Volume 22 Issue 8
Aug.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(8): 1412-1415
LYU Fengjuan, LONG Yan, YANG Xiumu, WANG Yuling, YAO Weiwei, XU Zhenwei. Clinical efficacy of ear acupoint pressing combined with Modified Jianzhong Decoction in the treatment of insomnia with heart and spleen deficiency syndrome[J]. Chinese Journal of General Practice, 2024, 22(8): 1412-1415. doi: 10.16766/j.cnki.issn.1674-4152.003648
Citation: LYU Fengjuan, LONG Yan, YANG Xiumu, WANG Yuling, YAO Weiwei, XU Zhenwei. Clinical efficacy of ear acupoint pressing combined with Modified Jianzhong Decoction in the treatment of insomnia with heart and spleen deficiency syndrome[J]. Chinese Journal of General Practice, 2024, 22(8): 1412-1415. doi: 10.16766/j.cnki.issn.1674-4152.003648
shu

Clinical efficacy of ear acupoint pressing combined with Modified Jianzhong Decoction in the treatment of insomnia with heart and spleen deficiency syndrome

doi: 10.16766/j.cnki.issn.1674-4152.003648
  • 1.

    Department of the Integrated Traditional Chinese and Western Medicine, the First People ' s Hospital of Chuzhou, Chuzhou, Anhui 239000, China

Funds:

 2021xqhzsjjd051

  • Received Date: 2023-11-28
    Available Online: 2024-11-19
    Abstract
  •   Objective  To observe the curative effect of ear acupoint pressing combined with Modified Jianzhong Decoction in treating insomnia patients with heart and spleen deficiency and its superiority over single therapy.   Methods  A total of 45 patients with insomnia who met the enrollment criteria and were treated in our department from October 2021 to October 2023 were selected and divided into a simple auricular point treatment group (15 cases), a simple Chinese medicine decoction treatment group (15 cases), and a decoction+auricular point soy-embedding combined treatment group (15 cases) according to random number table method. The treatment was two weeks. The international SPIEGEL sleep scale score, Pittsburgh sleep quality index (PSQI) score, Assens insomnia scale (AIS) score, and traditional Chinese medicine (TCM) syndrome score, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) score of the three groups were compared before and after the treatment. The evaluation of patients ' satisfaction with the treatment was also collected.   Results  The total effective rate of Modified Jianzhong Decoction combined with ear point burying bean treatment group was 100.00%, which was higher than that of single ear point sticking (73.33%) or Modified Jianzhong Decoction (66.67%, P < 0.05). After 2 weeks of treatment, PSQI and AIS sleep quality scores in all 3 groups decreased compared with before (P < 0.05). After treatment, SAS and SDS scores of the 3 groups were decreased compared with those before treatment (P < 0.05), and the combined treatment group had the best effect, which improved anxiety and depression more significantly than the other two groups (P < 0.05). Compared with before treatment, the scores of TCM symptoms in the three groups were decreased to different degrees (P < 0.05), and the effect of the combined treatment group was the most significant (P < 0.01).   Conclusion  The combination of embedding beans in auricular points and Modified Jianzhong Decoction has a definite effect on the treatment of insomnia patients, which can effectively improve the insomnia symptoms of patients, improve the sleep quality of patients, improve the traditional Chinese medicine syndrome score, alleviate the psychological depression and anxiety of patients, and improve the clinical satisfaction of patients, and is more advantageous than the simple combination treatment or embedding beans in auricular points.

     

    • FullText(HTML)
  • loading
    • References(19)
  • [1]
    ZHANG H B, SUN H N, LI J T, et al. Response inhibition impairment related to altered frontal-striatal functional connectivity in insomnia disorder: a pilot and non-clinical study[J]. J Psychiatr Res, 2024, 170: 138-146. doi: 10.1016/j.jpsychires.2023.12.023
    [2]
    胡亚丹, 张德德, 周芳, 等. 基于气机升降理论温灸刮痧治疗心肾不交型失眠临床研究[J]. 河北中医, 2023, 45(11): 1863-1866, 1871. doi: 10.3969/j.issn.1002-2619.2023.11.023

