Clinical Observation On Acupuncture Combined With Huanglian Wendan Decoction In Treating Insomnia（Phlegm-Heat Disturbance Type）

Objective:By observing the clinical curative effects of "Huanglian Wendan Decoction" alone and "Acupuncture combined with Huanglian Wendan Decoction" in treating insomnia caused by phlegm-heat disturbance,comparing the curative effects of the two methods,so as to confirm that acupuncture combined with Huanglian Wendan Decoction has definite clinical efficacy and advantages in treating insomnia caused by phlegm-heat disturbance.Methods:From April 2020 to September 2021,60 patients who visited the outpatient department or inpatient department of acupuncture and moxibustion department of Jingzhou Hospital of Traditional Chinese Medicine and met the diagnostic criteria of western medicine and traditional Chinese medicine insomnia（phlegm-heat disturbance type）were numbered according to the order of patients’ visits.,According to random number table method,they were divided into two groups,30 cases in each group.The control group was treated with Huanglian Wendan Decoction orally,with 7 days as a course of treatment for 4 consecutive courses of treatment.On the basis of this,the treatment group was treated with acupuncture,with one week as a course of treatment,five days a week.PSQI score and TCM syndrome score are observation indexes.After treatment,observe the PSQI score,TCM syndrome score and total effective rate of the two groups before and after treatment,so as to evaluate the difference of curative effect between the two groups.Results:1.Before treatment,there was no statistical difference in age,sex,course of disease,PSQI score and TCM syndrome score between the treatment group and the control group（P > 0.05）,and the two groups were comparable.2.Intra-group comparison between the two groups: After the treatment,the PSQI score and TCM syndrome score of the two groups were decreased compared with those before,the difference was statistically significant（P < 0.05）.3.Comparison between the two groups: After treatment,the PSQI score and TCM syndrome score of the treatment group were lower than those of the control group.By rank sum test,P < 0.05,the difference was statistically significant.4.Comparison of curative effect between the two groups（1）Clinical curative effect of Western medicine: The evaluation of clinical curative effect of Western medicine after treatment showed that the total effective rate of the treatment group was 93.33% and the other group was 80.00%,the difference was statistically significant（P < 0.05）.（2）Clinical efficacy of TCM syndromes: the evaluation of clinical efficacy of TCM in two groups of patients after treatment showed that the total effective rate of the treatment group was93.33% and the other group was 76.67%,and the difference was statistically significant（P < 0.05）.Conclusion:1."Acupuncture combined with Huanglian Wendan Decoction" group and "Huanglian Wendan Decoction" group are both effective in treating insomnia caused by phlegm-heat disturbance.2.The clinical effect of acupuncture combined with Huanglian Wendan Decoction on insomnia caused by phlegm-heat disturbance is better than that of Huanglian Wendan Decoction.3.Acupuncture combined with Huanglian Wendan Decoction is effective in treating insomnia caused by phlegm-heat disturbance,which is worthy of popularization and application.