The Clinical Study Of TCM Sleep Regulation Technology Based On The Theory Of Three Spirits For The Treatment Of Insomnia

BackgroundAs the biomedical model to the social-psychology-biological medical model transformation, the study of mechanism of insomnia has attracted the extensive concern of academic circles. At present the treatment of insomnia is becoming more and more diversified, so many non-drug therapy curative effect is distinct, non-toxic side effects, not only more and more attention from clinical doctors. In traditional Chinese medicine for treating insomnia has accumulated a large number of non-drug therapy experience, but it is lack of theory and large-scale clinical trials research, the existing research focused on the traditional Chinese medicine and acupuncture treatment of insomnia, therapy of traditional Chinese medicine is still in the summary of traditional psychological treatment technology and theory of the phase of ascension. In the development of TCM psychological treatment technology, professor Wang Weidong founded sleep regulation technology is a psychological theory of traditional Chinese medicine characteristics, shows good curative effect in treatment of insomnia, the theory foundation for its treatment technology of this research, and clinical observation was carried out.The theoretical studyNeijing is the core of the basic theoretical system of TCM, the consciousness of the human spirit has a very profound way of structure, WANG Wei-dong said three theology is the theory of traditional Chinese medicine in the deep analysis and interpretation of the concept of spirit, has been the spirit of the traditional culture and qigong guiding waved theoretical guiding significance. This study based on professor Wang Weidong canal to the king, Wang Keqin, Sun Zexian TCM psychology masters such as inheritance and integration, three spirit in the deep psychological theory of traditional Chinese medicine theory of enlightenment, and application of three theology said to mental analyzes psychological problems, and combined with low impedance theory and western hypnosis therapy, in the three spirit in the process of treating insomnia, established the import therapy, low impedance ideas in the treatment of insomnia in the process of gradually formed the perfect sleep regulation and control technology of standardized operating procedures.In the theory of three spirit built in the syndrome differentiation system, "Original spirit " is the basic driving force, sleep "logical spirit" is know sleep and dominate the consciousness of main body activity; Insomnia is the process of "logical spirit" and "Original spirit " god appeared during sleep, the basic pathogenesis is that god alone in port, "Original spirit ", absence of Yang into Yin. In the process of TCM psychological treatment of insomnia, reset "Original spirit " and "logical spirit " of primary and secondary relations is the basic principle, professor Wang Weidong according to clinical experience for Chinese medicine TIP sleep regulation technology system constitutes the mode of TCM psychological treatment of insomnia, the dialectical application of control technology in the process of sleep, professor Wang Weidong are summarized from the theory of "Original spirit" three basic principles of syndrome differentiation of syndrome differentiation.Clinical researchObjective:Low Resistance Thought Induction Psychotherapy and control the clinical curative effect of treatment of insomnia to retrospectively observe, evaluate the clinical efficacy of the technology; According to the results of clinical observation index, unscramble sleep regulation and control technology of traditional Chinese medicine theory.Methods:the set of cases for January 2014-February 2014 in the Chinese academy of sciences hospital gate of sleep medicine of traditional Chinese medicine special clinic patients, diagnosis for patients with primary insomnia, aged between 18 and 60 years old, are voluntary treatment and related inspection. After accord with standard of clinical trials into comparison before and after,the insomnia patients would accept sleep regulation technology intervention for 4 weeks. In before and after the treatment with PSQI scale, ISI scale, neurotransmitter in the brain, up to 4 weeks after completion of PSQI scale, ISI scale to return visit patients. After the test, before and after treatment were compared with PSQI scale, ISI scale changes, SCL90 scale, cranial nerve transmitters, in order for sleep regulation and control technology for exploratory clinical efficacy evaluation.Results:Demographic data:68 cases of patients were the gate hospital sleep medicine special clinic patients,64 cases with complete, fall off 4 cases, falls off at a rate of 6.25%. In this study to the general demographic data and clinical course of patients records