Insomnia Traditional Chinese Medicine Syndrome Factors And Intervention Studies

In recent years gradually increased incidence of insomnia,insomnia has been a serious threat to human health and quality of life.Modern medicine for the treatment of insomnia drug mainly,but there adverse reactions,tolerance, dependence,and at the same time can lead to memory decline in thinking ability decline in cognitive function impairment.Chinese medicine treatment of insomnia has its own unique advantages,but there is a single evaluation system,one-sided and are not objective enough,and so on.Therefore,the purpose of this study was to explore on the basis of preliminary work insomnia clinical syndromes features elements used Shugan Xiehuo Yangxue soothe the nerves of the treatment of insomnia, and from Syndrome,sleepquality,mood,memory,implementationand lectorphysiology etc.comprehensively evaluate its clinical efficacy observed.Objective To explore General Hospital neurology clinic patients with insomnia Syndrome elements of the distribution,composition,and other conditions; from sleep quality, mood, memory, implementation and evaluation of integrated perspective electrophysiological explore Shugan Xiehuo Yangxue Anshen of the clinical effect of treatment of insomnia and the onset time.Method 1. Outpatient selected 100 patients with insomnia, fill factor Syndrome Scale, and a deputy director of the above titles physicians Syndrome experience elements of the judgement, with the Pittsburgh Sleep Quality Index (PSQI), Hamilton Anxiety Scale ( HAMA) and the Hamilton Depression Scale (HAMD) of the patients were sleeping and mood were assessed.2. Outpatient selected 30 cases of patients with insomnia, use of Shugan Xiehuo Yangxue Anshen treatment, a course of treatment, and from different points in time, the selection of the Pittsburgh Sleep Quality Index (PSQI), Hamilton Anxiety Scale (HAMA),the Hamilton Depression Scale (HAMD),the memory of Investigation,the Wisconsin Card Sorting Testing (WCST),the Chinese hepatitis Scale,and nonlinear EEG analysis were carried out comprehensive evaluation of its efficacy.Result 1. Neurology clinic patients with insomnia Syndrome elements survey found: outpatient patients with insomnia Huore accounts for 92 percent,Xuexu was 79%, Qiyu accounting for 78%, Qixu accounting for 74 percent, the four elements of a dialectical rate were more than 70%.four;five or six Syndrome combination of factors accounted for 62%; Logistic regression analysis found that insomnia with emotional disorders and insomnia than simply "Qixu" close.2. Shugan Xiehuo Yangxue Anshen law before and after treatment of insomnia Clinical observations:Shugan Xiehuo Yangxue Anshen Treatment of Liver depression of the fire and insomnia of the total efficiency of 93.33%,the effective rate is 70%. Sleep quality before and after treatment,the emotional status and Chinese medicine Liver Depression of the fire main symptoms significantly (P<0.01);memory,the implementation of no significant difference (P> 0.05),but the memory impairment in patients with insomnia and memory are part of the difference was significant ( P <0.01). EEG before and after treatment in the mission nonlinear EEG analysis of the correlation dimension and approximate entropy two indicators have increased the overall trend, particularly in the left hemisphere superiority temporal lobe is the derivative of the difference was significant (P<0.05).3. Shugan Xiehuo Yangxue Anshen of the treatment of insomnia effect of the time of discovery: The method for treatment of insomnia,sleep and TCM symptoms can be a difference between a week medication and before treatment, a difference between the two weeks medication and before treatment in the emotional (P <0.05). And sleep, Chinese and emotional symptoms were negatively correlated with the course of treatment;TCM symptoms, mood and sleep were positively correlated. Conclusions 1. Insomnia Pathogenesis complex mixture of inclusion strength; Huore, Xuexu, Qiyu, Qixu are common syndromes elements of insomnia; insomnia associated with a certain degree of emotional disorders associated with the Qixu.2. Shugan Xiehuo Yangxue Anshen of the patients with insomnia sleep quality and emotional conditions improve significantly, the Chinese Liver Depression of the fire main symptoms improved significantly, the cognitive function of patients with insomnia damage to a certain extent only the restoration of the left Side advantages hemisphere temporal lobe in particular EEG complexity improved, suggesting that the patients with insomnia and may improve the efficacy of particular advantage hemisphere temporal lobe nerve cells function.3. Shugan Xiehuo Yangxue Anshen of the patients with insomnia and sleep quality of the Chinese medicine Liver Depression of the fire from the time of onset of symptoms for a week, the emotional status for two weeks. And quality of sleep, emotional status and treatment with Chinese medicine to improve symptoms, emotional symptoms with the Chinese situation and improving the quality of sleep and improvement.