The Clinical Research Of Massage On Hyperactivity Of Fire Due To Yin Deficiency Pattern Of Insomnia

Objective:To observe the recent and future clinical effect with massage to treat Insomnia on the base of TCM and modern theory.To observe and compare the side effects between massage and medications simultaneity.Methods: 36 cases of insomnia patients who all came from Jiangsu Province Hospital of TCM were divided into group 1 (18 cases ) and group 2(18 cases ) at random. The group 1 was treated by massage, while the group 2 was treated by medicine ( zolpidem ) .The two group had been treated for twenty days ( 2 periods of treatment ) ,and then call on the patients at the follow 3 months . Massage manipulation of the trial is composed of routine manipulation and manual reduction of Thoracic Vertebrae,changing by syndromes.Pittsburgh SleepQuality Index (PSQI) were graded before the treatment and once for a month at follows (lasting 4 months) . Noted the diaries of the insomnia patients ,the adverse reaction in the course of treatment and the measures for dealing with them .All data were dealed with Stat. software SPSS 11.5. And the data were done by statistics analysis using self controlled observation and inter-group control.Results: Curative effect of insomnia using massage is effective, the cure rate is 72.2%, the total effective rate is 100%. This Curative effect is nearly similar as which using medicine.The two therapies can effectively improve the patients’sleep quality,increase the sleep time,decrease the time of falling asleep,advance the efficiency of sleep. About components and total score of PSQI, the using of hypnotic of the treatment group is better than that of the control group. There is significant difference between the two groups (P < 0.05) .The total time of falling asleep of the control group is better than that of the treatment group. There is significant difference between the two groups ( P < 0.05 ) . There was no statistically significant difference of the other components between them. There were 4 adverse reactions in this trial,1 treatment group ,3 the control group, and the adverse reactions of treatment group is less than that of the control group. The curative effect of the two groups is also effective after 3 months of the cure. Total score of PSQI is much more lower than than before the treatment, and a little higher than after the treatment. The Long-term clinical effect of the two groups are similar. There was no statistically significant difference between them.Conclusion: Massage (routine manipulation and manual reduction of Thoracic Vertebrae) is an effective theropy on treating insomnia ,it can effectively improve the patients’sleep quality,increase the sleep time, decrease the falling asleep time,advance the efficiency of sleep.Its short-term and Long-term clinical effect is fine .And Massage has the advantages of safety ,natural,low side effect.It is worthy of clinic application.