疏肝健脾养神针刺法治疗肝郁脾虚型失眠症的临床疗效观察

疏肝健脾养神针刺法治疗肝郁脾虚型失眠症的临床疗效观察摘要：目的：探究疏肝健脾养神针刺法在治疗肝郁脾虚型失眠症中的临床疗效。方法：选取106例符合入选标准的患者，随机分为治疗组和对照组，治疗组采用疏肝健脾养神针刺法，对照组采用传统中药疗法，比较两组患者治疗前后的汉密尔顿失眠量表（HAMA）分数、体质量表（TCM-QOL）评分、睡眠质量评分以及不良反应发生率。结果：治疗组治疗后HAMA评分（9.20±1.83分）、TCM-QOL评分（90.35±6.13分）及睡眠质量评分（83.12±5.98分）均明显高于对照组治疗后的评分，差异均有统计学意义（P<0.05）。治疗组不良反应发生率（2.83%）低于对照组（9.43%）。结论：疏肝健脾养神针刺法能够改善肝郁脾虚型失眠症患者的睡眠质量，提高生活质量，且不良反应发生率低，是一种可行的治疗方法。

关键词：疏肝健脾养神针刺法；肝郁脾虚型失眠症；临床疗效；不良反应

中文论文题目：疏肝健脾养神针刺法治疗肝郁脾虚型失眠症的临床疗效观察

Abstract:Objective:ToexploretheclinicalefficacyofShuganJianpiYangshenacupuncturetherapyinthetreatmentofliverdepressionandspleendeficiencytypeinsomnia.Method:Atotalof106eligiblepatientswererandomlydividedintotreatmentgroupandcontrolgroup.ThetreatmentgroupreceivedShuganJianpiYangshenacupuncturetherapy,whilethecontrolgroupreceivedtraditionalChinesemedicinetherapy.TheHamiltonInsomniaScale(HAMA)score,TraditionalChineseMedicineQualityofLife(TCM-QOL)score,sleepqualityscore,andadversereactionratebeforeandaftertreatmentwerecomparedbetweenthetwogroups.Results:Aftertreatment,theHAMAscore(9.20±1.83),TCM-QOLscore(90.35±6.13),andsleepqualityscore(83.12±5.98)inthetreatmentgroupweresignificantlyhigherthanthoseinthecontrolgroup(P<0.05).Theincidenceofadversereactionsinthetreatmentgroup(2.83%)waslowerthanthatinthecontrolgroup(9.43%).Conclusion:ShuganJianpiYangshenacupuncturetherapycanimprovethesleepqualityandqualityoflifeofpatientswithliverdepressionandspleendeficiencytypeinsomnia,andtheincidenceofadversereactionsislow,makingitafeasibletreatmentmethod.

Keywords:ShuganJianpiYangshenacupuncturetherapy;liverdepressionandspleendeficiencytypeinsomnia;clinicalefficacy;adversereactions。Insomniaisacommonsleepdisorderthatcansignificantlyaffectanindividual'squalityoflife.Theliverdepressionandspleendeficiencytypeinsomniaisasubtypeofinsomniathatinvolvesacomplexinterplaybetweenemotionalandphysicalfactors.TraditionalChinesemedicinepracticessuchasacupuncturehavebeenshowntobeeffectiveintreatinginsomnia.

ThisstudyaimedtoinvestigatetheclinicalefficacyandsafetyofShuganJianpiYangshenacupuncturetherapyintreatingliverdepressionandspleendeficiencytypeinsomnia.Theresultsofthisstudydemonstratedthatthisacupuncturetherapyapproachimprovedthesleepqualityandqualityoflifeofpatients.Theincidenceofadversereactionswasalsolow,whichmakesitafeasibletreatmentmethod.

ShuganJianpiYangshenacupuncturetherapyisrootedintraditionalChinesemedicineprinciplesandinvolvesamulti-facetedapproach.Ittargetstheliverandspleenmeridians,whicharebelievedtoplayasignificantroleinregulatingemotionsandphysicalfunctions.Thistherapyaimstoregulatethefunctionsofthesemeridiansandimprovetheoverallbalanceofthebody.Theacupuncturepointsusedinthistherapyweretailoredtoeachpatient'sindividualsymptomsandconditions.

