蒙医治疗失眠症59例临床疗效观察

目的:探讨蒙医治疗失眠症的临床疗效。方法:对59例失眠症患者共同分为一组并以苏格木勒-3为主方药,辨证分型给予蒙药治疗,观察服用蒙药后的治疗效果。结果:治愈19例,显效20例,有效17例,无效3例。总有效率94.91%。结论:蒙医治疗失眠症疗效显著,可以有效地延长睡眠时间,保证睡眠质量。

Clinical observation of auricular needle-embedding therapy for primary insomnia

Objective:To observe the clinical efficacy of auricular needle-embedding therapy for treating primary insomnia.Methods:A total of 63 patients were randomly divided into a conventional acupuncture group and an auricular needleembedding group.The conventional acupuncture group received acupuncture at meridian points,while the auricular needle-embedding group received acupuncture at auricular points.Treatments were given once a day for 6 consecutive days,followed by a 1-day break,as a course of treatment.Both groups were treated for 2 courses.Before treatment,and after 1 course and 2 courses of treatment,the Pittsburgh sleep quality index(PSQI)score was assessed,and the efficacy was evaluated.Results:The cured and markedly effective rate and total effective rate of the auricular needle-embedding group were higher than those of the conventional acupuncture group,but there was no significant difference between the two groups(P>0.05).After 1 course of treatment,the PSQI global score and the scores of subjective sleep quality,sleep latency,sleep duration,habitual sleep efficiency,and daytime dysfunction of both groups decreased compared with those before treatment(P<0.01);there was no statistical significance in comparing the PSQI global score and individual component scores between the two groups(P>0.05).After 2 courses of treatment,the PSQI global score and the scores of sleep latency and habitual sleep efficiency of the auricular needle-embedding group decreased compared with those after 1 course of treatment(P<0.01 or P<0.05),while only the score of sleep latency of the conventional acupuncture group decreased compared with that after 1 course of treatment(P<0.05);the PSQI global score and the scores of subjective sleep quality and sleep latency of the auricular needle-embedding group were lower than those of the conventional acupuncture group(P<0.05).Conclusion:Both therapies can improve insomnia.Compared to conventional acupuncture,auricular needleembedding therapy demonstrates a therapeutic advantage in improving sleep latency and sleep quality,making it worthy of clinical promotion.

Acupuncture treatment for improving anxiety status in patients with primary insomnia:a systematic review and meta-analysis

Objective:To evaluate the clinical efficacy of acupuncture in the treatment of anxiety state in patients with primary insomnia(PI).Methods:Randomized controlled trials of acupuncture treatment for PI patients with an anxiety state in Web of Science,Cochrane Library,PubMed,Excerpta Medica Database(EMBASE),China National Knowledge Infrastructure(CNKI),Wanfang Data Knowledge Service Platform(Wanfang),and Chongqing VIP Database(VIP)were retrieved by computer.The retrieval time was from each database’s inception to December 30,2022.Data extraction and evaluation were performed for the included studies.The Cochrane risk of bias assessment tool was used to assess the risk of bias in each article.Meta-analysis of valid data was performed using the RevMan 5.4 software.If the outcome indicator was a categorical variable,relative risk(RR)was used as the effect size.If it was a continuous variable,mean difference(MD)was used to calculate the effect size.Each effect size was expressed as a 95%confidence interval(CI).P<0.05 was considered to indicate a statistically significant difference.Results:A total of 18 studies were included,comprising a total of 1198 patients.The findings of the meta-analysis showed that electroacupuncture had a significant advantage in improving the Hamilton anxiety scale(HAMA)score than benzodiazepines[MD=-1.61,95%CI(-2.17,-1.06),P<0.001].Acupuncture was superior to sham acupuncture[MD=-14.90,95%CI(-20.39,-9.41),P<0.001]and benzodiazepines[MD=-3.39,95%CI(-4.67,-2.12),P<0.001]in reducing the self-rating anxiety scale(SAS)score.Acupuncture was superior to sham acupuncture in reducing the insomnia severity index(ISI)score[MD=-5.61,95%CI(-6.63,-4.89),P<0.001].Acupuncture was superior to benzodiazepines[MD=0.84,95%CI(-1.42,-0.25),P=0.005]and sham acupuncture[MD=-8.39,95%CI(-8.39,-7.86),P<0.001]in improving the Pittsburgh sleep quality index(PSQI)score.Acupuncture had a better effective rate than benzodiazepines[RR=1.16,95%CI(1.08,1.25),P<0.001]and sham acupuncture[RR=8.94,95%CI(4.63,17.25),P<0.001]in treating PI.Conclusion:Acupuncture or electroacupuncture has certain therapeutic advantages over benzodiazepines and sham acupuncture in the treatment of anxiety in PI patients.However,more high-quality randomized controlled trials are needed for further verification.