statistics, to complete in 64 cases of patients with male 29, women 35; The oldest 59, minimum 21, the average age of 49.3 years old; Shortest duration 2 months, the longest 30 years, average duration in 81.3 months.Sleep sleep assessment:application of control technology of four weeks after treatment, the patient’s quality of sleep, sleep time, sleep time, sleep efficiency and hypnotic drugs and daytime dysfunction and other factors and the change of the total score had significant difference (P< 0.05), insomnia, severe average index decreased, and there were significant differences (P< 0.05), suggesting sleep control technology has a good curative effect in the treatment of insomnia.8 weeks after treatment, the patients with the responsibility of the physician is responsible for telephone return visit patients, PSQI score and each factor points compared with before treatment, still has the remarkable significant difference (P< 0.05), insomnia, severe index to maintain a low level, change significant differences (P< 0.05), and than fall further, at the end of the treatment shows that the curative effect of TCM therapy has a certain continuity and stability.Mental health assessment:before patients into groups to accept symptom self-assessment scale to assess their mental health status, made again after 4 weeks treatment with symptom self-assessment scale evaluation, statistical results show that after 4 weeks of therapy of traditional Chinese medicine, patients with SCL90 scale were significantly decline each factor score and total score, explain the patient’s mental health status has improved significantly.Neurotransmitter in the brain are checking evaluation:compared with before treatment, patients with brain transmitters in the 5-HT in there was obviously improved after treatment, and significant difference (P< 0.05), the rest of the neurotransmitter changes before and after treatment were not significant, sleep after a course of treatment, effectively promote the patient the secretion of the neurotransmitter in the brain 5-HT.Main efficacy:in this study, PSQI points rate as the main indexes of evaluation efficiently, the result shown at the end of treatment, PSQI scores points rate averages 38.8%, sleep quality, sleep time, sleep time, sleep efficiency and daytime dysfunction has curative effect, for a sleep disorder and the loss of the hypnotic drug is invalid. Follow-up after 8 weeks, points rate rose to 47.1%, average sleep time, sleep time, sleep efficiency improvements to pay off, in improving sleep quality effectively, for sleep disorder and the loss of the hypnotic drug is invalid, illustrates the curative effect of TCM psychological therapy to treat insomnia as the end of the treatment is gradually enhancedAccording to the study scheme of curative effect evaluation standard, by 4 weeks at the end of treatment, a total of 6 cases to heal,14 cases of pay off,33 cases effective,11 cases ineffective, the total effective rate was 82.8%; In 8 weeks after the review process, found that eight cases recovered,15 cases of pay off,34 cases effective,7 cases ineffective, the total effective rate was 89.1%. That sleep regulation technology has long-term efficacy for the treatment of insomnia.Not patient medication during the study period, there is no adverse drug reactions, TCM psychotherapy process does not appear adverse reactions and events.Conclusion:This study results show that the technology for primary insomnia sleep regulation has good curative effect, efficient was 82.8%, and the 4 weeks in PSQI scale score significantly shorten sleep time, sleep time, sleep efficiency, daytime function was restored. And for insomnia lasting curative effect, after the end of treatment continues to play a role, in patients with sleep conditions continue to improve,8 weeks after return visit patients 89.1% efficient.LowResistance Thought Induction Psychotherapy not only improve the patient’s subjective sleep sleep regulation, more major is to improve patients’ psychological health level, according to the patients with SCL90 score in force, somatization, interpersonal sensitivity and other dimensions are improved significantly. Sleep regulation technology treatment after a certain period of time, to be available to a certain extent affect the neurotransmitter in the brain change, can induce excitatory and inhibitory neurotransmitter antagonism, the future can become one of the curative effect evaluation indexes of sleep regulation and control technology.LowResistance Thought Induction Psychotherapy can rapidly improve the sleep status of patients with primary insomnia effective TCM psychotherapy, highlighting the indigenous psychotherapy of TCM in the treatment of primary insomnia advantage, because the present study has many limitations, and effectiveness of the therapy still needs further clinical studies to confirm.