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| Clinical efficacy of thunder fire moxibustion on insomnia with liver qi stagnation and yin deficiency syndrome |
| WU Shaoxia LIU Zhenzhen LI Siyi |
| General Department, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Province, Guangzhou 510006, China |
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Abstract Objective To observe the clinical efficacy of thunder fire moxibustion in the treatment of insomnia patients with liver qi stagnation and yin deficiency syndrome. Methods A total of 80 patients diagnosed as insomnia with liver qi stagnation and yin deficiency syndrome in Sleep Clinic Outpaitient, Guangdong Provincial Hospital of Chinese Medicine, were recruited and they were divided into thunder fire moxibustion group and medicine group by random number table method, with 40 cases in each group. The thunder fire moxibustion group received thunder fire moxibustion treatment. The medicine group was given 1mg Estazolam half an hour before bedtime per night. The two groups were treated once a day and after 1 month′s continous treatment, the efficacy of treating insomnia were observed in the two groups. Pittsburgh sleep quality index (PSQI) score, self-rating anxiety scale (SAS) score, average weekly insomnia days and Epworth sleepiness scale (ESS) score as well as adverse reactions were recorded. Results After one month′s treatment, the thunder fire moxibustion group had better clinical efficacy and less adverse reactions compared to the medicine group (P ＜ 0.05 or P ＜ 0.01). Compared with before treatment, PSQI and SAS scores were lower after treatment in the thunder fire moxibustion group (P ＜ 0.05), while PSQI and SAS scores in the medicine group had no statistically significant difference before and after treatment (P ＞ 0.05). After treatment, PSQI and SAS scores in the thunder fire moxibustion group were lower than the medicine group, the difference was statistically significant (P ＜ 0.05). After treatment, the average weekly insomnia days of thunder fire moxibustion group and medicine group were less than that before treatment, and the difference were statistically significant (P ＜ 0.05). Compared with the medicine group, the average weekly insomnia days of thunder fire moxibustion group were less in the thunder fire moxibustion group, and the difference was statistically siginificant (P ＜ 0.05). After treatment, the ESS scores of the two groups were less than those before treatment, the difference was statistically significant (P ＜ 0.05). And after treatment, the ESS scores of the thunder fire moxibustion group was less than that of the medicine group, the difference was statistically significant (P ＜ 0.05). Adverse reaction rate in the thunder fire moxibustion group was lower than that in the medicine group, and the difference was highly statistically significant (P ＜ 0.01）. Conclusion Thunder fire moxibustion can effectively improve the symptoms of insomnia patients with liver qi stagnation and yin deficiency syndrome with less adverse reactions, which is worthy of clinical promotion.
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