Clinical Research On The Treatment Of Insomnia With Deficiency Of Both Heart And Spleen By "Cultivating The Soil And Nourishing The Heart" Acupuncture And Moxibustion

Objective In this research,the improvement of symptoms of insomnia in patients with deficiency of both heart and spleen by observing the method of "cultivating the soil and nourishing the heart" acupuncture and moxibustion to explor the effectiveness,superiority and safety of the method of "cultivating the soil and nourishing the heart" acupuncture and moxibustion to treat insomnia caused by heart and spleen deficiency was evaluated.Method In this research,72 outpatients who admitted to the Department of Acupuncture and Internal Medicine of the Third Subsidiary Hospital of Yunnan University of TCM to meet the research requirements were randomly divided into the experimental group and the control group.There are 36 cases in each group.The experimental group adopted the method of "cultivating the soil and nourishing the heart" acupuncture and moxibustion.The control group adopts oral Chinese patent medicine "Guipi Pills".Each group received 4 courses of treatment.The Pittsburgh Sleep Quality Index(PSQI Scale)and the TCM Syndrome Observation Index Score Table were used as the efficacy evaluation indicators,before and after the treatment of 4 courses respectively.The scores of each group before and after treatment were compared to evaluate the overall clinical efficacy.ResultsA total of 72 patients with insomnia due to heart and spleen deficiency were enrolled in the research.Two patients were absent/excluded in each group.A total of 68 patients were included in the statistical analysis of medical data,and 34 patients in the experimental group and 34 patients in the control group.(1)There was no statistical significance(P>0.05)in age,sex,course of disease,PSQI scores and TCM syndrome scores before treatment betwixt the two groups,and the baseline was relatived.(2)The comparison between the two groups after treatment: PSQI scale scores,the experimental group in improving sleep quality,sleep time,daytime dysfunction scores and the total score were better than the mathched group,the difference was statistically significant(P<0.05).In the aspect of TCM syndromes scores,the experimental group was superior to the mathched group in improving TCM syndromes individual integral and total integral,and the difference was statistically significant(P<0.05).(3)Comparison in the group: the PSQI scale scores and TCM syndromes scores of the two groups were compared before and after treatment,and the difference was statistically significant(P<0.05).(4)According to the PSQI reduction rate before and after treatment,the marked recovery rate of the experimental group was 64.71% and that of the control group was 38.24%.There was a significant difference in the efficacy rate between the two groups(P<0.05);The total effective rate of the experimental group was 94.12%,and that of the mathched group was 85.29%.There was no significant difference in the total effective rate(P>0.05);The difference of overall curative effect was statistically significant(P<0.05).(5)The curative effect of the two groups was judged according to the total score of TCM syndromes: the marked recovery rate of the experimental group was 61.76%,and that of the control group was 41.18%,after all the courses of treatment.There was no significant difference in the marked recovery rate(P<0.05);The total effective rate of the experimental group was 91.18%,and that of the control group was 79.41%.The difference of the total effective rate was statistically significant(P>0.05);the difference of the total curative effect was statistically significant(P<0.05).(6)Pre-treatment acupoint examination: Xinshu and Pishu regions of 68 pat-ients were found to have mo-re positive reactions of "depression" and "relaxation".The results of the study were basically consistent with the long-term clini cal diagnosis.Conclusion(1)The group of "cultivating the soil and nourishing the heart" acupuncture and moxibustion method and the "Guipi Pills" group can effectively reduce the PSQI scale scores and TCM syndrome scores of patients with insomnia,and have significant curative effect on treating insomnia caused by deficiency of both heart and spleen.(2)The group of "cultivating the soil and nourishing the heart" acupuncture and moxibustion method is superior to the "Guipi Pills" group in reducing the total scores of PSQI and the individual scores of sleep quality,sleep time and daytime dysfunction.(3)The group of "cultivating the soil and nourishing the heart" is superior to the group of "guipi pill" in improving the scores of various TCM syndromes.(4)The overall efficacy and the cure and markedly effective rate of the method of "cultivating the soil and nourishing the heart" to treat insomnia caused by heart and spleen deficiency are better than the "Guipi Pills" group.The "cultivating the soil and nourishing the heart" acupuncture and moxibustion of clinical curative effect is remarkable,And this therapy withing the advantage of clinical high safety,less side effect for use in clinic.It not only play to the significance and role of acupoint diagnosis,but also expands the new treatment method of combination of warm moxibustion at back Shu points and acupuncture at ventral Mu points,which provides a new way of thinking for acupuncture and moxibustion treatment of insomnia of deficiency of both heart and spleen.