| ObjectiveThe research used a small sample randomized controlled trial to observe and compare the therapeutic effect of Fang’ s scalp acupuncture combined with abdominal acupuncture and simple abdominal acupuncture for insomnia of heart-kidney disharmony,and make an objective evaluation,so as to find a better acupuncture treatment and provide its evidence.Methods66 patients with insomnia of heart-kidney disharmony were enrolled in the outpatient department of Acupuncture and Moxibustion(Rehabilitation)Department of the Fifth Clinical College of Guangzhou University of Chinese Medicine and the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2018 to December 2018.The patients were randomly divided into treatment group and control group with 33 cases in each group.The treatment group was treated with Fang’s scalp acupuncture combined with abdominal acupuncture,while the control group was treated with simple abdominal acupuncture for 2 weeks.Pittsburgh sleep quality index(PSQI),Hamilton anxiety scale(HAMA)and TCM syndrome scale were used as evaluation indexes to observe and compare the therapeutic effect of the two groups.Results1.There were no significant difference in sex composition,agedistribution,PSQI scores,HAMA scores and TCM syndrome scores between the treatment group and the control group before treatment(P>0.05),which were comparable.2.The PSQI scores of the treatment group and the control group were significantly different after treatment(P<0.05).It indicated that both Fang’ s scalp acupuncture combined with abdominal acupuncture and simple abdominal acupuncture could improve the sleep quality of patients with insomnia of heart-kidney disharmony.3.The HAMA scores of the treatment group and the control group were significantly different after treatment(P<0.05).It indicated that both Fang’ s scalp acupuncture combined with abdominal acupuncture and simple abdominal acupuncture could alleviate the anxiety of patients with insomnia of heart-kidney disharmony.4.The TCM symptom scores of the treatment group and the control group were significantly different after treatment(P<0.05).It indicated that both Fang’ s scalp acupuncture combined with abdominal acupuncture and simple abdominal acupuncture could alleviate the accompanying symptoms of patients with insomnia of heart-kidney disharmony.5.Overall therapeutic effect:in the treatment group,4 cases were cured,13 cases were markedly effective,12 cases were effective and 4 cases were ineffective,the total effective rate was 87.88%;while in the control group,1 case was cured,6 cases were markedly effective,16 cases were effective and 10 cases were ineffective,the total effective rate was 69.70%.It was significant difference between the two groups(P<0.05).After treatment,the differences of PSQI scores,HAMA scores and TCM syndrome scores of the treatment group were significantly different from the control group’ s(P<0.05).It indicated that Fang’s scalp acupuncture combined with abdominal acupuncture had more obvious therapeutic effect than simple abdominal acupuncture on improving sleep quality,alleviating anxiety and accompanying symptoms.ConclusionBoth Fang’ s scalp acupuncture combined with abdominal acupuncture and simple abdominal acupuncture had definite therapeutic effect on insomnia of heart-kidney disharmony.Fang’ s scalp acupuncture combined with abdominal acupuncture had more obvious therapeutic effect on improving sleep quality and alleviating anxiety and accompanying symptoms.It could be popularized as one of the treatments for insomnia of heart-kidney disharmony. |