BOOK
Evidence-based Clinical Chinese Medicine - Volume 7: Insomnia
Xue Charlie Changli | Lu Chuanjian | Shergis Johannah
(2018)
Additional Information
Book Details
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Contents | xxv | ||
| Disclamier | v | ||
| Foreword | vii | ||
| Purpose of the Monograph | xi | ||
| Authors and Contributors | xv | ||
| Members of Advisory Committee and Panel | xvii | ||
| Professor Charlie Changli Xue, PhD | xix | ||
| Professor Chuanjian Lu, MD | xxi | ||
| Acknowledgments | xxiii | ||
| List of Figures | xxxv | ||
| List of Tables | xxxvii | ||
| 1. Introduction to Insomnia | 1 | ||
| Definition of Insomnia | 1 | ||
| Epidemiology | 2 | ||
| Burden | 2 | ||
| Risk Factors | 2 | ||
| Diagnosis | 3 | ||
| Differential Diagnosis | 4 | ||
| Pathophysiology of Insomnia | 6 | ||
| Management | 7 | ||
| Pharmacological Management | 8 | ||
| Complementary and Alternative Medicine Therapies | 9 | ||
| Prognosis | 9 | ||
| References | 9 | ||
| 2. Insomnia in Chinese Medicine | 17 | ||
| Introduction | 17 | ||
| Aetiology and Pathogenesis | 18 | ||
| Syndrome Differentiation and Treatments | 18 | ||
| Treatment Based on Syndrome Differentiation | 19 | ||
| Depressed Liver Qi Transforming into Fire | 21 | ||
| Internal Harassment of Phlegm-Heat | 21 | ||
| Dual Deficiency of the Heart and Spleen | 22 | ||
| Qi Deficiency of the Heart and Gallbladder | 23 | ||
| Yin Deficiency with Effulgent Fire | 23 | ||
| Non-interaction between the Heart and Kidney | 24 | ||
| Intense Heart Fire | 24 | ||
| Blood Stasis Obstructing the Brain Collateral | 25 | ||
| Stomach Disharmony | 25 | ||
| Manufactured Medicines | 26 | ||
| Acupuncture Therapies | 26 | ||
| Ear Acupuncture | 28 | ||
| Other Chinese Medicine Therapies | 29 | ||
| Other Management Strategies | 29 | ||
| References | 30 | ||
| 3. Classical Chinese Medicine Literature | 31 | ||
| Introduction | 31 | ||
| Search Terms | 32 | ||
| Search Procedure and Data Coding | 33 | ||
| Data Analysis Procedure | 34 | ||
| Search Results | 35 | ||
| Frequency of Citations by Dynasty | 36 | ||
| Chinese Herbal Medicine | 37 | ||
| Wen dan tang 温胆汤 | 39 | ||
| Citations Related to Insomnia | 40 | ||
| Most Frequent Herbs in Insomnia Citations | 40 | ||
| Acupuncture and Related Therapies | 42 | ||
| Other Chinese Medicine Therapies | 42 | ||
| Classical Literature in Perspective | 44 | ||
| References | 44 | ||
| 4. Method of Evaluating Clinical Evidence | 47 | ||
| Introduction | 47 | ||
| Search Strategy | 48 | ||
| Inclusion Criteria | 50 | ||
| Exclusion Criteria | 50 | ||
| Outcomes | 50 | ||
| Risk of Bias Assessment | 52 | ||
| Statistical Analyses | 54 | ||
| Assessment Using GRADE | 54 | ||
| References | 56 | ||
| 5. Clinical Evidence for Chinese Herbal Medicine | 59 | ||
| Introduction | 59 | ||
| Previous Systematic Reviews | 59 | ||
| Characteristics of Clinical Studies of Chinese Herbal Medicine | 61 | ||
| Chinese Herbal Medicine Treatments | 61 | ||
| Randomised Controlled Trials of Chinese Herbal Medicine | 63 | ||
| Chinese Herbal Medicine Treatments | 64 | ||
| Risk of Bias | 67 | ||
| Sleep Quality | 68 | ||
| Pittsburgh Sleep Quality Index | 68 | ||
