Abstract
Objective
To observe the clinical efficacy of acupuncture combined with Shen Zao An Shen Tang for insomnia due to deficiency of the heart and spleen, investigate the law of treating insomnia based on syndrome differentiation, and thus provide evidence for treatment based on differentiation of insomnia in traditional Chinese medicine.
Methods
A total of 62 cases with insomnia due to deficiency of the heart and spleen were randomized into a combined acupuncture and Chinese herbal formula group and a Western medication group, 31 cases in each group. Acupuncture and self-made Shen Zao An Shen Tang were employed in the former, while Estazolam was used in the latter. After a 28-day treatment, the clinical efficacy, sleep efficiency, sleep dysfunction rating scale (SDRS) and adverse reactions in the two groups were observed and compared.
Results
The total effective rate in the combined acupuncture and Chinese herb formula group was 96.8%, versus 74.2% in the Western medication group, showing a statistically significant difference (P<0.05). After treatment, the sleep efficiency ratios in both groups were significantly increased (P<0.01, P<0.05), and there was a between-group statistically significant difference (P<0.05). Also, the SDRS scores in both groups were decreased (P<0.01, P<0.01) and there was a between-group statistically significant difference (P<0.01). In addition, the adverse reaction rate in the combined acupuncture and Chinese herb formula group was significantly lower than that in the Western medication group (P<0.05).
Conclusion
Combining acupuncture and Chinese herb formula can obtain a substantial clinical efficacy for insomnia due to deficiency of the heart and spleen and improve the patients’ sleep quality. Compared with Estazolam, it is better in effect and less in adverse reactions.
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References
Zhang YH, Yuan Q. Diagnosis and treatment of insomnia. Guowai Yixue: **gshenbing Xue Fence, 1996, 23(3): 153–155.
Liu YJ, Gao RL. Chinese Sleep Medicine. Bei**g: People’s Medical Publishing House, 2003: 200, 491–535.
Yuan ZZ, Dai CX, Ye R, Jiao HJ, Zhao N, Lin Y, Wang XY, Sun SC, He JC. Analysis on relative factors of TCM pattern identification of 931 insomnia cases. Zhonghua Zhongyiyao Zazhi, 2011, 26(7): 1587–1590.
Chinese Society of Psychiatry. Chinese Classification and Diagnostic Criteria of Mental Disorders. 3rd Edition. **an: Shandong Science & Technology Press, 2001: 151.
Ministry of Health of the People’s Republic of China. Guiding Principles for Clinical Study of New Chinese Medicines. Bei**g: People’s Medical Publishing House, 1993: 186–188.
Wang WF, Shi YF. Therapeutic observation on the treatment of insomnia with puncturing the Governor and Conception Vessels. Shanghai Zhenjiu Zazhi, 2013, 32(4): 277–279.
Zhang YY, Liu LY, Ma C. Clinical observation on acupuncture therapy for insomnia. J Acupunct Tuina Sci, 2010, 8(1): 20–22.
Wang LS, Zhao GJ, Zhang M. Therapeutic observation on acupuncture for insomnia with brain-activating and mind-tranquilizing needling methods separately in morning and at night. Shanghai Zhenjiu Zazhi, 2013, 32(4): 280–282.
Yan XK, Zhang Y, Yu L, Yue GL, Li T, Chen C, Cui HF, Wang FC. Effect on tranquilizing and allaying excitement needling method on brain blood flow in the patients of insomnia of heart and spleen deficiency. Zhongguo Zhenjiu, 2010, 30(2): 113–116.
Li SZ. Clinical application of common points. People’s Medical Publishing House, 1996: 661.
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Kou, Jy., Wei, Y., Tong, X. et al. Effect of combined acupuncture and Shen Zao An Shen Tang on sleep quality of insomnia patients due to deficiency of the heart and spleen. J. Acupunct. Tuina. Sci. 12, 96–100 (2014). https://doi.org/10.1007/s11726-014-0753-2
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DOI: https://doi.org/10.1007/s11726-014-0753-2
Key Words
- Acupuncture Therapy
- Acupuncture Medication Combined
- Shen Zao An Shen Tang
- Insomnia
- Heart-spleen Deficiency
- Syndrome Differentiation Treatment