The Study of the Relationship and Discourse of Insomnia in the Traditional Chinese Medicine and Western medicine

• Main Authors: Hsiu-Mei Chen, 陳秀美
• Other Authors: Wan-An Lu
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/38174215194874919283

碩士 === 佛光大學 === 生命與宗教學系 === 100 === Under the Taiwan Society of Sleep Medicine 2009 Year of the latest statistics show that Taiwan at least 6 million people have a sleep disorder, of which chronic insomnia 40% more about up to 2.5 million people. Therefore, insomnia is one of the most main diseases of civilization in the world and a common disease to threaten our health. Recently, " individual response patterns" was proposed by modern medicine. This thinking process and spirit seems to be compatible with the traditional Chinese medicine (TCM) therapy of "Differential Treatment". The purpose of this study from a variety of literature, TCM and western medicine on the connotation of insomnia for patients receiving western medical treatment mode, and investigation of Syndrome Type of TCM to find out whether with Syndrome Type of TCM and western medicine in treatment of the associated factors, in order to confirm the necessity and importance of Syndrome Type of TCM, for future reference and basis for the development of integrated medicine. In the cross-section study with an interview on survey, sampling I-Lan County to facilitate a regional teaching hospital, in line with standard sampling of 180 patients with insomnia were recruited. The questionnaires contained three instruments including personal demographic questionnaire, Pittsburgh Sleep Quality Index (PSQI), and Syndrome Type of TCM questionnaire. Cross-table, chi-square test, variance analysis and Pearson product-moment correlation was used to find the relation. The results showed that there were 118 females and 62 males, mean age of 51.6 years (SD=13.4). The average PSQI global score of the total subjects was 12.9 (SD=3.8) with females 13.1(SD=3.8) and males 12.6(SD=3.7), of which females had significantly higher score than that of males. In the 7 items of PSQI, hypnotics use of 3 times per week got the highest score. In the sleep disturbance factors, get up to go to toilet, wake at midnight or early morning, and nightmare were the most common. There was statistically significant correlation between sleep quality and alcohol drinking. In the analysis of Syndrome Type, type of yin deficiency with effulgent fire mostly appeared (38.9%); the others in order were type of liver depression transforming into fire, type of phlegm-heat harassing internally, type of heart and gallbladder qi insufficiency, type of deficiency of both heart and spleen, and other types. In the analysis of excess and deficiency type, most of insomnia subjects were deficiency type. There was statistically significant correlation between Syndrome Type and family history. No statistically significant correlation could be found between Syndrome Type and treatment method, or between Syndrome type and PSQI. Our study could afford health care workers and people on insomnia prevention and attention, and as a modern and future reference to integrate Chinese and western medicine.