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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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.
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15.	江曉玲, 章瑩, 雷瑩, 等. 氣郁質與失眠相關性的病例對照研究[J]. 中西醫結合學報, 2012, 10(6): 655-662.
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17.	蔣尚融, 王傳劉, 林子江, 等. 失眠的預后及影響因素分析[J]. 醫學研究雜志, 2012, 41(4): 38-40.
18.	孫瑜, 林梅. 淺談大學生失眠的影響因素及干預對策[J]. 科技資訊, 2013(16): 245.

1. 失眠定義、診斷及藥物治療共識專家組. 失眠定義、診斷及藥物治療專家共識(草案)[J]. 中華神經科雜志, 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. 鐘宇峰, 李黎, 包祖曉, 等. 慢性失眠(譯自新英格蘭醫學雜志) [C]//2011年浙江省醫學會精神病學分會學術年會暨浙江省醫師協會精神科醫師分會第四屆年會論文匯編, 2011: 302-307.
4. Neubauer DN. Chronic insomnia[J]. Continuum (Minneap Minn), 2013, 19(1 Sleep Disorders): 50-66.
5. 王琦. 中醫體質學[M]. 北京: 中國醫藥科技出版社, 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. 馬曉峰. 中醫體質學術發展史及中西醫學體質學說比較研究[D]. 北京:北京中醫藥大學, 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, 折笠秀樹. 中醫體質量表的信度和效度評價[J]. 中國行為醫學科學, 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. 失眠癥患者的中醫體質調查研究[D]. 濟南: 山東中醫藥大學, 2005.
15. 江曉玲, 章瑩, 雷瑩, 等. 氣郁質與失眠相關性的病例對照研究[J]. 中西醫結合學報, 2012, 10(6): 655-662.
16. 夏晨, 朱群邦, 黃楓, 等. 上海市楊浦區127例老年失眠患者體質狀況分析[J]. 中西醫結合學報, 2012, 10(8): 866-873.
17. 蔣尚融, 王傳劉, 林子江, 等. 失眠的預后及影響因素分析[J]. 醫學研究雜志, 2012, 41(4): 38-40.
18. 孫瑜, 林梅. 淺談大學生失眠的影響因素及干預對策[J]. 科技資訊, 2013(16): 245.

West China Medical Journal

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

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