Clinical efficacy of ear acupoint pressing combined with Modified Jianzhong Decoction in the treatment of insomnia with heart and spleen deficiency syndrome
Objective To observe the curative effect of ear acupoint pressing combined with Modified Jianzhong Decoc-tion in treating insomnia patients with heart and spleen deficiency and its superiority over single therapy.Methods A to-tal 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 medi-cine 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 de-pression 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 syn-drome score,alleviate the psychological depression and anxiety of patients,and improve the clinical satisfaction of pa-tients,and is more advantageous than the simple combination treatment or embedding beans in auricular points.
维普
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