Clinical Observation of Acupuncture Based on Huang Yuanyu's Theory"Ascending and Descending of Visceral Qi Movement"for Chronic Insomnia Disorder
10.13359/j.cnki.gzxbtcm.2025.07.021
- VernacularTitle:基于黄元御脏腑气机升降理论针刺治疗慢性失眠症的临床观察
- Author:
Ruicong HUANG
1
;
Meihong LI
;
Jia ZHENG
;
Xiaoting OU
;
Xiaoyu CHEN
Author Information
1. 阳江市中医医院,广东 阳江 529500
- Keywords:
Huang Yuanyu;
ascending and descending of visceral qi movement theory;
acupuncture;
chronic insomnia disorder;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(7):1700-1705
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of acupuncture in treating chronic insomnia disorder based on Huang Yuanyu's theory of"central qi ascending and descending,harmony of the four dimensions"regarding visceral qi movement.Methods Sixty patients diagnosed with chronic insomnia disorder at the Preventive Treatment Department of Yangjiang Hospital of Traditional Chinese Medicine from March 2022 to February 2023.The patients were randomly divided into an observation group and a control group according to a random number table,with 30 cases in each group.The observation group received acupuncture therapy,while the control group received oral administration of Alprazolam Tablets.The treatment duration spanned 4 weeks with 1 course per week.Clinical efficacy was evaluated after 1 month,and the changes in the Pittsburgh Sleep Quality Index(PSQI)scores and Hamilton Anxiety Rating Scale(HAMA)scores were observed.The Hamilton Depression Rating Scale(HAMD)scores were compared between groups before and after treatment.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,and the difference was statistically significant(P＜0.05).(2)After treatment,the HAMA scores and HAMD scores in the two groups of patients were significantly improved(P＜0.05),an the observation group in improvement of HAMA and HAMD was significantly superior to the control group,with statistically statistical significance(P＜0.05).(3)The total effective rate was 83.33%(25/30)in the observation group and 70.00%(21/30)in the control group.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 based on the ascending and descending of visceral qi movement theory significantly alleviates anxiety and depressive states while improving sleep quality in patients with chronic insomnia disorder,demonstrating notable clinical efficacy.
