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Sedative method with the yin and yang Rocker pulse method of treatment controlled study of the efficacy of insomnia ( Heart deficiency type)

Author: YueGongLei
Tutor: WangFuChun
School: Changchun University of Traditional Chinese Medicine
Course: Acupuncture and Massage
Keywords: Insomnia Heart and deficiency of both Sedative method Yin and yang Rocker pulse method Efficacy of control
CLC: R246
Type: Master's thesis
Year: 2008
Downloads: 246
Quote: 1
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Abstract


Objective: To further sedation Tranquilization yin and yang Rocker clock French acupuncture acupoints treatment of insomnia control study, the specificity of acupuncture group points to optimize the the acupuncture clinical treatment of insomnia acupoints program, clinical research and through observation description of the relationship between insomnia and brain blood flow, and to explore the mechanism of acupuncture treatment of insomnia. Methods: 60 patients with both heart and spleen insomnia patients were randomly divided into the sedative Law group (30 cases) and yin and yang Rocker the veins law group (30 cases). The sedative Law Group acupuncture Sishencong, Shenmen, Sanyinjiao treatment of patients with insomnia, is reinforcing-reducing techniques, acupuncture needle retention for 30 to 60 minutes. Acupuncture according to the sea of ??yin and yang Rocker the veins law group and Shen pulse, according to sea using the the Twirling Reinforcing Law, the Shenmai with twirling-reducing method, after acupuncture needle retention for 30 to 60 minutes. The two groups of patients with insomnia disease efficacy, TCM syndrome, insomnia disease Points, and the symptom score before and after treatment, insomnia indicators to improve the situation and the Pittsburgh Sleep Quality Index before and after treatment evaluation and comparison. At the same time, before and after treatment by CBS-Ⅱ type transcranial Doppler instrument (TCD), observed changes in the parameters of the two groups of patients before and after acupuncture cerebral blood flow, and the various parameters of the analysis and comparison, explore needle thorn mechanism for treatment of insomnia. Results: sedative law group therapy Insomnia (Heart deficiency type) insomnia Disease total efficiency of 93.3%, markedly effective rate of 76.7%, the yin and yang Rocker the veins law group efficiency of 86.7%, markedly effective rate of 56.7%, the two groups in insomnia total effect of the disease and more show efficacy were different (all P lt; 0.05). Sedative Law Group of TCM syndromes total efficiency of 80.0%, markedly effective rate of 63.3%, the yin and yang Rocker the veins law group total effective rate of 73.3%, markedly effective rate of 56.7%, the two groups in the total efficacy of traditional Chinese medicine syndrome and more show efficacy And there were no differences (all P gt; 0.05). The two groups of insomnia disease integral and the Pittsburgh Sleep improved therapeutic index compared to the situation the sedative law group more effective than the yin and yang Rocker pulse method group (P lt; 0.05 or P lt; 0.01). TCM symptom score between the two groups had no significant difference (P gt; 0.05). Sedative Law Group indicators of insomnia (sleep time, duration, number of night waking dream situation, after you wake up, sleep evaluation) before and after treatment, there were significant differences (P lt; 0.01); yin and yang Rocker the veins law group sleep time duration, after waking state, sleep evaluation before and after treatment (P lt; 0.01 or P lt; 0.05), to improve the time to fall asleep, the duration of the night awake Views, dreaming the situation calm Tranquilization group more effective than the yin and yang Rocker the veins law group (P lt; 0.01 or P lt; 0.05). TCD detector after the treatment of the two groups of patients with middle cerebral artery, basilar artery peak systolic blood flow velocity of the vertebral artery diastolic blood flow velocities were increased, but the sedative Law Group is more obvious, with the yin and yang Rocker pulse method The group was statistically significant. Conclusion: the sedative yin and yang Rocker pulse method can effectively improve insomnia in patients with clinical signs and symptoms, and can increase cerebral blood flow velocity in patients with insomnia, improve the blood supply to the brain, the therapeutic effect of acupuncture on insomnia and improve insomnia in patients with cerebral blood flow related to the situation, but more desirable method of treatment with sedative effects, the treatment of insomnia better than the yin and yang Rocker pulse method.

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