Clinical Observation on the Acupuncture at the Ghost Points Combined with Longdan Xiegan Decoction in the Treatment of Post-stroke Insomnia of Liver-Fire Disturbing the Heart Type
10.13359/j.cnki.gzxbtcm.2024.03.023
- VernacularTitle:针刺鬼穴结合龙胆泻肝汤治疗中风后肝火扰心型失眠的临床观察
- Author:
Ren-Wen YAO
1
;
Jin-Xiong LAO
Author Information
1. 广州中医药大学针灸康复临床医学院,广东广州 510006
- Keywords:
acupuncture;
ghost points;
Longdan Xiegan Decoction;
stroke;
insomnia;
liver-fire disturbing the heart;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(3):677-683
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of acupuncture on ghost points combined with Longdan Xiegan Decoction in the treatment of post-stroke insomnia of liver-fire disturbing the heart type.Methods Sixty patients with liver-fire disturbing the heart type of post-stroke insomnia were randomly divided into observation group and control group,with 30 patients in each group.The control group was given oral use of modified Longdan Xiegan Decoction,and the observation group was given acupuncture at the ghost points on the basis of the treatment of the control group.Both groups were treated for 4 weeks.After 1 month of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the Pittsburgh Sleep Quality Index(PSQI)score and the Athens Insomnia Scale(AIS)score were observed before and after treatment in the two groups.The changes of Self-Rating Depression Scale(SDS)scores were compared before and after treatment in the two groups of patients.Results(1)After treatment,the PSQI scores of the two groups of patients were significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving the PSQI scores,with a statistically significant difference(P＜0.05).(2)After treatment,the AIS scores of patients in the two groups were significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving the AIS scores,and the difference was statistically significant(P＜0.05).(3)After treatment,the SDS scores of patients in the two groups were significantly improved(P＜0.05),and the observation group was significantly superior to the control group in improving SDS scores,and the difference was statistically significant(P＜0.05).(4)The total effective rate of the observation group was 86.66%(26/30),while that of the control group was 76.66%(23/30).The efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P＜0.05).Conclusion Acupuncture at the ghost points combined with Longdan Xiegan Decoction for the treatment of liver-fire disturbing the heart type of post-stroke insomnia can significantly improve the clinical symptoms of the patients,and the therapeutic effect is remarkable.