| Athens Insomnia Scale | 71 | ||
| Sleep Dysfunction Rating Scale | 72 | ||
| Self-rating Scale of Sleep | 72 | ||
| Spiegel Sleep Questionnaire | 73 | ||
| Subjective Sleep Parameters | 73 | ||
| Sleep Onset Latency | 73 | ||
| Total Sleep Duration | 73 | ||
| Sleep Efficiency | 74 | ||
| Polysomnography | 74 | ||
| Sleep Onset Latency | 74 | ||
| Total Sleep Duration | 74 | ||
| Wake After Sleep Onset | 75 | ||
| Sleep Efficiency | 75 | ||
| Depression and Anxiety Scales | 75 | ||
| Hamilton Rating Scale for Depression | 75 | ||
| Hamilton Rating Scale for Anxiety | 76 | ||
| Zung’s Self-rating Depression Scale | 76 | ||
| Zung’s Self-rating Anxiety Scale | 77 | ||
| Daytime Functional Impairment | 77 | ||
| Quality of Life | 77 | ||
| Clinician-rated Outcomes | 78 | ||
| Clinician Global Impression-severity | 78 | ||
| Effective Rate | 78 | ||
| Effective Rate Defined by the New Drug Guideline | 78 | ||
| Effective Rate Defined by the Chinese Medicine Standards | 79 | ||
| Assessment Using GRADE | 80 | ||
| Chinese Herbal Medicine vs. Placebo | 80 | ||
| Chinese Herbal Medicine vs. Benzodiazepine Drugs | 80 | ||
| Chinese Herbal Medicine vs. Non-Benzodiazepine Drugs | 80 | ||
| Chinese Herbal Medicine plus Psychotherapy vs. Psychotherapy | 86 | ||
| Randomised Controlled Trial Evidence for Individual Formulae | 86 | ||
| Wen dan tang 温胆汤 | 86 | ||
| Suan zao ren tang 酸枣仁汤 | 86 | ||
| Subjective sleep quality | 86 | ||
| Clinician-rated outcomes | 89 | ||
| Depression and anxiety scales | 89 | ||
| Xue fu zhu yu tang 血府逐瘀汤 | 89 | ||
| Sleep quality | 89 | ||
| Subjective sleep parameters | 90 | ||
| Depression and anxiety scales | 90 | ||
| Clinician-rated outcomes | 90 | ||
| Gui pi tang 归脾汤 | 90 | ||
| Sleep quality and subjective sleep parameters | 91 | ||
| 6. Pharmacological Actions of the Frequently Used Herbs | 143 | ||
| Introduction | 143 | ||
| Methods | 143 | ||
| Experimental Studies on suan zao ren 酸枣仁 | 144 | ||
| Experimental Studies on fu ling 茯苓 | 145 | ||
| Experimental Studies on ye jiao teng 夜交藤 | 146 | ||
| Experimental Studies on dang gui 当归 | 146 | ||
| Experimental Studies on yuan zhi 远志 | 147 | ||
| Experimental Studies on chuan xiong 川芎 | 147 | ||
| Experimental Studies on dan shen 丹参 | 148 | ||
| Experimental Studies on bai shao 白芍 | 149 | ||
| Experimental Studies on chai hu 柴胡 | 149 | ||
| Experimental Studies on Gan Cao 甘草 | 150 | ||
| Summary of Pharmacological Actions of the Common Herbs | 150 | ||
| References | 151 | ||
| 7. Clinical Evidence for Acupuncture and Related Therapies | 161 | ||
| Introduction | 161 | ||
| Previous Systematic Reviews | 162 | ||
| Characteristics of Clinical Studies of Acupuncture and Related Therapies | 163 | ||
| Acupuncture Points | 165 | ||
| Chinese Medicine Syndromes | 165 | ||
| Randomised Controlled Trials of Acupuncture and Related Therapies | 165 | ||
| Acupuncture Treatments | 166 | ||
| Risk of Bias | 168 | ||
| Acupuncture | 169 | ||
| Results | 170 | ||
| Pittsburgh Sleep Quality Index | 170 | ||
| Pittsburgh Sleep Quality Index – Individual Domains | 170 | ||
| Athens Insomnia Scale | 172 | ||
| Self-rating Scale of Sleep | 172 | ||
