Self-formulated 'Huoxue Tongluo Decoction' medicinal bath combined with oral Chinese medicine for the treatment of insomnia
自拟“活血通络汤”药浴结合口服中药治疗不寐

摘要

目的 分析临床运用自拟的“活血通络汤”通过药浴联合口服中药手段治疗不寐患者后所取得的实际疗效。方法 本次临床研究针对2024年1月至2025年6月期间，在我院就诊的60例不寐患者进行了治疗探究。患者的分组采用的是随机投掷硬币的方式；其中，参照组共有30例患者，该组患者接受的是常规口服药物治疗方案；而研究组同样包含30例患者，除了接受与参照组相同的常规口服药物治疗外，还额外采用了中药口服联合自拟的“活血通络汤”进行药浴治疗。研究的主要目的是观察并对比两组患者的治疗有效率、失眠状况、睡眠质量评分以及中医证候评分的差异。结果 与参照组不寐患者相较，研究组患者的治疗总有效率在临床统计上呈现出显著提升（P<0.05）。在治疗开始之前，两组患者的失眠状况以及睡眠质量评分并未表现出明显差异（P>0.05）。经过治疗之后，两组患者的失眠状况均有所改善，且睡眠质量评分也呈现出显著性下降（P<0.05）。在治疗前，两组患者的各项中医证候评分也未见显著差异（P>0.05）；治疗后，患者的各项中医证候评分结果均表现为显著性降低（P<0.05）。结论 临床对不寐患者在给予治疗期间，自拟“活血通络汤”药浴以及口服中药方法的充分结合，可促进疗效的提升，有效改善患者的失眠情况以及中医证候，明显提升患者的睡眠质量。

Abstract

Objective To analyze the clinical efficacy of the self-formulated "Huoxue Tongluo Decoction" administered via herbal bath combined with oral traditional Chinese medicine (TCM) in patients with insomnia.
Methods In this clinical study, 60 insomnia patients who visited our hospital from January 2024 to June 2025 were investigated and treated. Patients were randomly assigned to groups using a coin toss. The control group comprised 30 patients who received conventional oral medication. The study group also included 30 patients who, in addition to receiving the same conventional oral medication as the control group, were treated with a combination of oral TCM and herbal bath using the self-formulated "Huoxue Tongluo Decoction." The primary objective of the study was to observe and compare the treatment efficacy, insomnia condition, sleep quality scores, and TCM syndrome scores between the two groups.
Results Compared with the control group, the total effective rate of treatment in the study group was significantly higher (P<0.05). Before treatment, there were no significant differences in insomnia severity or sleep quality scores between the two groups (P>0.05). After treatment, both groups showed improvement in insomnia and a significant decrease in sleep quality scores (P<0.05). Before treatment, there were no significant differences in TCM syndrome scores between the groups (P>0.05); after treatment, the TCM syndrome scores of patients in the study group were significantly reduced (P<0.05).
Conclusion   In the clinical treatment of insomnia, the combined use of the self-formulated "Huoxue Tongluo Decoction" via herbal bath and oral TCM can enhance treatment efficacy, effectively improve insomnia symptoms and TCM syndromes, and significantly improve patients' sleep quality.