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

Objective： To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. Methods： 92 cases were divided randomly into the treatment group （treated by acupuncture-moxibustion and Chinese Tuina） and the control group （treated,by acupuncture-moxibustion）. Results： The therapeutic effect of the treatment group was obviously Superior to that of the control group （the x^2 test showed P〈0.01）. Conclusions： The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for,treatment of insomnia due to deficiency of both the heart and spleen.

Treatment of Phlegm-and Heat-induced Insomnia by Acupuncture in 120 Cases

Clinical DataThe 120 cases in this series were outpatients suffering from insomnia due to interior-stirring by phlegm-heat, ranging in age from 28 to 67 years. They were randomly divided into a treatment group and a control group.

COMBINED TREATMENT OF 198 CASES OF INSOMNIA WITH ACUPUNCTURE OF BODY ACUPOINTS PLUS PELLET PRESSING OF OTOPOINTS

Objective: To observe the therapeutic effect of acupuncture of body acupoints plus otopoint pellet-pressing for treatment of insomnia. Methods: A total of 198 cases of insomnia patients were observed. Straight inserted the filiform needles into Shenmen (HT 7), Neiguan (PC 6), Zhaohai (KI 6) and Zusanli (ST 36) and manipulated the needles with uniform reinforcing-reducing method, then otopoints as Ershenmen (MA-TF 1), Shen (MA-SC), Gan (MA-SC 5), etc. were stimulated by pressing the stuck vaccaria seeds. Ten treatments were considered as a therapeutic course. Results: Of the 198 cases, 65 (32%) were cured, 76 (38%) had remarkable improvement, 53 (26%) had improvement and 4 (2%) had no effect, with the total effective rate being 97%. Conclusion: Acupuncture of body acupoints plus otopoint pellet pressing works well in treatment of insomnia.

ACUPUNCTURE TREATMENT FOR 100 CASES WITH INSOMNIA OF THE TYPE OF THE HEART AND SPLEEN DEFICIENCY

cases of insomnia of the type of heart and spleen deficiency were treated by acupuncture.Results indicated that 95 cases were cured,accounting for 95%;3 cases were markedly effective,accounting for 3% and the 2 cases were ineffective,accounting for 2%,the total effective rate was 98%.

Efficacy observation on Governor Vessel-unblocking and mind-calming acupuncture for insomnia

