| Purpose: By observing,comparing and analyzing the efficacy of acupuncture regulating Yin qiao and yang qiao meridians combined with Guipi Decoction in the treatment of insomnia with deficiency of both heart and spleen and Guipi Decoction alone,this paper explores the efficacy of two acupuncture regulating Yin qiao and yang qiao meridians in the treatment of insomnia with deficiency of both heart and spleen,so as to provide reference for the clinical treatment of insomnia with deficiency of both heart and spleen.Material and method: From 2020.9 to 2021.12,seventy patients with insomnia due to deficiency of both heart and spleen were selected from the outpatient department of encephalopathy of the Affiliated Hospital of Liaoning University of traditional Chinese medicine.The patients were randomly divided into treatment group(35cases)and control group(35 cases).The treatment group was treated with twirling and reinforcing laxative method,acupuncture regulating yin qiao and yang qiao meridians with Guipi Decoction,and the control group was treated with Guipi Decoction.The frequency of acupuncture is once a day,five days a week,two days off,and continuous acupuncture for 4 weeks,a total of 20 days.The decoction is taken once a day for 4 weeks for 28 days.The two groups of patients received Pittsburgh sleep quality index score(PSQI)and TCM syndrome score of "insomnia with deficiency of heart and spleen" before and after treatment,and the differences were compared.Results:A total of 70 cases of insomnia with deficiency of heart and spleen were included in this study.Two cases in the observation group and the control group fell off for some reason.Finally,66 patients were included in the statistical analysis,with 33 cases in each group.1.The PSQI score and TCM syndrome score of insomnia in the observation group were compared before and after treatment.The PSQI score and TCM syndrome score of patients after treatment were significantly reduced,and the difference was statistically significant(P <0.05).2.The PSQI score and TCM syndrome score of insomnia in the control group were compared before and after treatment.The PSQI score and TCM syndrome score of patients after treatment were significantly lower,and the difference was statistically significant(P < 0.05).3.After treatment,the PSQI score of the observation group was lower than that of the control group,and there was significant difference between the two groups(P < 0.05).4.After treatment,the score of TCM syndrome of in the observation group was compared with that in the control group.The score of TCM syndrome in the observation group was lower than that in the control group,and the difference was statistically significant(P < 0.05).5.The total effective rate of the observation group was higher than that of the control group(P< 0.05).Conclusion:1.Regulating yin qiao and yang qiao meridians combined with Guipi Decoction and Guipi Decoction have an effect on insomnia due to deficiency of heart and spleen.2.The curative effect of regulating yin qiao and yang qiao meridians combined with Guipi Decoction on insomnia with deficiency of heart and spleen is significantly higher than that of Guipi Decoction alone.3.The treatment scheme of regulating yin and Yang and qiaomai combined with Guipi Decoction is better than that of Guipi Decoction alone in improving the TCM symptoms of insomnia patients with deficiency of heart and spleen... |