A Clinical Study On The Treatment Of Insomnia Of Liver-stagnation And Spleen-deficiency With Vibrating Abdomen Massage Therapy

Background:insomnia is a kind of disease which can't get enough sleep to affect daytime function.The main symptom is difficult to fall asleep,easy to wake up,and early waking,which is called "Bumei" in traditional Chinese medicine..The incidence rate of insomnia with anxiety is increasing,and the age of onset also tend to be younger on the account of the progress of society,the sharp rise of work pressure,the quickening of life rhythm.Western medicine for insomnia is mainly composed of sedative and hypnotic drugs However,sedative and hypnotic drugs have some adverse reactions,resulting in a certain degree of anti-rejection in the use of drugs,which affected the clinical application of sedative hypnotics.Traditional Chinese medicine(TCM)has many advantages in treating insomnia.The main advantages are the little side effect and good curative effect.And TCM has various treatment methods,including traditional Chinese medicine,acupuncture,moxibustion,point application therapy,massage and other therapies.Patients often can achieve better results with choosing one or more of these treatment.Massage treatment has been used to treat insomnia from ancient times,which can also achieve good results.But in the lack of promotion in the crowd,people rarely choose massage to treat insomnia.Vibration abdominal massage therapy is a new treatment of Zang-fu massage."Relaxing vibration method" is the main method in abdominal manipulation.Vibration abdominal massage therapy has remarkable curative effect in treating viscera diseases,especially internal diseases,gynecology,pediatrics and other diseases,and needs to be popularizedObjective:In this study,insomnia patients with liver-stagnation and spleen deficiency syndrome were selected as the research object,and the treatment was conducted with the massage manipulation dominated by vibration abdominal massage therapy,then observe the improvement of insomnia of the patients before and after treatment.And explore the clinical effect of vibration abdominal massage therapy on insomnia of liver-stagnation and spleen-deficiency syndrome.And optimize the clinical operation of vibration abdomen massage therapy and broaden the spectrum of diseases treated by vibration abdominal massage.Methods:30 patients with insomnia of liver depression and spleen deficiency syndrome were collected from the Department of Massage Physiotherapy,Dongfang Hospital,Beijing University of Chinese Medicine,and were treated twice a week for four weeks.Pittsburgh Sleep quality Index(PSQI)and Hamilton anxiety scale(HAMA),TCM syndrome scale were used to observe.And then compare the improvement of symptoms and scores of insomnia patients with liver depression and spleen deficiency before and after treatmentResults of the study:(1)Pittsburgh Sleep Index(PSQI)score:after four weeks of treatment,all PSQI scores were significantly lower than those before treatment.Statistically significant(P<0.01).The effective rate of PSQI score before and after treatment was 90.0%(2)Hamilton anxiety scale(HAMA):after four weeks of treatment,the HAMA scores were significantly lower than those before treatment,Statistically significant(P<001).The effective rate of HAMA score before and after treatment was 93 3%.(3)The scores of syndrome scale of liver depression and spleen deficiency:after four weeks of treatment,the scores of syndrome scale of liver depression and spleen deficiency were significantly lower than those before treatment,Statistically significant(P<0.01)The effective rate of syndrome of liver stagnation and spleen deficiency before and after treatment was 90.0%Conclusion:(1)Vibration abdominal massage therapy has a significant effect on the treatment of insomnia of liver-stagnation and spleen-deficiency syndrome,and the scores of PSQI,HAMA,TCM syndrome scale are all decreased.The scores of each scale of patients before and after treatment are statistically different.(2)The improvement of HAMA in patients with vibration abdominal massage was better than that of PSQI,and the recovery cases and the total effective rate were higher than that of PSQI.The treatment of emotional diseases with vibration abdominal massage had a definite curative effect.To sum up,vibration abdominal massage therapy has obvious curative effect in treating insomnia of liver stagnation and spleen deficiency syndrome,and has the advantages of safe and effective,easy to operate,comfortable,easy to be accepted by the public,and so on.