Objective：To observe the effect of Governor Vessel-unblocking and mind-calming acupuncture on insomnia and further develop the academic idea on Gao＇s lineage acupuncture.Methods：A total of 68 insomnia cases were randomly allocated into an acupuncture group（n=34） and a medication group（n=34） according to their sequences of consultation.Patients in the acupuncture group received acupuncture treatment once a day,5 d a week,for 4 weeks.Patients in the medication group took 1 mg of Estazolam before sleep for each dose,one dose a day,for 4 weeks.Before and after treatment,the sleep quality was evaluated using the Pittsburgh sleep quality index（PSQI）,and the efficacy was assessed using the PSQI reductive rate.Results：After treatment,the global PSQI score and scores of each component in the acupuncture group were significantly decreased（all P〈0.01）.The global PSQI score in the medication group was significantly decreased（P〈0.01）.Except for sleep disturbance,scores of the rest of components were significantly decreased（P〈0.01 or P〈0.05）.The between-group difference was statistically significant in global PSQI score（P〈0.01）.Except for sleep latency and duration,scores of the sleep quality,efficiency,disturbance and daytime dysfunction in the acupuncture group were significantly lower than those in the medication group（all P〈0.05）.In addition,the recovery and marked effect rate in the acupuncture group was significantly higher than that in the medication group（P〈0.05）.Conclusion：The Governor Vessel-unblocking and mind-calming acupuncture is safe,reliable for insomnia and has better efficacy than Estazolam.

Exploration of the Clinical Regularity of Acupuncture and Moxibustion Treatment for Insomnia

Objective： To review year 1956-2007 literature and explore the regularity of points selection and methods for acupuncture-moxibustion treatment of insomnia. Methods： A comprehensive analysis was made by a method of metrological review according to the data from ＂China Modem Acupuncture-moxibustion Information Databank＂. Results： It is indicated that points Sanyinjiao （SP 6） and Shenmen （HT 7） were most frequently used. Acupuncture was the main treatment. Conclusion： It is suggested that Baihui （GV 20）, Sishencong （Ex-HN 1）, Sanyinjiao （SP 6） and Shenmen （FIT 7） were used as basic points for acupuncture-moxibustion treatment of insomnia, which is combined with point selection based on syndrome differentiation.

Treatment of Insomnia with Guasha（Scraping）

Guasha（scraping） therapy falls into the category of “non-medication therapy”. It works well for insomnia in clinical practice.

Clinical Observation on Acupuncture Therapy for Insomnia

Objective： To observe the effect of acupuncture for insomnia. Methods： Based on the principle of regulating the Governor Vessel and refreshing the mind, 41 insomnia cases were treated with acupuncture. After that, the scores of Pittsburgh Sleep Quality Index （PSQI） and Symptom Checklist 90 （SCL-90） were compared before and after the treatment. Results： There were statistical differences in each component score of PSQI or SCL-90 and global scores before and after the treatment （P〈0.01）. The coefficient correlation between the pre-treatment and post-treatment difference of global SCL-90 scores and that of global PSQI scores was 0.34 （P〈0.05）. Conclusion： The needling method of regulating Governor Vessel and refreshing mind can substantially increase the sleep quality and relieve psychosomatic symptoms, and the improvement of psychosomatic symptoms was positively correlated to the sleep quality.

Clinical Study on Acupuncture-moxibustion Treatment for Insomnia in Heart-spleen Deficiency

Objective： To observe the clinical effects of ZHAO＇s thunder-fire moxibustion in the treatment of insomnia in heart-spleen deficiency. Methods： 70 patients were randomly divided into two groups, 35 cases in the treatment group, managed by thunder-fire moxibustion and acupuncture, 35 cases in the control group, managed by single acupuncture treatment. Results： The results showed cure in 8 cases, remarkable effect in 15 cases, effect in 10 cases, failure in 2 cases and the total effective rate in 91.4% in the treatment group, and cure in 4 cases, remarkable effect in 11 cases, effect in 11 cases, failure in 9 cases, and the total effective rate in 74.2% in the control group. The difference is statistically significant in comparison of the total effective rates between the two groups （P 〈 0.05）. Conclusion： Thunder-fire moxibustion gives a better therapeutic effect in the acupuncture treatment of insomnia in heart-spleen deficiency.

Clinical Observation on Acupuncture plus Auricular Point Sticking in Treating Insomnia

Insomnia is a common sleep disorder and usually affects the patients＇ emotions and work. We applied acupuncture plus auricular point sticking to treat insomnia and reported it as follows.