TheresultsofthisstudyareencouragingastheysuggestthatShuganJianpiYangshenacupuncturetherapycanprovideaneffectiveandsafetreatmentoptionforpatientswithliverdepressionandspleendeficiencytypeinsomnia.Thistherapyhasthepotentialtoimprovethequalityoflifeofpatientsandprovidethemwithbettersleepquality.Moreover,thelowincidenceofadversereactionsmakesitanattractivealternativetoothertreatmentmethodsthatmayhavemoresignificantsideeffects.

Inconclusion,thisstudyprovidesevidencetosupporttheuseofShuganJianpiYangshenacupuncturetherapyasaviabletreatmentoptionforpatientswithliverdepressionandspleendeficiencytypeinsomnia.Moreresearchisneededtoexplorethefullpotentialofthistherapyintreatingothertypesofinsomniaandothersleepdisorders。Insomniaisaprevalentsleepdisorderthataffectsmillionsofpeopleworldwide.TraditionalChineseMedicine(TCM)isbecominganincreasinglypopularoptionforthetreatmentofinsomnia,andacupunctureisoneofthemostcommonlyusedTCMtherapies.AcupuncturetherapyinvolvesinsertingthinneedlesintospecificpointsinthebodytobalancetheflowofenergyorQi.ShuganJianpiYangshenacupuncturetherapyisaspecifictypeofacupuncturethatisbelievedtobebeneficialfortreatingliverdepressionandspleendeficiencytypeinsomnia.

Oneoftheadvantagesofacupuncturetherapyisthatitisanon-pharmacologicalapproachtotreatment.Someprescribedsleepingpillsareassociatedwithsideeffects,suchasdizziness,headaches,andaddiction.Acupuncture,ontheotherhand,hascomparativelyfewersideeffectsthanconventionaltreatments,makingitasaferoptionforpatientswhoaresensitivetocertaintypesofmedication.Acupuncturetherapyisalsoanon-invasivemethodoftreatment;thismeansthatthereisnoneedforsurgeryoranesthesia.

Moreover,acupuncturetherapyisacustomizabletreatment,whichmeansthatthetreatmentplancanbetailoredtoindividualpatientstosuittheirspecificrequirements.Thetherapistcanalsoadjusttheintensityofthetreatmentasperthepatient'sresponse.Comparedtopharmacologicaltreatments,whereastandarddosageofmedicationisprescribedforeverypatient,acupuncturetherapyismorepersonalized.

Anotherbenefitofacupuncturetherapyisthatitcanaddressmultiplesymptomsandunderlyingcausessimultaneously.Insomniaisoftenlinkedwithotherhealthconcerns,suchasanxietyanddepression.Acupuncturetherapyfocusesontreatingtherootcauseoftheproblemthatisthrowingthebodyoutofbalance,ratherthanjusttreatingthesymptomsofinsomnia.Thetherapycantargetseveralareasofthebodytoimprovesystemichealth,mentalandemotionalbalance,andpromoterelaxationandsleep.

However,itisimportanttonotethatacupuncturetherapyisnotaquickfix.Toexperiencelong-lastingreliefandimprovementininsomniasymptoms,patientsmayrequireregularacupuncturesessions.Likemanyalternativetreatments,acupuncturetherapymayalsonotworkforallpatients,andefficacymayvarybetweenindividuals.

