针刺联合归脾汤治疗心脾两虚型失眠随机平行对照研究

Deficiency of Bothheart and Spleen(心脾两虚) Insomnia Randomized Controlled Study of Acupuncture Therapy Combined with Guipi Tang(归脾汤)

[目的]观察针刺联合归脾汤治疗心脾两虚型失眠疗效。[方法]使用随机平行对照方法,将48例门诊患者按就诊顺序号方法简单随机分两组。对照组24例针刺,取神门、安眠、三阴交、足三里、四神聪;1次/d。治疗组24例归脾汤(黄芪、茯神、白术、龙眼肉、酸枣仁各30g,人参、木香各15g,甘草5g,当归、远志各3g,不寐较重加夜交藤、合欢花、柏子仁;脾虚重痰湿内阻纳呆、苔滑腻、脉濡滑加陈皮、半夏、茯苓、肉桂等),1剂/d,水煎500m L,早晚口服;针刺治疗同对照组。连续治疗15d为1疗程。观测临床症状、中医症候积分、匹兹堡睡眠质量指数、不良反应。治疗1疗程,判定疗效。[结果]临床疗效治疗组优于对照组(P<0.05)。中医症候积分两组均有明显降低(P<0.05),治疗组降低优于对照组(P<0.05)。[结论]针刺联合归脾汤治疗心脾两虚型失眠,疗效满意,无严重不良反应,值得推广。

[Objective] To study about acupuncture plus GPT treatment of insomnia of Deficiency of Bothheart and Spleen clinical efficacy.[Method] Using the random number table method divided 48 cases of insomnia of‘Deficiency of Bothheart and Spleen＇in TCM patients into two groups. The control group was given acupuncture, the experimental group was given acupuncture and modified GPT on the basis of soup, modified Guipi with cutting cared to add and subtract for 15 days. Observing the clinical efficacy of two groups of patients in integral of Chinese medicinal symptom,PSQI and safety indicators, etc. [Results] The effect of the experimental group is obviously superior in the control group,two groups have statistical significance（P〈0.05）; Experimental group was better in decreasing the integral of traditional Chinese medicinal symptom than control group, two groups have statistical significance（P〈0.05）. [Conclusion] Acupuncture plus Guipi decoction treatment of insomnia（Deficiency of Bothheart and Spleen）was significantly improved in clinical symptoms,the curative effect of Guipi decoction in treating insomnia is exact.