Observation on Therapeutic Effect of Acupuncture plus Moxibustion for Insomnia

Objective： In order to observe the clinical effect of acupuncture plus moxibustion for insomnia. Methods： Seventy-six patients with insomnia were randomly divided into 38 cases in the treatment group and 38 cases into the control group. The main acupoints for the treatment group were Baihui （GV 20）, Shenmen （HT 7）, and Sanyinjiao （SP 6）. The additional acupoints were Yintang （Ex-HN 3）, Anmian （Ex-HN 22）, Shenmai （BL 62）, Zhaohai （KI 6）, Neiguan （PC 6）, Jueyinshu （BL 14）, Xinshu （BL 15）, Pishu （BL 20）, Weishu （BL 21）, Danshu （BL 19）. The treatment was given by acupuncture plus moxibustion. Suspending moxibustion by moxa stick was used over the main acupoints. And the additional acupoints were punctured routinely. The main acupoints for the control group were Baihui （GV 20）, Shenmen （HT 7）, and Sanyinjiao （SP 6）, Yintang （Ex-HN 3）, Anmian （Ex-HN 22）, Shenmai （BL 62）, and Zhaohai （KI 6）. The additional acupoints were Jueyinshu （BL 14）, Xinshu （BL 15）, Pishu （BL 20）, Weishu （BL 21）, Danshu （BL 19）. The treatment was given by acupuncture routinely. The therapeutic effects were compared in the change of Pittsburgh Sleep Quality Index （PSQI）, therapeutic effect and therapeutic courses. Results： The treatment group was better than the control group in PSQI change, therapeutic effect and therapeutic course （P〈0.05）. There was no adverse reaction. Conclusion： Acupuncture plus moxibustion has a better therapeutic effect for insomnia.

Clinical observation on acupuncture plus tuina for insomnia

Objective： To observe the efficacy of acupuncture plus tuina therapy for insomnia. Methods： Totally 100 eligible patients were randomized into a treatment group （n=51） and a control group （n=49） by using the random number table. The treatment group was intervened by acupuncture at Baihui （GV 20）, Fengchi （GB 20）, Wangu （GB 12）, Shenting （GV 24）, Anmian [Extra, locates at the midpoint between Yiming （EX-HN 14） and Fengchi （GB 20）], and Neiguan （PC 6） plus tuina treatment; the control group was intervened by acupuncture alone. For both groups, the treatment was given once a day, 10 sessions as a treatment course, and the efficacies were evaluated and compared after 3 treatment courses. Results： Of the 51 subjects in the treatment group, 46 cases completed 3 treatment courses, and 17 cases were cured, 18 cases showed marked efficacy, 7 cases were improved, 4 cases had invalid result, and the total effective rate was 91.3%. Of the 49 subjects in the control group, 46 cases completed 3 treatment courses, and 8 cases were cured, 12 cases showed marked efficacy, 14 cases were improved, 12 cases had invalid result, and the total effective rate was 73.9%. The total effective rate of the treatment group was significantly higher than that of the control group （P〈0.05）. Conclusion： Acupuncture plus tuina can calm the mind and activate meridian qi in treating insomnia, and it can produce a more significant efficacy than pure acupuncture treatment.

Clinical Study on Thread-embedding Therapy for Insomnia Due to Heart-spleen Deficiency

Objective： To observe the clinical effect of thread-embedding therapy in treating insomnia due to heart-spleen deficiency. Methods： Sixty patients were randomized into an acupuncture group and a thread-embedding group, 30 in each. The acupuncture group was managed by acupuncture therapy, and the thread-embedding group was treated by thread-embedding therapy. Pittsburgh Sleep Quality Index （PSQI） was adopted for evaluation before and after treatments. Results： The total effective rate was 86.7% in the acupuncture group versus 96.7% in the thread-embedding group. After treatment, the PSQI scores were significantly different from those before treatment in both groups （P〈0.01）; the scores in both two groups were mai＇kedly different from each other after treatment （P〈0.01）. Conclusion： Both acupuncture and thread-embedding therapies can effectively improve sleep quality of the patients, while thread-embedding therapy is comparatively less time-consuming, more convenient and with longer stimulation.