    HU Y D, ZHANG D D, ZHOU F, et al. Clinical efficacy analysis of warm moxibustion and scraping therapy for insomnia of heart kidney disharmony type based on ascending-descending theory[J]. Hebei Journal of Traditional Chinese Medicine, 2023, 45(11): 1863-1866, 1871. doi: 10.3969/j.issn.1002-2619.2023.11.023
    [3]
    尹美玲, 孙晓媛, 岳利峰, 等. 基于文献计量学的国内外睡眠障碍研究现状与热点分析[J]. 世界科学技术-中医药现代化, 2022, 24(1): 436-445.

    YIN M L, SUN X Y, YUE L F, et al. Research status and hotspots analysis of sleep disorder at home and aboard based on bibliometrics[J]. Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology, 2022, 24(1): 436-445.
    [4]
    刘艳骄, 陈铁光. 首届失眠症中成药临床应用学术研讨会暨失眠症中成药临床实践指南中期汇报在中国中医科学院广安门医院南院区举办[J]. 世界睡眠医学杂志, 2019, 6(11): 1641.

    LIU Y J, CHEN T G. The first symposium on the clinical application of traditional Chinese patent medicines and simple preparations for insomnia and the interim report on the clinical practice guide of traditional chinese patent medicines and simple preparations for insomnia in the south hospital area of Guang ' anmen Hospital, Chinese Academy of Traditional Chinese Medical Sciences[J]. World Journal of Sleep Medicine, 2019, 6(11): 1641.
    [5]
    吴毅星, 李芷娴, 杨粤戈, 等. 从脾郁气结论治焦虑失眠症的思路探讨[J]. 广州中医药大学学报, 2023, 40(8): 2075-2076.

    WU Y X, LI Z X, YANG Y G, et al. Exploration of the thoughts for treating anxiety-induced insomnia from the perspective of spleen depression and Qi stagnation[J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2023, 40(8): 2075-2076.
    [6]
    党宏燕. 耳穴贴压配合针刺治疗脑瘫睡眠障碍患儿的临床研究[J]. 医学理论与实践, 2022, 35(3): 513-515.

    DANG H Y. Auricular acupressure combined with acupuncture in children with sleep disorders due to cerebral palsy: a clinical study[J]. The Journal of Medical Theory and Practyice, 2022, 3(3): 513-515.
    [7]
    孙国丽, 金瑛, 胡雪蓉. 耳穴压豆联合中医定向透药对全膝关节置换术后患者早期疼痛的干预研究[J]. 中华全科医学, 2020, 18(6): 1010-1013. doi: 10.16766/j.cnki.issn.1674-4152.001415

    SUN G L, JIN Y, HU X R. Intervention study of ear point pressing beans combined with directional Chinese medicine penetration on early pain after total knee arthroplasty[J]. Chinese Journal of General Practice, 2020, 18(6): 1010-1013. doi: 10.16766/j.cnki.issn.1674-4152.001415
    [8]
    方文娟, 李红, 周丽丽, 等. 针刺联合耳穴贴压治疗骨髓瘤伴失眠的疗效观察及对认知功能、睡眠质量的影响[J]. 上海针灸杂志, 2023, 42(11): 1157-1161.

    FANG W J, LI H, ZHOU L L, et al. Observation on the efficacy of acupuncture combined with auricular acupressure in the treatment of insomnia disorder in myeloma and its effect on cognitive function and sleep quality[J]. Shanghai Journal of Acupuncture and Moxibustion, 2023, 42(11): 1157-1161.
    [9]
    中国睡眠研究会. 中国失眠症诊断和治疗指南[J]. 中华医学杂志, 2017, 97(24): 1844-1856.

    Chinese Sleep Research Society. Chinese guidelines for diagnosis and treatment of insomnia[J]. National Medical Journal of China, 2017, 97(24): 1844-1856.
    [10]
    国家中医药管理局. 不寐的诊断依据、证候分类、疗效评定: 中华人民共和国中医药行业标准《中医内科病证诊断疗效标准》(ZY/T001.1-94)[J]. 辽宁中医药大学学报, 2016, 18(8): 247.

