黄连温胆汤联合针刺治疗痰热内扰型失眠随机平行对照研究

Huang Lianwen Dan Decoction and Acupuncture Treatment of Insomnia of Internal Disturbance of Phlegm Heat Type Random Parallel Controlled Study

[目的]观察黄连温胆汤配合针刺治疗痰热内扰型失眠疗效。[方法]使用随机平行对照方法,将135例住院患者按随机数字表法分为两组。对照组69例舒乐安定片,1mg/次,3次/d,口服。治疗组66例黄连温胆汤(茯苓30g,竹茹、枳实各12g,生姜10g,川连、法半夏、橘红、甘草各6g);心悸惊惕不安加珍珠母、磁石各30g,镇惊定志;痰食阻滞、胃中不和加神曲15g,山楂10g,莱菔子6g,消导和中;大便不通加潘泻叶6g,大黄10g,通便泄热。1剂/d,水煎200mL,早晚温服。针刺,取穴照海、申脉、神门、印堂、四神聪,平补平泻法;对于较重不寐患者,四神聪可留针过夜;照海用补法,申脉用泻法,留针30min,1次/d。连续治疗10d为1疗程。观测临床症状、睡眠时间、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组治愈17例,好转46例,无效3例,总有效率95.45%。对照组治愈14例,好转37例,无效18例,总有效率73.91%。治疗组疗效优于对照组(P<0.05)。睡眠时间改善治疗组优于对照组(P<0.05)。[结论]黄连温胆汤配合针刺治疗痰热内扰型失眠效果显著,值得推广。

[Objective]Observed with berberine Wendantang phlegm disturbance type acupuncture insomnia treatment.[Methods]Using randomized controlled method,135 cases of hospitalized patients were randomly divided into two groups.Control group,69 cases of estazolam tablets,1mg / time,3 times / d,orally.Berberine treatment group,66 cases Huanglian Wendantang(Fuling 30g,Zhuru,Zhishi each 12g,Shengjiang 10g,Chuan Lian,Fabanxia,Juhong,Gancao each 6g);palpitations are not scared Ti Anga Zhenzhumu,Cishi each 30g,Anticonvulsant Sadashi;sputum food blockade,the stomach is not processing Divine Shenqu 15g,Shanzha 10g,Laifuzi 6g,consumer guide and medium;constipation Gabin Xieye 6g,Dahuang 10g,laxative Xiere.1 / d,decoction 200mL,morning and evening,warm clothes.Acupuncture,acupoints according to the sea,Shen pulse,the door of God,Yintang Sishencong,reinforcing-reducing method;For patients with severe insomnia,Sishencong needle may be left overnight;Zhaohai fill method,Shen pulse with diarrhea method,the needle 30min,1 times / d.10d is a course of continuous treatment.Observation of clinical symptoms,sleep time,adverse reactions.Continuous treatment of 3 courses,to determine efficacy[.Results]treatment group,17 cases were cured,improved in 46 cases,3 cases,the total efficiency of 95.45%.Control group,14 cases were cured,improved in 37 cases,ineffective in 18 cases,total effective rate 73.91%.Treatment group than the control group(P <0.05).Sleep time improve treatment group than the control group(P <0.05).[Conclusion]Berberine Wendantang Acupuncture Treatment Insomnia disturbance phlegm effect is remarkable,worthy of promotion.