Clinical Study Of Acupuncture In Treating Peri-menopausal Insomnia Of Liver Hyperactivity And Kidney Deficiency Syndrome Based On The Theory Of Treating Insomnia From Liver

Objective:Based on the theory of treating insomnia from the liver,Observation of Acupuncture on the improvement of Sleep,mood,TCM symptoms and Sleep structure in patients with Insomnia,liver hyperactivity and Kidney deficiency Syndrome during Peri-menopausal period.To provide the basis for expanding the theory and clinical application of treating insomnia from liver theory.Method:72 patients who met the test criteria were randomly assigned to the treatment group(36 cases)and the control group(36 cases).In the treatment group,calming the liver and burying yang,tonifying the kidney and calm the nerves,and soothing the liver and regulating qi were the principles of treatment,and select Ganshu,Geshu,Taicong and other points for acupuncture.The frequency of acupuncture is once a day,half an hour at a time,5 days in a week,and rest for 2 days.The control group was given Estrazolam tablets,take one tablet once a night,and half an hour before bedtime(Severe insomnia increased to 2 tablets).Treatment in both groups for a total of 4weeks.pittsburgh Sleep Quality Index,TCM symptom scale,Hamilton Anxiety Scale and sleep monitoring were used before and after treatment to evaluate the sleep,mood,TCM symptoms and sleep structure of the subjects for treatment group and control group.Result:Before treatment,there were no significant differences in age,course of disease,PSQI,HAMA,TCM symptom score and sleep structure between the two groups(P >0.05).the baseline of the two groups are comparable.1.Four weeks later,The total effective rates of PSQI score in the two groups were 88.24% and 84.85%,respectively,and the total curative effect was comparable(P > 0.05).The total score of PSQI and the scores of each item in the two groups were lower than those before treatment(P < 0.05).The improvement of sleep quality and daytime function in the treatment group was better than that in the control group,andthe improvement of sleep time in the control group was better than that in the treatment group(P < 0.05).2.After 4 weeks,The total effective rates of TCM symptoms in the treatment group and the control group were 94.12% and 84.85%,respectively(P < 0.01).In the comparison of sub-items,The improvement of lumbar acid,calcaneal pain,amnesia and nocturnal frequency was not obvious in both groups,and the other items were lower than those before treatment(P < 0.05);the treatment group was superior to the control group in the improvement of sleep,dizziness,bitter mouth,irritability,irritability and five upset heat(P < 0.05).3.Four weeks later,The HAMA scores of the two groups were all decreased(P<0.05).Comparison of HAMA scores between two groups after treatment,The treatment group was lower than the control group(P<0.05).4.Four weeks later,In the treatment group,decline in Shallow sleep,Increase in deep sleep and rapid eye moment sleep(P<0.05).In the control group,The changes of deep sleep,rapid eye moment sleep and shallow sleep were not obvious(P<0.05).The proportion of deep sleep and rapid eye moment sleep in the treatment group was higher than the control group,The proportion of shallow sleep is lower than the control group(P<0.05).Conclusion:1.Under the guidance of the Theory of treating insomnia from liver,After syndrome differentiation and treatment,Acupuncture is effectively in treating perimenopausal insomnia with liver hyperactivity and kidney deficiency syndrome.2.The treatment of acupuncture from the liver may improve the quality of sleep by adjusting the sleep structure of the subjects.3.Inimproving TCM symptoms,regulating mood and adjusting sleep structure,Acupuncture of treating from liver is better than estazolam.