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      Analysis of Sleep Quality and TCM Constitution Characteristics in 258 Outpatients: A Cross-Sectional Study Based on Outpatient Cases

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      , , ,
      Applied Bionics and Biomechanics
      Hindawi

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          Abstract

          Objective

          To explore the correlation between traditional Chinese medicine (TCM) constitutions and insomnia by studying the distribution characteristics of different TCM constitutions in an outpatient insomnia population.

          Methods

          From November 2020 to March 2021, 258 patients in the outpatient department of the Traditional Medicine Department of Tongren Hospital were interviewed using some questionnaires (Athens Insomnia Scale and constitution of traditional Chinese medicine), and correlation analysis was conducted.

          Results

          The participants consisted of 152 (58.91%) insomniacs and 106 (41.09%) noninsomniacs. The top four biased constitutions of the insomniac population (the same patient may have two or more constitutions simultaneously), as determined from the proportions of constitutions in ascending order, are as follows: Qi deficiency constitution, 95 cases (62.50%); Yang deficiency constitution, 85 cases (45.95%); blood stasis, 70 cases (37.84%); and qi stagnation, 65 cases (35.14%). The results of the Spearman correlation analysis showed that the standard scores of qi deficiency, Yang deficiency, blood stasis, and Qi stagnation were positively correlated with the total score of AIS ( P < 0.05).

          Conclusion

          Insomnia is correlated and the TCM constitution bias, Qi deficiency, Yang deficiency, blood stasis, and Qi stagnation exhibiting the highest correlation.

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          Most cited references15

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          Chronic insomnia.

          Insomnia is a prevalent complaint in clinical practice that can present independently or comorbidly with another medical or psychiatric disorder. In either case, it might need treatment of its own. Of the different therapeutic options available, benzodiazepine-receptor agonists (BzRAs) and cognitive-behavioural therapy (CBT) are supported by the best empirical evidence. BzRAs are readily available and effective in the short-term management of insomnia, but evidence of long-term efficacy is scarce and most hypnotic drugs are associated with potential adverse effects. CBT is an effective alternative for chronic insomnia. Although more time consuming than drug management, CBT produces sleep improvements that are sustained over time, and this therapy is accepted by patients. Although CBT is not readily available in most clinical settings, access and delivery can be made easier through use of innovative methods such as telephone consultations, group therapy, and self-help approaches. Combined CBT and drug treatment can optimise outcomes, although evidence to guide clinical practice on the best way to integrate these approaches is scarce. Copyright © 2012 Elsevier Ltd. All rights reserved.
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            Advances in the management of chronic insomnia

            Chronic insomnia is a common condition that affects people worldwide and has negative effects on patients' health and wellbeing. The treatment of insomnia can be complex and time consuming for patients and providers. Although behavioral interventions are the first line therapy, there are barriers to access for these treatments. However, in recent years, alternative ways of providing these behavioral therapies that make them more widely available have been investigated. Drugs also play an important role in the treatment of insomnia and new drugs have been introduced as options for treating patients with sleep initiation and sleep maintenance insomnia. In this review, we will discuss advances in the past six years in both non-pharmacologic and pharmacologic treatments for patients with chronic insomnia. We will also review the controversies surrounding some of the current drug treatments, as well as the role that technology and personal activity monitoring devices may play in treating insomnia.
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              Clinical research linking Traditional Chinese Medicine constitution types with diseases: a literature review of 1639 observational studies.

              To analyze clinical studies on correlations between Traditional Chinese Medicine (TCM) body constitution types and diseases published in the past 10 years, and to provide an evidence base to support the use of such correlations for health maintenance and disease prevention.
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                Author and article information

                Contributors
                Journal
                Appl Bionics Biomech
                Appl Bionics Biomech
                ABB
                Applied Bionics and Biomechanics
                Hindawi
                1176-2322
                1754-2103
                2022
                10 August 2022
                : 2022
                : 2952531
                Affiliations
                Department of Traditional Chinese Medicine, Beijing TongRen Hospital, Capital Medical University, Beijing 100730, China
                Author notes

                Academic Editor: Ye Liu

                Author information
                https://orcid.org/0000-0002-4031-4392
                https://orcid.org/0000-0003-4446-052X
                Article
                10.1155/2022/2952531
                9385366
                35989714
                b0e28ef0-0d10-439c-b9bf-d38f4874b746
                Copyright © 2022 Chang Liu et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 23 May 2022
                : 29 June 2022
                : 2 July 2022
                Categories
                Research Article

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