The Clinical Research On The Acupuncture Treatment Of Abdominal Acupuncture And Ling Gui Ba Fa For Insomnia

Objective: On the base of research experience of Abdominal Acupuncture by Master Bo Zhi Yun and his disciple,together with my supervisor Huang Ling,through observing the evaluation function,to analysis and discuss the TCM intervention effect of insomnia treated by Bo’s abdominal acupuncture and Ling Gui Ba Fa,study its exact curative,draw up its acupoint selection method and clinical work standards,promulgate the effective mechanism,look for and make a normal method to improve the sleep quality and life state of insomniac,as well as rich the therapies of insomnia.Method: Selected 60 patients from Liu Zhou Traditional Chinese Medicine Hospital of acupuncture outpatients with insomnia who met the standard,they were randomly divided into treatment group(Bo’s abdominal acupuncture and Ling Gui Ba Fa group)and control group(the conventional body acupuncture group),30 cases in each group,according to the table of random number.Points selected by treatment group were as follows,the points of abdominal acupuncture choose “Yin Qi Gui Yuan”(Zhong Wan,Xia Wan,Qi Hai,Guan Yuan)and “Fu Si Guan”(double Hua Rou Men,double Wai Ling).Meanwhile,according to the syndrome add and subtract the acupoints,○1 fire due to hepatic stagnation: adds up Shang Feng Shi Dian(the right side),Xia Feng Shi Dian(the right side);○2 phlegm-heat attacking internally:plus “Tiao Pi Qi”(double Da Heng);○3 deficiency of yin and hyperactivity of fire:plus double Shang Qu,double Qi Xue,double Shang Feng Shi Dian;○4 insufficiency of heart and spleen:add up double Tian Shu,Shang Qu(the left),Qi Xue(the left),Shang Feng Shi Dian(the left),Xia Feng Shi Dian(the left);○5 insufficiency of qi in heart and gallbladder: Shang Qu(the left),Qi Xue(the right).Ling Gui Ba Fa group opened points which were based on time that patients came to do treatment.Control group selected the points as follows,the main points were Shen Men,Nei Guan,Bai Hui,An mian,then according to the syndrome add and subtract the points,○1 fire due to hepatic stagnation: adds up Xingjian,Taichong,Fengchi(reducing method);○2 phlegm-heat attacking internally: plus to Zhongwan,Fenglong,Neiting(reducing method);○3 deficiency of yin and hyperactivity of fire: plus to Taixi,Taichong,Yongquan(mild reinforcing and reducing method);○4 insufficiency of heart and spleen: plus to Xinshu,Pishu,Sanyinjiao(reinforcing method);○5 insufficiency of qi in heart and gallbladder: adds up Xinshu,Danshu,Qiuxu(reinforcing method).Treats was conducted every day for one course,except Sunday.One course included ten times.PSQI、SAS、SDS scores and clinical symptoms were observed before and after treatment respectively,compare the clinical efficacy of Bo’s abdominal acupuncture and Ling Gui Ba Fa group(the treatment group)to the conventional body acupuncture group(the control group),Finally,draw a conclusion in the use of statistical software SPSS17.0.Results: 1.Before treatment,the sex、age、course of disease and scores in PSQI、SAS、SDS,as well as the syndromes of TCM of the treatment group and the control group showed no significant difference(P> 0.05),was comparable.2.After one courses of treatment,the PSQI、SAS、SDS scores were improved in two groups respectively compared with the conditions before treatment.The differences were statistically significant(P <0.05).3.There were significant differences(P <0.05)in the PSQI、SAS、SDS scores of two groups after the treatment and one month after treatment.4.The syndromes of TCM in the two groups were compared,we found that the fire due to hepatic stagnation and phlegm-heat attacking internally were significant differences(P <0.05).5.In the clinical observation,after one course of treatment,The effectual rate was 86.7% in the treatment group,and the control group with the effectual rate 60%.There is statistical significance difference(P <0.05)between these two groups.Conclusions: 1.The methods of Bo’s abdominal acupuncture and Ling Gui Ba Fa and conventional body acupuncture can both significantly improve the clinical symptoms and signs of insomnia patients.The former is more effective than the latter.2.Both the two methods can improve insomnia,but the treatment group is more effective by compared with the PSQI 、SAS、SDS scores before and after treatment.3.Through the comparison of PSQI、SAS、SDS total scores in two groups after one month,the treatment group hold a rapid onset,but the two groups’ overall curative effect were similar in insomniac.4.The treatment group improves the syndromes of TCM better than the control group.5.Through the comparison,the Bo’s abdominal acupuncture and Ling Gui Ba Fa is a idealer method.