Observation On The Clinical Effect Of Acupuncture "Sleep Group Acupoint" On Insomnia With Phlegm-heat Disturbance

1 Objectives To evaluate the efficacy of acupuncture "sleep group acupoint" in the treatment of sputum fever disturbance insomnia.2 Method In a prospective randomized controlled trial,72 patients with insomnia were randomly divided into experimental group and control group,36 cases in each group.Acupuncture points in the experimental group were selected as "sleep group acupoints"(Yanglingquan,Zusanli,Shangjuxu,Fenglong,Gongsun and Zhongwan),while acupuncture prescriptions in the control group were used as acupoints of insomnia(Baihui,Shenmen,Sanyinjiao,Zhaohai,Shenmai,Anmian and Lidui)in the textbooks of Acupuncture and Moxibustion in the 13th Five-Year Plan.Acupuncture was performed 3 times a week for 30 minutes each time for 4 weeks,Pittsburgh Sleep Quality Index scale(PSQI),TCM Syndrome Integral Scale and transcranial Doppler(TCD)were used as observation indexes before and after treatment.SPSS 26.0 statistical software was used for statistical analysis.3 Result Analysis 3.1 Baseline Results A total of 72 patients with insomnia were included in this study,including 36 patients in the experimental group and 36 patients in the control group.One patient in the experimental group could not adhere to the completion of the test due to epidemic reasons,and one patient in the control group was excluded due to other treatments.Finally,35 patients in the experimental group and 35 patients in the treatment group were included.The overall mean age of the patients was 47.21±11.14 years,and the overall mean course of disease was 33.93±27.99 months.3.2 Main evaluation indicators The scores of TCM syndromes of the experimental group and the control group were compared before and after treatment,and the results showed that the scores of TCM syndromes of the experimental group and the control group were decreased,indicating that both groups could improve the scores of TCM syndromes of patients;The improvement degree of TCM syndrome score in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).Experimental group and control group of middle cerebral artery,before and after artery systolic blood flow velocity and diastolic blood flow velocity before and after treatment group comparison,results show that the experimental group and control group of MCA and AC A,PC A Vs and Vd has improved,comparison between experimental group in the AC A,the improved PC A Vs degree is better than that of control group,The difference was statistically significant(P<0.05).The Vd improvement of PCA was better than that of control group,and the difference was statistically significant(P<0.05).3.3 Secondary efficacy evaluation indicators The scores of TCM syndromes of the experimental group and the control group were compared before and after treatment,and the results showed that the scores of TCM syndromes of the experimental group and the control group were decreased,indicating that both groups could improve the scores of TCM syndromes of patients;The improvement degree of TCM syndrome score in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).Experimental group and control group of middle cerebral artery,before and after artery systolic blood flow velocity and diastolic blood flow velocity before and after treatment group comparison,results show that the experimental group and control group of MCA and ACA,PCA Vs and Vd has improved,comparison between experimental group in the AC A,the improved PCA Vs degree is better than that of control group,The difference was statistically significant(P<0.05).The Vd improvement of PCA was better than that of control group,and the difference was statistically significant(P<0.05).The difference was statistically significant(P<0.05),and the experimental group was better than the control group in improving the end diastolic flow velocity of the large posterior cerebral artery.3.4 Clinical response rate According to the standard of reduction rate of PSQI,the efficacy evaluation index in the study plan,after 4 weeks of treatment,8 cases in the experimental group were cured,15 cases were significantly effective,9 cases were effective and 3 cases were ineffective,with a total effective rate of 91.42%.In the control group,4 cases were cured,8 cases were significantly effective,17 cases were effective and 6 cases were ineffective,with a total effective rate of 82.29%.The difference was statistically significant(P<0.05),indicating that the "sleep group acupoint" has a good curative effect on insomnia,and the curative effect is better than the conventional acupuncture group.3.5 Security During the study,no serious adverse events occurred in the control group and the experimental group.4 Conclusion(1)Both "sleep group acupoint" and conventional acupuncture treatment can effectively improve the sleep situation of insomnia patients with phlegm-heat internal disturbance,and the curative effect of "sleep group acupoint" is better than that of conventional acupuncture treatment.(2)"sleep group acupoint" has advantages in improving sleep quality,sleep time,sleep efficiency,daytime function,TCM syndrome score,and systolic blood flow velocity of anterior cerebral artery and posterior cerebral artery and diastolic blood flow velocity of posterior cerebral artery in insomnia patients.