首页|期刊导航|湖南中医杂志|曹国立名中医经验方联合眠三针治疗心脾两虚型不寐29例

曹国立名中医经验方联合眠三针治疗心脾两虚型不寐29例OA

Clinical effect of Cao Guoli's famous traditional Chinese medicine empirical prescription combined with acupuncture at sleep three-needle points in treatment of insomnia with heart-spleen deficiency syndrome:An analysis of 29 cases

中文摘要英文摘要

目的:观察曹国立名中医经验方联合眠三针治疗心脾两虚型不寐的临床疗效.方法:选取心脾两虚型不寐患者58例,将其随机分为治疗组和对照组,每组各29例.2组均予以眠三针、心理疏导等基础治疗,治疗组在基础治疗上加用曹国立名中医经验方,对照组在基础治疗上加用口服右佐匹克隆片,2组均连续治疗4周.比较2组匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分、中医证候积分,并评价临床疗效,记录不良反应发生情况.结果:治疗后总有效率治疗组为93.10%(27/29),对照组为72.41%(21/29);治疗后4周总有效率治疗组为93.10%(27/29),对照组为65.52%(19/29);2组比较,差异均有统计学意义(P<0.05);2组PSQI评分、中医证候积分治疗后、治疗后4周与治疗前比较,及治疗后、治疗后4周组间比较,差异均有统计学意义(P<0.05);2组在治疗过程中均未出现不良反应.结论:曹国立名中医经验方能够提升心脾两虚型不寐患者的临床治疗有效率,缓解其中医证候,改善睡眠质量,且用药安全性良好.

Objective:To investigate the clinical effect of Cao Guoli's famous traditional Chinese medicine(TCM)empirical prescription combined with acupuncture at sleep three-needle points in the treatment of insomnia with heart-spleen deficiency syndrome.Methods:A total of 58 patients with insomnia with heart-spleen deficiency syndrome were randomly divided into treatment group and control group,with 29 patients in each group.In addition to the basic treat-ment including acupuncture at sleep three-needle points and psychological counseling,the patients in the treatment group were given Cao Guoli's famous TCM empirical prescription,while those in the control group were given oral administration of eszopiclone tablets,and the course of treatment was 4 consecutive weeks for both groups.The two groups were compared in terms of Pittsburgh Sleep Quality Index(PSQI)score and TCM syndrome score.Clinical outcome was assessed for both groups,and adverse reactions were recorded.Results:After treatment and 4 weeks post-treatment,there were a significant difference in overall response rate between the treatment group and the control group[93.10%(27/29)vs 72.41%(21/29),93.10%(27/29)vs 65.52%(19/29),P<0.05].Both groups had significant changes in PSQI score and TCM syndrome score after treatment,and there were significant differences in these indicators between the two groups after treatment(P<0.05).No adverse reaction was observed in either group during treatment.Conclusion:For patients with insomnia with heart-spleen deficiency syndrome,Cao Guoli's famous TCM empirical prescription can improve clinical response rate,alleviate TCM syndrome,and improve sleep quality,with a favorable safety profile.

易业成;阮宾;刘灿;刘莉芬;黄丽;周柳

益阳市第一中医医院,湖南 益阳,413002益阳市第一中医医院,湖南 益阳,413002益阳市第一中医医院,湖南 益阳,413002益阳市第一中医医院,湖南 益阳,413002益阳市第一中医医院,湖南 益阳,413002益阳市第一中医医院,湖南 益阳,413002

医药卫生

不寐心脾两虚型曹国立名中医经验方眠三针PSQI评分中医证候积分

insomniaheart-spleen deficiency syndromeCao Guoli's famous traditional Chinese medicine em-pirical prescriptionacupuncture at sleep three-needle pointsPittsburgh Sleep Quality Indextraditional Chinese medicine syndrome score

《湖南中医杂志》 2026 (7)

25-29,5

湖南省中医药科研计划项目(D2024051)

10.16808/j.cnki.issn1003-7705.2026.07.006

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