| Objective:To study the effect of warm acupuncture combined with Guipi Decoction,this research analyze the clinical therapeutic effect of insomnia with syndrome of heart-spleen deficiency based on clinical randomized controlled trials,and explain the clinical effectiveness of the method with reasonable evaluation methods.The model provides a new safe and effective treatment for patients with syndrome of heart-spleen deficiency.Method:A total of 62 patients from Wu Han Hospital of Traditional Chinese Medicine with syndrome of heart-spleen deficiency who met the diagnostic criteria of Chinese and Western medicine during the study period were selected.The patients were divided into two groups according to the order of patient visits by random number table method.The number of cases actually obtained in the treatment group and the control group were 29 cases.Method for the control group: taking Guipi Decoction for treatment,the specific requirement is 400 ml of decoction juice,twice a day,200 ml each time,after breakfast and dinner;the method for the treatment group: warm acupuncture combined with Guipi Decoction for treatment,warm acupuncture to take the main points of Shenmen,Sanyinjiao,Sleeping,Xinshu,Pishu,and according to the symptoms of patients with impotence with Neiguan point,Zusanli point,1 treatment per day,and taking Guipi Decoction according to the requirements of the control group.The above treatment plan is treated once a day,which rest for 1 day after 6 days as 1 week for a course with a total 4 courses.After treatment,the selected main efficacy indicators(PSQI index score and total PSQI score)and auxiliary efficacy indicators(sleep efficiency and self-made TCM syndrome scores)were analyzed by SPSS 24 software.Furthermore,the therapeutic effects of the two groups were compared.Result:By analyzing the general data and the baseline data,and ensuring that the two groups are comparable,further analysis is carried out within the two groups and between the groups:(1)Data analysis within the control and treatment groups: after treatment,the PSQI indicators and total PSQI scores,sleep efficiency,and total scores of self-made TCM syndromes in the control group and the treatment group were significantly different from those before treatment(all satisfied P(27)0.05),which shows that the treatment methods used in the control group and the treatment group after treatment are effective.(2)Data analysis between the control group and the treatment group: 1)after treatment,the control group and the treatment group had statistically significant differences in sleep time,the time to fall asleep,sleep quality,and hypnotic drug scores among the PSQI indicators(all satisfied P(27)0.05),while statistical differences of those PSQI indicators in index scores for sleep efficiency,sleep disturbance,and daytime dysfunction were not significant(all satisfied P(29)0.05).2)The difference between the total PSQI scores in the control group and the treatment group after treatment was statistically significant(P(27)0.05),the score of treatment group is lower than that of the control group.3)After the treatment,the test value P between the two groups of sleep efficiency and the total score of the self-made TCM syndrome was less than 0.05,so the difference between the sleep efficiency and the total score of the self-made TCM syndrome was statistically significant,and the treatment group was superior to the control group;4)At the end of the treatment period,the total effective rate obtained from the control group was 86.21%,and the total effective rate obtained from the treatment group was 93.1%,that is,the treatment group was better than the control group.Then,after the Ridit analysis,the difference between the treatment group and the control group at the end of the treatment period was statistically significant(P(27)0.05),the clinical efficacy of the treatment group was better than that of the control group,that is,the clinical efficacy of treatment method of warm acupuncture combined with Guipi decoction in treating insomnia with syndrome of heart-spleen deficiency is better than that of sesame decoction alone.Conclusion:Conclusions: In order to observe the clinical efficacy of warm acupuncture combined with Guipi decoction in treating insomnia with syndrome of heart-spleen deficiency,the selected main efficacy indicators and auxiliary efficacy indicators are compared and analyzed,some conclusions can be obtained as follows:(1)The method of warm acupuncture combined with Guipi decoction and Guipi decoction alone both have certain curative effect on patients with the insomnia with syndrome of heart-spleen deficiency.(2)After adopting the corresponding treatment methods,the indicators of total PSQI score,sleep efficiency,total score of self-made TCM syndrome and overall curative effect have improved,while improvement of the group of using warm acupuncture combined with Guipi decoction was significantly better than that of the group of using the Guipi decoction alone.(3)The treatment combining warm acupuncture with Guipi decoction can effectively improve the sleep efficiency of patients with infertility,and greatly improve the clinical symptoms of imperfections,which can provide new treatment ideas for clinical treatment of insomnia with syndrome of heart-spleen deficiency. |
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