The Clinical Study Of Acupuncture Combined With Plum-blossom Needle In Treating Insomnia With Heart-gallbladder Qi Deficiency Syndrome

ObjectiveThe purpose of this study was to observe and evaluate the clinical effect of acupuncture combined with plum-blossom needle in treating insomnia with heart-gallbladder Qi deficiency syndrome,and to seek a more effective synthetical therapy of traditional Chinese medicine for this disease.MethodsIn this clinical trial,a total of 70 cases were included.Two groups were set up:acupuncture group(the control group)and acupuncture+plum-blossom needle group(the treatment group).The acupoints chosen for the control group were both sides of KI6,BL62,HT7,SP6,Anmian,EX-HN1,BL15,BL19.Kept the needles for 20 minutes after pricked,and gently scraped the needle handle once every 10 minutes.On the basis of the treatment group,the plum-blossom needle was jointed in the control group.Using the plum-blossom needle knocked along both sides of bladder meridian via BL13 to BL23 part and Gallbladder meridian on the head via GB1 to GB20 part to the degree of slight pain and slight flush on the back skin.The treatment was conducted once every 2 days,and 3 times per week,a total of 4 weeks.Recorded the main sleep-related indicators,the Pittsburgh sleep quality index(PSQI),and the TCM syndrome score before and after the treatment.Finally,collected the datum and analyzed the results by using the SPSS22.0.ResultsThe basic datum before treatment were balanced through tested(P>0.05).After the treatment,in terms of main sleep-related indicators,patients in both groups improved the fall asleep time,the actual sleep time and the number of nighttime awakenings significantly(P<0.05),and the treatment group improved on the latter two indicators better(P<0.05).As for PSQI,both two groups could decrease the sleep quality score,fall asleep time score,sleep time score,sleep efficiency score,sleep disorders score,daytime dysfunction score,hypnotic drugs score,and the total score(P<0.05),and the treatment group could improved on the sleep quality score,sleep time score,sleep efficiency score,sleep disorders score,daytime dysfunction score,and the total score(P<0.05).In terms of the TCM syndrome score,the both groups could improve the trouble of falling asleep,wakening up easily,dreaminess,timidity,vexation,palpitations,shortness of breath,spontaneous sweating,fatigue,tongue and pulse condition and total score(P<0.05),and the treatment group could improve wakening up easily,dreaminess,timidity,vexation,palpitations,spontaneous sweating,fatigue,tongue condition and total score more significantly(P<0.05).In the respect of overall efficacy,the total effective rate of the treatment group was 90.6%,while the total effective rate of the control group was 72.7%.After statistical test,there was a significant difference between the two groups(P<0.05),suggesting that acupuncture combined with plum-blossom needle was more effective than acupuncture alone.Conclusion1.Both the treatment group and control group can effectively improve insomnia with heart-gallbladder Qi deficiency syndrome patients’clinical symptoms,and acupuncture with plum-blossom needle therapy curative effect is superior to simple acupuncture.2.Acupuncture combined with plum-blossom needle therapy can get a more curative effect in the respect of actual sleep time,sleep disorders,daytime dysfunctions and integral sleep quality.And can improve the sleep disorders about dreaminess and wakening up easily,the psychological states about timidity and vexation,the somatic manifestations about palpitations,spontaneous sweating,fatigue which are related to heart-gallbladder Qi deficiency syndrome more significantly.