交泰丸敷脐治疗失眠症临床观察

Clinical Observations on the Treatment of Insomnia by Application of Jiaotai Wan to the Umbilicus

目的探讨交泰丸敷脐与口服治疗失眠症(心肾不交型)的疗效。方法将152例失眠患者按时间顺序分为两组,治疗组和对照组各76例。治疗组采用交泰丸敷脐治疗,对照组采用口服交泰丸治疗,疗程均为4星期。于治疗前和治疗第l、2、4星期末及停药后第l、2、4星期末采用匹兹堡睡眠质量指数量表评定临床疗效。结果经过4星期治疗,两组患者的睡眠质量均得以改善,且无不良反应,停药后睡眠改善持续时间长。结论交泰丸敷脐与口服治疗失眠症疗效肯定,组间差异无显著性(P>0.05),停药后反跳现象不明显。

Objective To compare the efficacy of application of Jiaotai Wan to the umbilicus with oral administration of it in treating insomnia （heart-kidney non-interaction type）. Methods One hundred and fifty-two insomnia patients were allocated, in order of time, to a treatment group of 76 cases and a Control group of 76 cases. The treatment group received application of Jiaotai Wan to the umbilicus and the control group took it orally. The course of treatment was four weeks in both groups. The clinical therapeutic effects were evaluated using the Pittsburgh Sleep Quality Index before treatment, at 1, 2 and 4 weeks after the beginning of treatment and at 1, 2 and 4 weeks after the completion of treatment. Results Sleep quality improved without adverse reactions in both group of patients after four weeks＇ treatment. Improvement in sleep continued for a long time after the completion of treatment. Conclusion Application of Jiaotai Wan to the umbilicus and oral administration of it have an exact therapeutic effect on insomnia. There was no significant difference between the groups （P〉0.05）. There was no obvious recurrence after the treatment.