| Spiegel Sleep Questionnaire | 172 | ||
| Polysomnography | 172 | ||
| Beck Anxiety Inventory | 173 | ||
| Hamilton Rating Scale for Depression and Anxiety | 173 | ||
| Zung Self-rating Depression and Anxiety Scale | 173 | ||
| Epworth Sleepiness Scale | 174 | ||
| Short Form Health Survey | 174 | ||
| Chinese Quality of Life Instrument | 174 | ||
| WHO Quality of Life Questionnaire | 174 | ||
| New Drug Guideline | 174 | ||
| Chinese Medicine Standards | 175 | ||
| Adverse Events | 175 | ||
| Assessment Using GRADE | 177 | ||
| Acupuncture vs. Sham/Placebo Acupuncture | 177 | ||
| Acupuncture vs. Benzodiazapine Drugs/Non-Benzodiazapine Drugs | 177 | ||
| Electroacupuncture | 177 | ||
| Scalp Acupuncture | 181 | ||
| Ear Acupuncture | 182 | ||
| Acupuncture plus Ear Acupressure | 182 | ||
| Results | 182 | ||
| Adverse Events | 183 | ||
| Ear Acupressure | 183 | ||
| Results | 184 | ||
| Adverse Events | 184 | ||
| Body Acupressure | 184 | ||
| Results | 185 | ||
| Adverse Events | 185 | ||
| Moxibustion | 186 | ||
| Results | 186 | ||
| Adverse Events | 186 | ||
| Frequently Reported Acupuncture Points in Meta-analyses Showing Favourable Effect | 186 | ||
| Controlled Clinical Trials of Acupuncture and Related Therapies | 190 | ||
| Results | 190 | ||
| Acupuncture | 190 | ||
| Ear Acupressure | 191 | ||
| Non-controlled Studies of Acupuncture and Related Therapies | 191 | ||
| Summary of Acupuncture and Related Therapies Clinical Evidence | 192 | ||
| References | 195 | ||
| 8. Clinical Evidence for Other Chinese Medicine Therapies | 207 | ||
| Introduction | 207 | ||
| Characteristics of Clinical Studies of Other Chinese Medicine Therapies | 208 | ||
| Randomised Controlled Trials of Other Chinese Medicine Therapies | 208 | ||
| Risk of Bias | 208 | ||
| Tuina 推拿 | 210 | ||
| Cupping | 210 | ||
| Roller Needle | 211 | ||
| Non-controlled Studies of Other Chinese Medicine Therapies | 211 | ||
| Summary of Other Chinese MedicineClinical Evidence | 212 | ||
| 9. Clinical Evidence for Combination Therapies | 215 | ||
| Introduction | 215 | ||
| Characteristics of Clinical Studies of Combination Therapies | 216 | ||
| Risk of Bias | 218 | ||
| Combination Therapies Results | 219 | ||
| Chinese Herbal Medicine plus Acupuncture | 219 | ||
| Adverse Events | 220 | ||
| Chinese Herbal Medicine plus Ear Acupressure | 220 | ||
| Adverse Events | 222 | ||
| Acupuncture plus Tuina | 222 | ||
| Adverse Events | 223 | ||
| Chinese Herbal Medicine Footbath plus Other Therapies | 223 | ||
| 10. Summary and Conclusions | 233 | ||
| Introduction | 233 | ||
| Chinese Herbal Medicine | 234 | ||
| Chinese Herbal Medicine: Clinical Trial Evidence | 234 | ||
| Individual Chinese Herbal Formulae | 238 | ||
| Acupuncture and Related Therapies | 238 | ||
| Acupuncture and Related Therapies: Clinical Trial Evidence | 240 | ||
| Individual Acupuncture Therapies | 241 | ||
| Other Chinese Medicine Therapies and Combination Therapies | 242 | ||
| Other Chinese Medicine Therapies: Clinical Trial Evidence | 243 | ||
| Conclusions | 243 | ||
| Implications for Practice | 243 | ||
| Implications for Research | 244 | ||
| References | 245 | ||
| Glossary | 247 | ||
| Index | 265 |