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Hsiu-Mei Chen1 Zhi-Long Wang2 Pei-Yuan Weng3 Ming-Yih Lee3
Shih-Checo Kang4 Xuan-Ming Cao5 Wan-An Lu6*
1Life Study Group for Graduate Institute of Life and Religions Studies, Fo Guang
University,Yilan, Taiwan
2Division of Traditional Chinese Medicine, National Yang Ming University Hospital, Yilan, Taiwan
3Division of Psychiatry, National Yang Ming University Hospital, Yilan, Taiwan
4Division of Family Medicine, National Yang-Ming University Hospital, Yilan, Taiwan
5Division of Cardiology, National Yang Ming University Hospital and National Yang
MingUniversity, Yilan, Taiwan
6Department of Cultural Assets and Reinvention, Fo Guang University, Yilan, Taiwan
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Purpose: The 1/10 population of the whole station suffers from chronic insomnia in Taiwan. The chronic insomnia of shift workers is 2.18 times that of the day shift. Insomnia is a common complaint in traditional Chinese medicine (TCM)clinics. Many diseases are often accompanied by the occurrence of insomnia, plus complex of the causes and types of insomnia, so easy to cause clinical difficult in syndrome differentiation. The purpose of this study was investigated the
correlation among the demographic data, disease status, family history, treatment and the classification of TCM syndromes for insomnia assessment.
Methods: This study used the cross-sectional questionnaire survey with the convenience sampling method. Screened patients according to the diagnostic criteria for insomnia and conducted a survey from the psychiatric outpatient department of regional teaching hospital in Yilan y.
Results: There were 180 cases of insomnia, 118 females and 62 males, aged 22-80 years old, with an average age of 51.6±13.4 years old. TCM syndrome differentiation was performed by 70 cases (38.9%) with the most type of Yinxuhuowang, and followed in descending order were 60 cases (33.3%) of Ganyuhuahuo type, 26 cases (14.4%) of Tanreneirao type, 10 cases (5.6%) of Xindanqixuxing type, 8 cases (4.4%) of Xinbiliangxu type, and 6 cases (3.3%) of Other type. The gender, age, marital status, BMI, waist circumference, education level, occupation, shift, smoking, drinking, duration of illness, treatment with Western medicine, whether or not received or combined with other treatments were not significantly related to TCM syndrome differentiation. There is a significant correlation with p< .05 between family history and TCM syndrome differentiation.
Conclusion: There was significant correlation between the classification of TCM and family history in insomnia. In other words, TCM syndrome differentiation might be related to hereditary constitution. This indicated that the classification of TCM was evidence on actuality. This study will provide health care workers and people on insomnia, and as a modern reference in integrative medicine.
Keywords：insomnia, traditional Chinese diagnostic patterns identification, primary insomnia, secondary insomnia
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231.1門診失眠患者中醫辨證分型與基本資料之相關性研究
