دانلود رایگان مقاله انگلیسی درمان با انتقال هیجان برای 32 نفر در بی خوابی - الزویر 2017

ABSTRACT

Objecti ve To observe the clinical effi cacy of excitement transfer therapy for insomnia. Methods According to the inclusion criteria, 32 pati ents, selected from Guoyitang, affiliated Zhongshan Hospital Yanwu Branch of Xiamen University from May to October, 2016, were diagnosed with insomnia and included in this study. All the pati ents were treated by adopti ng the excitement transfer therapy, i.e. cluster needling was carried out at the acupoints of wrist and ankle in the manner of penetrati on needling, and combined with slidingcupping at governor vessel and bladder meridian on the back. All the subjects were treated for 3 ti mes per week, and treatment for 6 ti mes was considered as 1 course of treatment. The curati ve eff ect was observed aft er treatment for 2 courses, and follow-up visit was performed for two months aft er treatment. Efficacy evaluation criteria were established by reference to Guidelines of Clinical Research on Chinese New Herbal Medicine (Trial) Results Cured: 11 cases (34%), markedly effective: 16 cases (50%), effective: 4 cases (13%), ineff ecti ve: 1 case. The total eff ecti ve rate was up to 97%. There was no relapse during two months aft er the treatment. Conclusion The effi cacy of excitement transfer therapy for insomnia was significant, which was worthy of clinical promoti on and applicati on.

DISCUSSION

Insomnia is one of the common diseases clinically. Although it is not a critical disease, it can aggravate or induce vertigo, headache, stroke and other diseases. Many doctors have different emphases and points of view on the pathogenesis of insomnia, but most of them believe that the pathological change is yin-yang disharmony[13]. It was said in Língshū (《灵 枢》, The Miraculous Pivot) that “ wei qi cannot enter into yin, so people cannot close their eyes to sleep.” Therefore, when pathogenic factors force wei qi to remain in yang at night, people may be still in a state of excitement with exuberance of yang with decline of yin, so they suffer from insomnia.

Mental workers have more mental work with less limb activity during the daytime, and the excitement may stay in the mind until the night, so insomnia is easily induced. Manual workers have more limb activities with the excitement dispersing in the limbs, so they can sleep naturally at night. In this study, acupoints were selected around the wrist and ankle, and sliding-cupping was carried out on the back, which can transfer the excitement from the brain to the limbs, chest and back, thus alleviating the symptoms of insomnia.