    National Administration of Traditional Chinese Medicine. Diagnosis basis, syndrome classification, and efficacy evaluation of insomnia: diagnostic and therapeutic criteria for traditional Chinese medicine syndromes (ZY/T001.1-94)[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2016, 18(8): 247.
    [11]
    焦玥, 韩颖, 周劲草, 等. 耳针疗法治疗失眠的系统评价和Meta分析[J]. 中国针灸, 2022, 42(10): 1184-1194.

    JIAO Y, HAN Y, ZHOU J C, et al. Systematic review and meta-analysis on the auriculotherapy in treatment of insomnia[J]. Chinese Acupuncture and Moxibustion, 2022, 42(10): 1184-1194.
    [12]
    LI L J, YANG Y, GUAN B Y, et al. Insomnia is associated with increased mortality in patients with first-ever stroke: a 6-year follow-up in a Chinese cohort study[J]. Stroke Vasc Neurol, 2018, 3(4): 197-202. doi: 10.1136/svn-2017-000136
    [13]
    贾暖, 赵佳锋, 钱万桥, 等. 小建中汤治疗抑郁症作用机制的网络药理学研究[J]. 中国药业, 2022, 31(1): 49-54.

    JIA N, ZHAO J F, QIAN W Q, et al. Mechanism of Xiaojianzhong Decoction in the treatment of depression based on network[J]. China Pharmaceuticals, 2022, 31(1): 49-54.
    [14]
    毛雪玲, 刘维忠, 麻永胜. 归脾汤治疗脾虚血瘀型慢性胃炎伴失眠[J]. 光明中医, 2023, 38(21): 4242-4244.

    MAO X L, LIU W Z, MA Y S. Guipi Decoction in the treatment of insomnia with chronic gastritis of spleen deficiency and blood stasis type[J]. Guangming Journal of Chinese Medicine, 2023, 38(21): 4242-4244.
    [15]
    王梦曦, 徐一菲, 张楚焌, 等. 基于经络知热感度测定法探究原穴在失眠证型辨识中的应用[J]. 针灸临床杂志, 2024, 40(5): 31-35.

    WANG M X, XU Y F, ZHANG C J, et al. Exploring application of Yuan-Source points in identification of insomnia syndromes based on measurement of thermal sensitivity of meridians[J]. Journal of Clinical Acupuncture and Moxibustion, 2024, 40(5): 31-35.
    [16]
    程剑, 张志国, 楚江静, 等. 浮郄穴治疗不寐症机制浅谈[J]. 中国针灸, 2020, 40(3): 305-306.

    CHENG J, ZHANG Z G, CHU J J, et al. Mechanism of floating acupoint in the treatment of parasomnia[J]. Chinese Acupuncture and Moxibustion, 2020, 40(3): 305-306.
    [17]
    蔡元钦, 曾华华, 王曦, 等. 基于Cite Space针灸治疗失眠的知识图谱可视化分析[J]. 湖北民族大学学报医学版, 2023, 40(3): 7-12.

    CAI Y Q, ZENG H H, WANG X, et al. Visual analysis on knowledge gragh of acupuncture in treating insomnia based on CiteSpace[J]. Journal of Hubei Minzu University Medical Edition, 2023, 40(3): 7-12.
    [18]
    高敏, 顾禕敏, 吴清贤. 电针联合耳穴贴压治疗失眠疗效观察[J]. 河南中医, 2022, 42(5): 777-780.

    GAO M, GU Y M, WU Q X. Observation of therapeutic effect of electroacupunctrue combined with auricular point sticking on insomnia[J]. Henan Traditional Chinese Medicine, 2022, 42(5): 777-780.
    [19]
    王彦华, 赵敏, 杨国防, 等. 针刺联合耳穴压豆治疗原发性失眠[J]. 中医学报, 2023, 38(9): 1992-1998.

    WANG Y H, ZHAO M, YANG G F, et al. Acupuncture combined with auricular acupoint pressing beans for primary insomnia[J]. Acta Chinese Medicine, 2023, 38(9): 1992-1998.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(6)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (1) PDF downloads(0) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return