Abstract
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.
摘要
目的
观察调督安神针法对失眠症的疗效, 传承燕赵高氏针灸学术思想。
方法
将68 例失眠症患者按随机数字表随机分为针刺组及药物组, 每组34 例。针刺组采用调督安神针法治疗, 每日1 次, 每星期治疗5 次, 休息2 d, 共治疗4 星期。药物组予艾司唑仑片治疗, 每日1 mg, 睡前口服, 共治疗4 星期。治疗前后采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index, PSQI)评价睡眠质量, 根据PSQI 减分率评定疗效。
结果
治疗后, 针刺组PSQI 总分及各单项评分均明显下降, 与本组治疗前有统计学差异(均P<0.01); 药物组PSQI总分明显下降, 与本组治疗前差异有统计学意义(均P<0.01), 除睡眠障碍外, 其余各单项积分均较治疗前下降(P<0.01 或P<0.05)。针刺组治疗后PSQI 总分明显低于药物组(P<0.01)。除入睡时间及睡眠时间外, 针刺组睡眠质量、睡眠效率、睡眠障碍及日间功能障碍评分均低于药物组, 组间差异有统计学意义(均P<0.05)。针刺组愈显率显著高于药物组(P<0.05)。
结论
调督安神针法治疗失眠疗效确切, 疗效优于口服艾司唑仑片。
Similar content being viewed by others
References
Expert consensus panel on definition, diagnosis and drug therapy for insomnia. Expert consensus (draft) on definition, diagnosis and drug therapy for insomnia. Chin J Neurol, 2006, 39(2): 141–143.
Daniel J, Buysse MD. Sleep Disorders and Psychiatry (Review of Psychiatry). Washington, D.C: American Psychiatric Association, 2005: 185.
Li YH, Liu Y, Jin T, Gao J. Survey on sleep disorders in middle-aged population. Shoudu Yiyao, 2005, 12(13): 6–15.
State Administration of Traditional Chinese Medicine. Criteria of Diagnosis and Therapeutic Effects of Diseases and Syndromes in Traditional Chinese Medicine. Nanjing: Nanjing University Press, 199427.
Chinese Society of Psychiatry. Chinese Classification and Diagnostic Criteria of Mental Disorders. 3rd Edition. Jinan: Shandong Science & Technology Press, 2001: 118.
Miao HS. Rehabilitation Medicine Theory and Practice. Shanghai: Shanghai Scientific and Technical Publishers, 2000: 437–438.
The State Administration of Traditional Chinese Medicine. Diagnosis and treatment protocols for 95 diseases in 22 categories. Medical Administration Department, the State Administration of Traditional Chinese Medicine, 2010: 65.
Ma J, Li F, Song YH, Liu J, Liu XM, Yang XZ, Mao M. Literature study of treating insomnia from liver. CJTCMP, 2012, 27(4): 1076–1080.
Yuan CZ, Ye R, Xiang ZC, Zhao N, Lin Y, Jiao HJ, Wang XY, Sun SC, He JC. Analysis on the distribution law of TCM pattern identification of 913 insomnia cases. Zhonghua Zhongyiyao Xuekan, 2011, 29(7): 1508–1510.
Chen L, Sun LL, Wang X, Zhang FC. Literature study on acupoint selection and prescription of acupuncture for treatment of insomnia. Zhongyi Zazhi, 2012, 53(12): 1051–1054.
Fan RM, Yang L. Progress in clinical treatment of insomnia. Zhongguo Linchuang Kangfu, 2006, 10(10): 149–151.
Lan SZ, Liao B, Peng ZY, Wan C, Huang MZ. A 6-year follow-up study of insomnia and neurasthenia: clinical features, course and prognosis. Zhongguo Xinli Weisheng Zazhi, 2009, 23(8): 564–568.
Han W, Zhang DZ. Clinical application of Governor Vessel-unblocking idea of Zhang Daozong. Zhongyiyao Linchuang Zazhi, 2012, 24(3): 225–228.
Gou YH, Yang ZX. Clinical observation of Tiao Ren Tong Du needling for post-stroke insomnia. Shanghai Zhenjiu Zazhi, 2015, 34(6): 505–507.
Liu ZL, Wang S. Clinical observation of thread embedding at tender points on the Governor Vessel for intractable insomnia. Shanghai Zhenjiu Zazhi, 2015, 34(12): 1188–1189.
Tan KP, Yao X, Li XW. Observation on clinical effect of acupuncture plus Zi Shen Tiao Gan Decoction for perimenopausal insomnia. J Acupunct Tuina Sci, 2015, 13(1): 49–53.
Ma QY, Li Y, Cao LY, Zhang YY. Therapeutic observation of moxibustion at the Governor Vessel plus auricular point sticking for insomnia. Shanghai Zhenjiu Zazhi, 2014, 33(7): 624–625.
Zhao JP, Hong Y. Clinical observation on acupuncture plus tuina for insomnia. J Acupunct Tuina Sci, 2015, 13(4): 232–235.
Jiang S, Di Z, Fu WB. On sequence of acupuncture points in acupuncture treatment. Zhongyi Zazhi, 2012, 53(7): 620–622.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wang, Yj., Zhang, Lh., Han, Yx. et al. Efficacy observation on Governor Vessel-unblocking and mind-calming acupuncture for insomnia. J. Acupunct. Tuina. Sci. 14, 274–278 (2016). https://doi.org/10.1007/s11726-016-0935-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11726-016-0935-1