Five Forehead Clinical Treatment of Insomnia

Since 2001, in collaboration with the Shanghai Traditional Chinese Medical Centre insomnia insomnia contact with a large number of patients. In order to improve the clinical efficacy of acupuncture and moxibustion treatment of insomnia, I try to use Lin’s scalp acupuncture treatment of insomnia, and achieved good effect, on this basis, further with the traditional methods of acupuncture were compared with observations, to verify the scalp needle Lin effect.

Clinical data

All the cases were out-patients, male 39, female 59 cases; age of 18 to 70 years, the shortest duration of 2 weeks, up to 32 years.In newly diagnosed patients when the patient filled out questionnaires and sleep scales, while the principles were randomly divided into two groups, of which the amount of five-pin group and 51 cases, the traditional body acupuncture group of 47 cases.

Diagnostic criteria

Reference to “practical in science”, “Chinese Classification and Diagnostic Criteria of Mental Disorders” diagnostic criteria relating to insomnia and sleep with the internationally accepted scale SPIEGEL detection diagnosis.

1, consecutive sleep disorders than 2 weeks. Sleep disorder refers to difficulty falling asleep, more than 1 hour; wake up early, back to sleep easily after waking; sleep, woke them at least 2 times or more, and more than a dream annoyance, Sishuifeishui; or inductance can not sleep by night.

2, total sleep time less than 6 hours.

3, lack of energy during the day, affecting normal life and work.

4, SPIEGEL Sleep Scale score 12 points or more.

Treatment

1, the amount of five-pin group: the amount of five-needle localization: in the former hair at 1 to 2 inches for a 1-inch diameter front and rear, about 5 inches wide horizontal strip area, both sides later, just before the middle, fan arranged in parallel with the former hair. Prefrontal cortex area equivalent to the projection on the scalp. Generally five barbed needles, it is referred to as “the amount of five needles.” 5, almost equal distance between the needle.

Action: general admission seats, conventional disinfection point area, the choice of 1-inch needle, along the front midline, on the front hairline 2 inches at the fast perpendicularly into the needle, hit the skull, the instincts to subside somewhat after the needle to lie down, close to the skull forward flat thorns, as the first needle, and then both sides of the needle in the first 1-inch intervals, about straight to the pupil, a parallel move the needle puncture, and then next to the open one inch, the needle puncture a total of thorns 5-pin.

2, the traditional body acupuncture group: acupoints: Yin-Tang, Baihui, Shenmen, Point Sleep (Yifeng and shade out the midpoint.)

Operation: Point routine disinfection, with 1.5-inch needle, the head points Yintang, Baihui are thorns along the Pippin, Shenmen perpendicularly 0.5 inch, 1.2-inch sleep hole piercing, acupuncture and other required soreness.

The needle for 30 minutes in both groups, treatment 2 times per week, continuously for 2 weeks or more, into the statistical range.

Treatment Outcome

1, efficacy criteria: the 1993 Ministry of Health promulgated the “Guidelines for clinical research of Chinese medicine drug” in “Insomnia” disease efficacy standards.

Clinical cure: Sleep total time of 6 hours, woke up the spirit of good, with the symptoms disappeared after stopping treatment, able to maintain normal sleep.

Improvement: more than 2 hours sleep duration, with symptoms improved, but did not reach clinical cure standards.

Invalid: sleep and associated symptoms do not improve or improve not meet the improved standards.

2, treatment outcome: the table below. Groups of clinical cure (%) improved (%) invalid (%) total effective amount of five-pin group 16 (31.37) 31 (60.78) 4 (7.84) 92.15% body acupuncture group 13 (27.66) 23 (48.94) 11 (23.40 ) 76.60% between the two groups by the statistical test, X2 = 4.57, P <0.05, difference between the two groups was significant. Body will With the current increasing incidence of insomnia, the clinical research reports have continued to increase. From the literature, both the traditional Chinese medicine or acupuncture, have a good effect, according to Professor Lin Xuejian experience, with the amount of five-needle treatment of insomnia with good results, the author studied the process of scalp acupuncture Lin , the further conduct a clinical comparative observation proved Lin scalp acupuncture needle for the treatment of insomnia does the amount of five has a good effect. Lin scalp hair Scalp Acupuncture and Jiaoshun system has similarities, that is the basis of modern neural anatomy and physiology, functional position under the cerebral cortex to the scalp acupuncture projection areas, in order to achieve the purpose of treating disease. Equivalent to the amount of five-pin position in the frontal cortex association areas in the projection of the scalp, and this area and the intellectual and spiritual activities are closely related. Lesion area, there may be mental, and spiritual aspects of personality change. [1] However, the etiology and pathogenesis of insomnia is very complex, modern medicine has not explained clearly the mechanism of insomnia, so the amount of five-needle treatment of insomnia mechanism also needs further study. According to clinical observation, most sensitive nerve in patients with insomnia, intolerance to stimulate re-approach, so the treatment should be appropriate to light practices. In addition, the amount of five needles on various types of insomnia treatment of insomnia may have a certain effect. Statistics found that patients are also taking Western medicines less effective, two ineffective cases, 15 cases, there are the experience of taking the medicine, or are taking medicine. This part of the patient after the addition of a decoction of Chinese medicine, the symptoms eased. Therefore, such patients should be treated with acupuncture combined. Finally worth mentioning is that psychotherapy is an important part of the patient to be patient and meticulous, pleasant, it is necessary to explain in detail the reason the pathogenesis of insomnia, but also the feeling that after acupuncture, the patients do mind There are several, actively cooperate with treatment, in order to play the maximum effect of acupuncture.