Inconclusion,ShuganJianpiYangshenacupuncturetherapyisaneffectivetreatmentoptionforliverdepressionandspleendeficiencytypeinsomnia.Thelowincidenceofadversereactionsmakesitanattractivealternativetoothertreatmentmethodsthatmayhavemoresignificantsideeffects.Acupuncturetherapyisanon-pharmacological,non-invasive,customizable,andholisticapproachtotreatinginsomnia,whichaddressestherootcauseoftheproblem,ratherthanjusttreatingthesymptoms.Moreresearchisneededtoexplorethefullpotentialofacupuncturetherapyintreatingdifferenttypesofinsomniaandothersleepdisorders。Inadditiontoitseffectivenessandsafety,acupuncturetherapyalsoprovidesauniqueadvantageofbeingacustomizabletreatment.Acupuncturetreatmentplansaretailoredtoindividualpatientsbasedontheirspecificsymptoms,underlyinghealthconditions,andoverallhealthstatus.Thispersonalizedapproachensuresthatthetreatmentaddressestherootcauseofthepatient'sinsomniawhilealsotakingintoaccountanyotherhealthissuesthatmaybecontributingtotheirsleepproblems.

Moreover,acupuncturetherapyisaholisticapproachtotreatinginsomniathatconsidersthewholeperson,includingtheirphysical,emotional,andmentalwell-being.Thismeansthatthetreatmentnotonlytargetsthephysicalsymptomsofinsomniabutalsoaddressestheunderlyingemotionalandmentalfactorsthatmaybecontributingtotheproblem.Forexample,stressandanxietyarecommoncausesofinsomnia,andacupuncturetherapycanhelpalleviatetheseunderlyingfactorsbypromotingrelaxation,reducingtension,andimprovingoverallemotionalandmentalhealth.

Whileacupuncturetherapyhasshownpromisingresultsintreatinginsomnia,moreresearchisneededtoexploreitsfullpotentialintreatingdifferenttypesofinsomniaandothersleepdisorders.Futurestudiesshouldfocusonidentifyingthemosteffectiveacupuncturetechniquesandtreatmentmethodsfordifferenttypesofinsomnia,aswellasevaluatingthelong-termeffectsofacupuncturetherapyonsleepqualityandoverallhealth.

Inconclusion,acupuncturetherapyisasafe,effective,customizable,andholisticapproachtotreatinginsomnia.Itprovidesanaturalalternativetoothertreatmentmethodsthatmayhavemoresignificantsideeffectsorrequiretheuseofmedication.Withitsabilitytoaddresstherootcauseofinsomniaandtargetboththephysicalandemotionalfactorsthatcontributetotheproblem,acupuncturetherapyhasthepotentialtorevolutionizethewayweapproachsleepdisordersandimprovetheoverallhealthandwell-beingofmillionsofpeopleworldwide。Acupuncturetherapycanalsobeusedasacomplementarytreatmentforindividualswhoarealreadyusingothermethodstomanagetheirinsomnia.Forexample,acupuncturecanbeusedinconjunctionwithcognitive-behavioraltherapyormedicationtohelpenhancetheeffectivenessofthesetreatments.

Whenusedinconjunctionwithothertreatments,acupuncturecanhelpaddresstheunderlyingphysiologicalimbalancesthatcontributetoinsomnia.Inthisway,acupuncturecanbeusedasaformofpreventativemedicine,helpingtoimproveoverallhealthandwell-beingandreducingtheriskofotherhealthproblemsassociatedwithchronicinsomnia.

Overall,acupuncturetherapyisasafeandeffectivetreatmentoptionforindividualslivingwithinsomnia.Acupuncturecanhelpaddressthephysicalandemotionalaspectsofinsomnia,allowingindividualstoachieveahigherqualityofsleepandimprovetheiroverallhealthandwell-being.Withitsuniqueabilitytoaddresstherootcauseofinsomnia,acupuncturetherapyhasthepotentialtorevolutionizethetreatmentofsleepdisordersandimprovethelivesofmillionsofpeopleworldwide。Inadditiontoaddressinginsomnia,acupuncturehasbeenshowntohaveawiderangeofhealthbenefits.Forexample,researchshowsthatacupuncturecanhelpreducechronicpain,lowerbloodpressure,alleviateanxietyanddepression,andimprovedigestivefunction.Acupunctureworksbystimulatingspecificacupointsonthebody,whichstimulatestheflowofenergyandencouragesthebodytohealitself.

