Analysis of the intervention effect of Zhuang medicine line-point moxibustion combined with Qingxin Lianzi Drink on insomnia syndrome of spleen and stomach weakness based on the constitution theory of traditional Chinese medicine
基于中医体质学说的壮医药线点灸联合清心莲子饮对失眠脾胃虚弱证的干预效果分析

摘要

目的 本研究旨在评估基于中医体质学说的壮医药线点灸联合清心莲子饮对失眠脾胃虚弱证的干预效果，为该类型失眠的综合治疗方案提供实证依据。方法 选取2023年1月至2024年3月在某医院就诊的80例失眠脾胃虚弱证患者，按照随机对照表法，将80名患者分为两组，一组为治疗组40人，一组为对照组40人。治疗组接受壮医药线点灸与清心莲子饮联合干预，对照组接受常规药物治疗。干预周期为8周，干预前后通过匹兹堡睡眠质量指数（PSQI）、中医体质问卷、失眠症状评分表进行评估，比较两组间的治疗效果。结果 治疗组在干预后PSQI总分显著下降（P<0.01），改善幅度明显优于对照组。中医体质问卷评分显示治疗组脾胃虚弱体质得到显著改善（P<0.05），失眠症状评分也较对照组显著降低（P<0.05）。此外，治疗组在睡眠潜伏期缩短、总睡眠时间延长等方面表现出明显的改善。结论 基于中医体质学说的壮医药线点灸联合清心莲子饮对失眠脾胃虚弱证具有显著的干预效果，对患者的睡眠质量、调整体质状态和缓解失眠症状等都有非常显著的效果，为失眠脾胃虚弱证的综合治疗提供了一种有效的治疗方案。

Abstract

Objective This study aimed to assess the efficacy of Zhuang medical thread moxibustion combined with Qingxin Lianzi Drink for insomnia attributed to spleen and stomach deficiency, based on the principles of Traditional Chinese Medicine (TCM) constitution theory, providing empirical support for comprehensive treatment strategies.
Methods Eighty patients diagnosed with insomnia syndrome due to spleen and stomach weakness in a hospital from January 2023 to March 2024 were selected and randomly divided into the treatment group and the control group by adopting the random comparison table method, with 40 patients in each group. The treatment group received the combination intervention of Zhuang medicine line moxibustion and Qingxin Lianzi drink, and the control group received conventional drug treatment. The intervention period was 8 weeks. Pittsburgh Sleep Quality Index (PSQI), TCM physique questionnaire and insomnia symptom scale were used to evaluate the treatment effect between the two groups before and after intervention.
Results The total PSQI total score decreased significantly after the intervention (P <0.01), and the improvement was significantly better than that of the control group. The TCM constitution questionnaire score showed that the weakness of the spleen and stomach in the treatment group was significantly improved (P <0.05), and the insomnia symptom score was also significantly reduced compared with the control group (P <0.05). Moreover, the treatment group showed significant improvement in shorter sleep latency and prolonged total sleep duration.
Conclusion   Based on the constitution theory of traditional Chinese medicine, zhuang medicine line moxibustion combined with clear heart lotus seed drink has significant intervention effect on the weakness of insomnia, spleen and stomach, which can effectively improve the sleep quality of patients, adjust the physical state and relieve the symptoms of insomnia, and provide an effective treatment plan for the comprehensive treatment of insomnia, spleen and stomach weakness.