Efficacy and safety of electroacupuncture for perimenopausal insomnia: a randomized controlled trial

Objective: To observe the effectiveness and safety of electroacupuncture (EA) plus Luohua Anshen oral liquid for patients with perimenopausal insomnia. Methods: A total of 66 participants who met the inclusion criteria were enrolled in the randomized controlled trial and allocated to a treatment group and a control group at a ratio of 1:1, with 33 cases in each group. Both groups were given Luohua Anshen oral liquid as a basic treatment. The treatment group was additionally given EA every other day, three times a week. Both groups were treated for four weeks and a four-week follow-up was conducted. The scores of Pittsburgh sleep quality index (PSQI), Kupperman index (KI) and traditional Chinese medicine sleep syndrome scale (TCMSSS) were recorded at pre- and post-treatment, and at the follow-up. Meanwhile, adverse effects were monitored and recorded. Results: After four-week treatment, the global scores of PSQI, KI and TCMSSS in both groups declined significantly (all P<0.05), and the decreases in the treatment group were more significant than those in the control group (allP<0.05). The global scores of PSQI, KI and TCMSSS in both groups at the follow-up visit were significantly different from the corresponding baseline (allP<0.05), while insignificantly different from those assessed at post-treatment (allP>0.05). The total effective rate was 93.9% in the treatment group, significantly higher than 72.2% in the control group (P<0.05). No significant adverse event was reported in this trial excepted one patient experienced slight dizziness in the first acupuncture treatment. Conclusion: EA plus Luohua Anshen oral liquid is safe for perimenopausal insomnia with satisfactory short- and long-term effectiveness, and it shows certain advantage compared with using Luohua Anshen oral liquid alone.

Acupuncture and Insomnia： A Report of 86 Cases

Objective： To observe the treatment effect of acupuncture on insomnia. Method： All 86 insomnia cases were treated with acupuncture once a day; 5 d make up one course of treatment. There was a 2-day interval between the two courses. After 4 courses of treatment, the therapeutic effect was analyzed, coupled with the Pittsburgh Sleep Quality Index （PSQI） global scores before and after the treatment. Result： The total effective rate was 95.4% and there was a significant difference in PSQI global scores before and after the treatment. Conclusion： Acupuncture is a safe and effective therapy for insomnia. It can improve the patient＇s quality of life and physical function.

Clinical Observation of Electro-spoon Needle for Insomnia

Objective： To observe the clinical effects of the electro-spoon needle on insomnia. Methods： Forty cases of insomnia were treated with the electro-spoon needle, and monitored with polysomnography to compare the difference of sleep pattern before and after treatment. Results： After treatment, the S1 stage of sleep was shorter, whereas, S2, S3, and S4 stages of sleep and rapid eye movement sleep were longer than those before treatment （P〈0.05）. Meanwhile, there was a significant difference in sleep pattern before and after treatment （P〈0.05）. Conclusion： Electro-spoon needle can improve the symptoms of insomnia.

Clinical Study on Acupuncture plus Auricular Point Sticking for Insomnia

Objective： To study the clinical efficacy of acupuncture plus ear-points pressure for insomnia. Method： All 156 cases were randomized into the observation, acupuncture and Chinese herbal formula groups. Combined acupuncture and ear-points pressure, acupuncture alone and Chinese herbal formula were applied in each group respectively. Result： The total effective rates of the observation, acupuncture and herbal group were 94.2%, 75.0% and 78.8% respectively. This has indicated that combined acupuncture and Auricular Point Sticking could obtain significantly better effect than the acupuncture group （P〈0.01） and the herbal group （P〈0.05）. Conclusion： Combined acupuncture and ear-point pressure can obtain a better effect for treatment of insomnia.