The Clinical Effect Observation Of Acupuncture Reinforcing-Reducing Methods Combined Auriculotherapy To Insomnia Of Yin-deficiency And Fire-excess Type

ObjectiveBy using of acupuncture with reinforcing-reducing method and auricular therapy as an treatment method to insomnia of Yin-deficiency and Fire-excess type. Control group of selected points using reinforcing-reducing techniques, observation group for the pathogenesis of syndromes characterized by insomnia patients belong, combining traditional acupuncture theory impose fill up spilled reducing techniques by observing and statistical analysis of the clinical efficacy of the two groupsIn theory, this research give a reference to the clinical efficacy of acupuncture treatment for insomnia of Yin-deficiency and Fire-excess type, also provide a reference data for the clinical application of acupuncture reinforcing-reducing theory.In clinical practice, according to the statistics provided by the results of this research, it will give a reference for the efficacy of acupuncture treatment method to insomnia, and provide a basis for a further optimization clinical treatment of insomnia.MethodUsing a double-blind randomized controlled observational study methods to observe the clinical efficacy to insomnia of Yin-deficiency and Fire-excess type. Both observation and treatment groups treated with ear acupuncture method. Both of this two groups treated with acupoints consistently. Acupuncture Baihui, Neiguan, Shenmen, Taixi and Sanyinjiao; take auricular points of Sympathetic, Neifengmi, Neiguan, Xin and Shen.Observation group for patients of insomnia the type it belongs, combining traditional acupuncture theory, observation group for insomnia of Yin-deficiency and Fire-excess. According to the pathogenesis features, combined with the traditional theory of acupuncture reinforcing and reducing method. Impose reinforcing and reducing method:Baihui with mild reinforcing-reducing method, Shengmen and Neiguan with reducing method. Taixi and Sanyinjiao with reinforcing method. In the control group used mild reinforcing-reducing method. Two ear using mild reinforcing-reducing method to synergies, improve patient compliance.Based on<Chinese Medicine Clinical Research Guidelines> criteria for assessing the efficacy of treatment and inter-group differences. Statistical analysis of PSQI scores before and after treatment, to assess the improvement and inter-group differences.ResultsThere are67cases meet the standards of this study.34cases in observation group, which of17cases recovered,10cases markedly effective, effective in5cases, while2cases are non-effactive. The total markedly effective rate is79.4%, the total effective rate was94.1%. The control group33cases,14cases cured,11cases markedly effective in6cases,2cases. The total markedly effective rate75.84%, total effective rate was93.9%. CMH two groups were compared using chi-square test, p>0.05, prompted not statistically significant. PSQI scores in statistical analysis, the two groups in sleep time, sleep efficiency difference (Δp<0.05), while in sleep quality, sleep duration, sleep disturbances and daytime function, as well as several indicators PSQI*have no difference (p>0.05).Conclusion(1) Auricular combined acupuncture treatment to insomnia of Yin-deficiency and Fire-excess type has positive effects. It proved can improve sleep quality of patients.(2) Observation in this study group for insomnia of Yin-deficiency and Fire-excess type.Which of kidney-yin deficiency and heart-huo excessive pathogenesis characteristics, combining traditional acupuncture theory with reinforcing-reducing techniques. By using of<Chinese Medicine Clinical Research Guidelines> as the standard to assess the efficacy, there is no difference between the two groups. Statistical analysis of PSQI scores indicate that the two groups show defference in sleep time, sleep efficiency. But no differences in sleep quality, sleep duration, sleep disturbances and daytime function, as well as PSQI*.