Clinical Observation Of The Treatment Of Spleen And Kidney Deficiency Type Of Insomnia In The Combination Of Guben Jiannao Liquid And Auricular Pressure Beans

Objective This study aims to observe the efficacy of Gubenjiannao liquid combined with auricular pressure beans in the treatment of spleen and kidney deficiency type of insomnia,and provide a theoretical basis for the clinical application of Gubenjiannao liquid combined with ear acupuncture bean in the treatment of spleen and kidney deficiency type of insomnia.Methods we will select 120 patients who belong spleen and kidney deficiency type of insomnia,and randomly divide 120 patients into control group,treatment group A,treatment group B,treatment group C,each with 30 patients.All four groups of patients were supplemented by psychological counseling,sleep restriction therapy and sleep hygiene education therapy.The control group was treated with oral alprazolam tablets;treatment group A was treated with oral Guben jiannao liquid;treatment group B was treated with auricular pressure beans;and treatment group C was treated Guben jiannao liquid combined with auricular pressure beans.All four groups were treated for 4 weeks.we will evaluate the efficacy of those control and observe the Epworth Drowsiness Scale score,anxiety selfassessment scale（SAS）score,depression self-assessment scale（SDS）score,Pittsburgh’s Sleep Quality Index（PSQI）score’s change after the treatment was completed.Results（1）PSQI score: All four groups have curative effect in improving PSQI scores.Compared between the four groups after the treatment,the treatment group C and the control group were superior to the treatment group A and treatment group B in improving the PSQI score of the patients.（2）SDS and SAS scores:All four treatments can remit the depression and anxiety of the patients.After treatment,treatment group C was superior to control group,treatment group A,and treatment group B in improving the depression and anxiety of patients.（3）Epworth score: The treatment of the four groups can remit daytime sleepiness of the patients.Treatment group C was superior to treatment group A and treatment group B in improving daytime sleepiness,and control group was better than treatment group A.（4）After treatment,the total effective rate of control group,treatment group A,treatment group B,and treatment group C was 83.3%、66.7%、70.0%、86.7%.（5）After followup,the total recurrence rate of control group,treatment group A,treatment group B,and treatment group C was 36.00% 、 10.00% 、 14.29% 、 8.70%,respectively.Conclusion（1）All four groups can effectively reduce the Epworth,PSQI,SAS and SDS scores of insomnia patients,the four groups are effective in the treatment of spleen and kidney deficiency type of insomnia.（2）Guben jiannao liquid combined with auricular pressure beans to treat spleen and kidney deficiency type of insomnia has more advantages in improving patients’ anxiety status,improving patients’ depression,and improving PSQI scores.（3）After one month of treatment,the recurrence rate of four different study groups was observed,indicating that Gu benjiannao liquid combined with auricular pressure beans in the treatment of spleen and kidney deficiency type of insomnia was more advantageous in reducing recurrence.（4）No adverse reactions were found in the whole process of Guben jiannao liquid combined with auricular pressure beans in the treatment of insomnia,which has a good safety.