Study on the Relationship of Traditional Chinese Medical Constitution and Chronic Insomnia_West China Medical Journal

Authors：

 ChenYan , ShenShuqun ,  HuGuifang

School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, Guangdong 510515, P. R. China;

Corresponding author：

HuGuifang, Email: 124671138@qq.com

Keywords：

Chronic insomnia; Traditional Chinese medical constitution; Qi-deficiency type; Gentleness type

DOI：

10.7507/1002-0179.201600244

Video：

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Objective To investigate the chronic insomnia incidence and traditional Chinese medical (TCM) constitution of students in Southern Medical University, in order to discover the correlation between chronic insomnia and TCM constitution. Methods A survey by means of the TCM Constitution Scales, the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS) and the Deep Sleep Scale (DSS) in 110 participants studying in Southern Medical University between September 2009 and July 2014 was conducted. We analyzed the characteristics of chronic insomnia in subjects of qi-deficiency type and gentleness type. Results A total of 115 questionnaires were sent out, and 110 were recovered with a recovery rate of 95.65%. All the 110 questionnaires were useful and the effective rate was 100%. There were 34 cases of gentleness type and 44 cases of qi-deficiency type in the 110 participants. It was found that qideficiency type got significantly different scores for all the three types of scales, compared with gentleness type (P＜ 0.01) . Meanwhile, qi-deficiency type showed significant differences in terms of sleep quality, sleep time, sleep disorder and daytime dysfunction from gentleness type (P＜ 0.05) . We also found that the incidences of shallow sleep and insomnia for qi-deficiency type were higher than those for gentleness type (P=0.002, 0006) , respectively. Finally, it was detected that the level of insomnia for qi-deficiency type was higher than that for gentheness type (P＜ 0.01) . Conclusions This study has revealed that there is a statistically significant association between qi-deficiency type and chronic insomnia. It is suggested that further research should be conducted for cure of chronic insomnia from the perspective of changing TCM constitution.

Citation： ChenYan, ShenShuqun, HuGuifang. Study on the Relationship of Traditional Chinese Medical Constitution and Chronic Insomnia. West China Medical Journal, 2016, 31(5): 901-904. doi: 10.7507/1002-0179.201600244 Copy

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1. 失眠定义、诊断及药物治疗共识专家组. 失眠定义、诊断及药物治疗专家共识(草案)[J]. 中华神经科杂志, 2006, 39(2): 141-143.
2. Farina B, Dittoni S, Colicchio SA, et al. Heart rate and heart rate variability modification in chronic insomnia patients[J]. Behav Sleep Med, 2014, 12(4): 290-306.
3. 钟宇峰, 李黎, 包祖晓, 等. 慢性失眠(译自新英格兰医学杂志) [C]//2011年浙江省医学会精神病学分会学术年会暨浙江省医师协会精神科医师分会第四届年会论文汇编, 2011: 302-307.
4. Neubauer DN. Chronic insomnia[J]. Continuum (Minneap Minn), 2013, 19(1 Sleep Disorders): 50-66.
5. 王琦. 中医体质学[M]. 北京: 中国医药科技出版社, 1995: 2-45.
6. Sun Y, Liu P, Zhao Y, et al. Characteristics of TCM constitutions of adult Chinese women in Hong Kong and identification of related influencing factors: a cross-sectional survey[J]. J Transl Med, 2014, 12(1): 140.
7. 马晓峰. 中医体质学术发展史及中西医学体质学说比较研究[D]. 北京:北京中医药大学, 2008.
8. Anandakumar A, Dayabandara M, Ratnatunga SS, et al. Validation of the Sinhala version of the Pittsburgh Sleep Quality Index[J]. Ceylon Med J, 2016, 61(1): 22-25.
9. Karim A, Arora VK, Gupta MB. Emerging applications: Screening OSA by Modified Pictorial Epworth Sleepiness Scale in Indian subjects[J]. Indian J Tuberc, 2015, 62(4): 222-225.
10. Quaranta VN, Dragonieri S, Carratù P, et al. A new approach for the assessment of sleepiness and predictivity of obstructive sleep apnea in drivers: a pilot study[J]. Lung India, 2016, 33(1):14-19.
11. 朱燕波, 王琦, 折笠秀树. 中医体质量表的信度和效度评价[J]. 中国行为医学科学, 2007, 16(7): 651-654.
12. Hubbling A, Reilly-Spong M, Kreitzer MJ, et al. How mindfulness changed my sleep: focus groups with chronic insomnia patients[J]. BMC Complement Altern Med, 2014, 14(1): 50.
13. Choi HY, Lim WJ. Current clinical practice of insomnia[J]. Ewha Med J, 2013, 36(2): 84-92.
14. 解明. 失眠症患者的中医体质调查研究[D]. 济南: 山东中医药大学, 2005.
15. 江晓玲, 章莹, 雷莹, 等. 气郁质与失眠相关性的病例对照研究[J]. 中西医结合学报, 2012, 10(6): 655-662.
16. 夏晨, 朱群邦, 黄枫, 等. 上海市杨浦区127例老年失眠患者体质状况分析[J]. 中西医结合学报, 2012, 10(8): 866-873.
17. 蒋尚融, 王传刘, 林子江, 等. 失眠的预后及影响因素分析[J]. 医学研究杂志, 2012, 41(4): 38-40.
18. 孙瑜, 林梅. 浅谈大学生失眠的影响因素及干预对策[J]. 科技资讯, 2013(16): 245.

West China Medical Journal

Study on the Relationship of Traditional Chinese Medical Constitution and Chronic Insomnia

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