenting(DU24), in control group Sishencong(EX-HN1). These acupoints are sedative effect. In addition, these points of acupuncture and stimulati on methods are basically the same, needle retaining time, treatment and othe r parameters are controlled at the same'level, therefore, observation group and control group after treatment the each states and compare with bef ore treatment, showed an overall Significantly improved.5.2 The coordination of acupoints by regulating spirits take into account th e five viscera in spirits disease mechanisms of effect, as the core of the p hysical structure of the human body, the five viscera system has refined ene rgy and make spirit the physiological functions. Any viscera is sick, may affect the person's spiritual awareness activities, therefore, according to the five viscera demonstration results has targeted selected relevant acupoints to the five viscera, can achieve a multiplier effect. The coordina tion of acupoints by regulating spirits is established under the guiding ide ology select acupoints and acupuncture method, by demonstration, determine f ive viscera weak or strong, and then respectively select acupoints, the sele cted acupoints are a lot of clinically confirmed that there were good effect, together with the corresponding acupuncture method, through this conditionin g, the role of acupuncture can reach lesions the viscera and the entrails,re concile the five viscera, five emotions tranquility, then can reached the purpose of spirits tranquility fall asleep and treat anxiety.The control groups needling methods by acting on the Yinyangqiao Meridia n, adjust the yin and yang, ups and downs, be inbalance yin and yang, the ro le of a relatively homogeneous. Therefore The coordination of acupoints by regulating spirits take effect mechanism comparatively be widely used, effect a more comprehensive, more targeted, so in effect and continued to degree of show a significant superiority. |
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