Clinical Observation On Qinggan Ningxin Anshen Prescription Combined With Acupuncture In The Treatment Of Short-term Insomnia Of Liver Fire Disturbing Heart Type

Objective: This study aims to observe the clinical efficacy of self-made Qinggan Ningxin Anshen prescription combined with acupuncture in the treatment of short-term insomnia of liver-fire disturbing heart type,and to provide a theoretical basis for clinical application.Methods: 68 patients with short-term insomnia who satisfied the included criteria were split into two groups,34 cases in the treatment group and 34 cases in the control group,using the random number table approach.Patients in the treatment group received acupuncture along with a self-made Qinggan Ningxin Anshen prescription,whereas patients in the control group received Xiegan Anshen pills as therapy.Both groups got constant care for one session,using a four-week treatment course as the benchmark.The effective rate,Pittsburgh Sleep Quality Index(PSQI),TCM syndrome score,Insomnia Severity Index(ISI),Self-Scoring Sleep Status(SRSS)and Hamilton Anxiety Index(HAMA)were used as observation indicators.Index parameters and adverse reactions before and after diagnosis were recorded,and SPSS was used for data analysis.Result: 1.There was no significant difference in gender,age,disease duration,PSQI,TCM syndrome,ISI,SRSS as well as HAMA between the two groups before treatment and they were comparable(P>0.05).2.Clinical efficacy: There was a significant difference(P>0.05)in the overall effective rates for the treatment group and the control group,which were 91.18% and70.59%,respectively.3.PSQI: The PSQI scores of the two groups before and after treatment were subjected to intra-group pairing test and inter-group independent sample test.The difference in the two groups of PSQI before and after treatment was statistically significant(P<0.05)and the difference between the two groups after treatment was statistically significant(P<0.05).4.TCM Syndrome Index: The difference in the two groups of TCM Syndrome scores before and after treatment was statistically significant(P<0.05)and the difference between the two groups after treatment was statistically significant(P<0.05).5.ISI: Both the difference in the two groups’ ISI scores before and after treatment(P<0.05)and the difference in scores between the two groups’ ISI scores after treatment(P<0.05)were statistically significant.6.SRSS: There was a statistically significant difference in the two groups of SRSS both before and after treatment(P<0.05)and the difference between the two groups after treatment was statistically significant(P<0.05).7.HAMA: There was a statistically significant difference in the two groups of HAMA before and after therapy(P<0.05)and the difference between the two groups after treatment was statistically significant(P<0.05).8.Adverse reaction: There was a significant difference(P<0.05)between the treatment group’s and the control group’s overall adverse reaction rates,which were 2.94% and 17.65%,respectively.Conclusion: 1.The self-made Qinggan Ningxin Anshen Prescription combined with acupuncture and Xiegan Anshen Pill can achieve clinical efficacy and improve insomnia symptoms in the treatment of short-term insomnia of liver-fire disturbing heart type.2.Compared with Xiegan Anshen Pills,the self-made Qinggan Ningxin Anshen Prescription combined with acupuncture has higher efficacy and lower adverse reaction rate in the treatment of short-term insomnia of liver-fire disturbing heart type.It can be further promoted in clinical practice.