| Objective:This study aims to observe and evaluate of the clinical efficacy of auricular acupuncture combined with viscera Massage in treating the cases of insomnia with deficiency of both heart and the spleen in TCM syndrome and compare with the simple oral western medicine treatment as while.To explore and sums up the effective,acceptable,safety and repeatable,and non-toxic side effects treatment for patients with insomnia for the clinical promotion.Methods:Cases accordance to the diagnosis and criteria of insomnia with deficiency of both heart and the spleen in TCM syndrome were collected and divided into the treatment group(auricular acupuncture with viscera massage)and the control group(oral zopiclone tablets)with the random number table method.for a corresponding treatment of 4 weeks,Pittsburgh scale,Chinese medicine symptom integral table were adopted to observe scale changes of each index before and after treatment and the contrast research of effective on both was carry out.Result:At the beginning of the study,64 patients were received and then 4 patients were shed,finally,60 cases statistics were analyzed with 30 cases in each group.1.According to the PSQI score efficient standards,the total effective rate was90.00 % in the treatment group and 83.3 % in the control group.after statisticsanalysis,there was no statistical difference(P>0.05).prompted the curative effect in treatment group and control group for improving sleep as equally.2.For intragroup comparison after treatment,total PSQI score was significantly reduced(P<0.05),the difference was statistically significant,means two treatment method can effectively reduce the PSQI score for improving sleep disorder.The total integral comparison between groups after treatment the score was no statistically significant difference(P>0.05),illustrates the two methods in the treatment hold the same efficiency.On the sleep quality scores comparison between groups,the difference was statistically significant(P < 0.05),which in improving sleep quality comparison as daytime dysfunction,curative effect the treatment group scores was superior to the control group.on the sleep time,sleep efficiency,sleep disorder scores comparison between groups,there was no statistically significant difference(P >0.05),the treatment group and control group in improving sleep time,sleep efficiency,sleep disorder hold the same efficiency.3.According to TCM syndrome curative effect standards,effective rate was93.33% in the treatment group and 80.00% in the control group.Comparison between the two groups,the curative effect in improving of TCM syndrome in the treatment group significantly better than that in control group(P<0.05).4.For intragroup comparison after treatment,the TCM symptom scores was significantly reduced(P< 0.05)),the difference was statistically significant,means two treatment method can effectively reduce the TCM symptom scores.The TCM symptom scores in the treatment group was decreased significantly(P<0.05),for the comparison between groups after treatment.Which shows that the curative effect of treatment group on improving TCM syndrome score are better than the control group.5.The TESS scores was significant difference(P < 0.05)in two groups after treatment on the 2,4 weeks scores evaluation,and treatment group adverse event occurrence ratio significantly lower than the control group.Conclusion:Auricular acupuncture combined with viscera massage in treating the cases of insomnia with deficiency of both heart and the spleen in TCM syndrome hold the same efficiency with oral zopiclone tablets,but significantly better in improving TCM symptoms,especially in the aspect of improving sleep quality,daytime dysfunction compared with oral zopiclone tablets.And this therapy withing the advantage of clinical high safety,less side effect for use in clinic. |