Discussion On The Distribution Law Of Syndrome Differentiation Of Six Syndromes Of Insomnia

Objective:To study the regularities of distribution of syndrome differentiation of zang-fu viscera and syndrome-differentiation of the six meridians presented on patients with insomnia.To see whether there is any difference between insomniac with depression or anxiety disorder and insomniac without depression or anxiety disorder,so as to understand the correlation between insomnia and depression or anxiety disorder.Methods:Following inclusion criteria,a total of 241 patients were selected from December 2016 to December 2017 in the department of neurology and neurology clinic of Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine.To investigate their general data,insomnia course,past medical history and complications,previous medicine records.Rating them through related scales,including Hamilton Depression Rating scale(HAMD),Hamilton Anxiety Rating Scale(HAMA),Pittsburgh Sleep Quality Index.And to finish the Information Questionnaire of the four diagnostic methods of Traditional Chinese Medicine,the information table of syndrome-differentiation of the six meridians of TCM.All collected data are verified and entered into an Excel database.SPSS 22.0 software were used to the statistical analysis of data.Doing descriptive statistical analysis and card-square test of general data,comparing the degree of insomnia in different groups;Conducting a descriptive statistical analysis of the syndrome differentiation of zang-fu viscera.The difference between different groups of patients in the syndrome differentiation of zang-fu viscera was analyzed with card-square test and the distribution of the syndrome of viscera in insomnia patients was determined.Conducting a descriptive statistical analysis of the syndrome-differentiation of the six meridians in insomnia patients.The difference between different groups of patients in the syndrome-differentiation of the six meridians was analyzed with card-square test and the distribution of the syndrome-differentiation of the six meridians in insomnia patients was determined.Results:1 Statistical result of general data:Among the 241 cases,there are 72 male patients and 169 female patients,and the gender ratio is 1:2.35,the average age is 58.41±18.396.The study finds that insomnia is related to gender,more women suffered from insomnia than men.The degree of insomnia is related to whether or not to use sleep aids and patients’ profession.The degree of insomnia has nothing to do with the patient’s past history of physical disease and insomnia course.The most common symptoms of insomniac are difficulty falling sleeping,easy awakening,dreaminess,early awakening,nightmares,sleepless nights.Most people with insomnia have depression or anxiety,indicating that insomnia is associated with depression or anxiety.2 The result of the distribution of syndrome differentiation of zang-fu viscera:The distribution of viscera syndrome differentiation is not related to the degree of insomnia,the history of adjuvant sleep medicine or the course of insomnia.The distribution of viscera syndrome differentiation is related to the the patient’s past history of physical disease,the distribution of viscera syndrome differentiation in patients with physical disease is different from patients without physical disease.The distribution of viscera syndrome differentiation is related to whether patients have depression and anxiety.The distribution of viscera syndrome differentiation of insomnia patients with depression and anxiety is different from insomnia patients without depression and anxiety.In the group of comorbid insomnia,patients with deficiency of qi of heart and gallbladder have highest proportion,in the other group,the proportion of the type of deficiency of both the heart and spleen is the highest.And the difference is statistically significant.In all the types,the type of deficiency of both heart and spleen is the most(36.10%),followed by fire derived from stagnation of Liver-Qi type,deficiency of qi of heart and gallbladder,the interior disturbance of phlegm heat,yin deficiency-hyperactivity of fire,intense heart fire accounting for 7.05%.3 The result of the distribution of syndrome-differentiation of the six meridians:Of all the types of syndrome,54(22.4%)are patients with Shaoyang disease.Other more frequent types of syndromes are Yangming disease involving Shaoyang disease,Shaoyang disease involving Taiyin disease,Taiyin disease,Shaoyin disease.Among the insomniacs,50.21%are diagnosed with two-meridian disease,followed by single-meridian disease,three-meridian disease and four-meridian diseases.Analysing the frequency of single-meridian disease after the division,the result shows that the most common disease is Shaoyang disease,accounting for 80.91%,followed by Yangming disease,Taiyin disease,Taiyang disease,Shaoyin disease,Jueyin disease.It can be seen that insomniacs,whether it is Shaoyang disease,or Shaoyang involving other diseases,is of the largest proportion.All the types of syndrome are classified as single-meridian disease,two-meridian disease,and miscellaneous disease.It is found that the type of syndrome of six meridians is not related to gender,occupational type,history of physical disease,clinical stage of insomnia,degree of insomnia.It is associated with age,and whether insomniac suffer from depression or anxiety.We find that both in the group of comorbid insomnia and in the other group,patients with Shaoyang disease have the highest proportion,but the difference is statistically significant.The proportion of Shaoyang disease and Shaoyang disease involving other diseases is higher than the other group.Conclusion:1 More women suffered from insomnia than men.The degree of insomnia may be related to occupation,and it has nothing to do with the course of insomnia or past physical illness.2 The most common symptoms of insomniac are difficulty falling sleeping,easy awakening,dreaminess,early awakening,nightmares,sleepless nights.3 In all the types,the type of deficiency of both heart and spleen is the most,followed by fire derived from stagnation of Liver-Qi type,deficiency of qi of heart and gallbladder.4 Of all the types of syndrome,Shaoyang disease is the the most common type of syndrome.Insomnia is closely related to Shaoyang disease.5 Insomniac with depression or anxiety are closely related to shaoyang disease.