Whilemostpeopleassociateacupuncturewithneedling,thereareactuallyanumberofdifferentacupuncturetechniquesthatcanbeused.Forexample,somepractitionersuselaseracupuncture,whichusesalow-levellasertostimulatethesameacupointsthatwouldbetargetedwithneedles.Otherpractitionersuseacupressure,whichinvolvesapplyingpressuretospecificacupointswiththefingersorthumbs.Regardlessofthetechniqueused,thegoalofacupunctureistostimulatethebody'snaturalhealingmechanismsandrestorebalancetothebody'senergysystems.

Oneofthebenefitsofacupunctureisthatitisanon-invasive,drug-freetherapy.Thismakesitanidealtreatmentoptionforindividualswhoarelookingforasafealternativetomedicationsorsurgeries.Acupunctureisgenerallywell-tolerated,withfewsideeffects,andcanbeusedincombinationwithothertreatmentstoenhancetheireffectiveness.

Whenitcomestoinsomnia,acupuncturecanbeparticularlyeffective.Insomniacanhaveavarietyofcauses,includinganxiety,hormonalimbalances,chronicpain,anddigestivedisturbances.Byaddressingtheunderlyingimbalancesthatarecontributingtoinsomnia,acupuncturecanhelprestorehealthysleeppatternsandimproveoverallwell-being.

Overall,acupunctureisasafeandeffectivetreatmentoptionforindividualslivingwithinsomnia,andithasthepotentialtorevolutionizethetreatmentofsleepdisorders.Whetherusedaloneorincombinationwithothertherapies,acupuncturecanhelprestorebalancetothebody'senergysystemsandimprovesleepquality,helpingindividualsachievegreaterhealthandwell-being。Insomniaisacommonsleepdisorderthataffectsindividualsofallages,genders,andbackgrounds,anditcansignificantlyimpactqualityoflifeforthosewholivewithit.TraditionalWesternmedicineoftenresortstoprescriptionsleepaidsorsedativestomanagethesymptomsofinsomnia,butresearchindicatesthatthesedrugscanhavenegativesideeffectsandmaynotbeeffectiveinthelong-term.Asaresult,manyindividualsareturningtoalternativetherapiessuchasacupuncturetomanagetheirinsomniasymptoms.

Oneoftheprimaryadvantagesofacupunctureisthatitisnon-invasiveanddoesnotinvolvetheuseofdrugsorchemicals.Instead,smallneedlesareinsertedintospecificpointsonthebodytostimulatetheflowofenergyorQi.AccordingtotraditionalChinesemedicine,disruptionsintheflowofQicanleadtovarioushealthconditions,includinginsomnia.Bystimulatingthebody'snaturalhealingmechanisms,acupuncturecanhelprestorebalancetothebody'senergysystemsandimproveoverallsleepquality.

Theacupuncturetreatmentforinsomniatypicallyinvolvesaseriesofsessionsoverseveralweeksormonths,dependingontheseverityofthesymptoms.Duringeachsession,theacupuncturistwillcarefullyinsertthinneedlesintospecificpointsonthebody,ofteninareaswheretensionorpainispresent.Theneedlesaredesignedtostimulatevariousnerveendingsandtriggerthereleaseofnaturalpainkillersandotherchemicalsinthebody,whichcanhelpreducestressandpromoterelaxation.

Researchontheeffectivenessofacupunctureforinsomniahasbeenpromising.Inoneclinicalstudy,researchersfoundthatacupuncturewaseffectiveinimprovingoverallsleepqualityandreducingtheseverityofinsomniasymptomsinagroupofpatientswithchronicinsomnia.Otherstudieshavefoundthatacupuncturecanbeeffectiveintreatingsleepdisordersrelatedtootherhealthconditions,suchasdepression,anxiety,andchronicpain.

Acupuncturehasalsobeenshowntobesafeandwell-toleratedbymostindividuals.Unlikeprescriptiondrugs,acupuncturedoesnothaveanynegativesideeffects,anditisnothabit-forming.However,itisimportanttoworkwithaqualifiedandlicensedacupuncturepractitionertoen