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| Clinical efficacy of Tianma Gouteng Decoction combined with auricular therapy in the treatment of H-type hypertension with insomnia |
| Hits 50 Download times 13 Received:February 02, 2026 |
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| DOI
10.11656/j.issn.1672-1519.2026.05.04 |
| Key Words
Tianma Gouteng Decoction;auricular holographic therapy;liver yang hyperactivity;H-type hypertension;insomnia |
| Author Name | Affiliation | E-mail | | CHEN Shengnan | Section of Geriatrics, Sichuan Integrative Medicine Hospital, Chengdu 610041, China | | | HONG Yong | Department of Pain, The People's Hospital of Pengzhou, Pengzhou 610000, China | | | JIN Chengzhi | Section of Geriatrics, Sichuan Integrative Medicine Hospital, Chengdu 610041, China | 19551348@qq.com | | HAN Shiyu | Section of Geriatrics, Sichuan Integrative Medicine Hospital, Chengdu 610041, China | |
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| Abstract
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| [Objective] This randomized controlled trial evaluated the efficacy of Tianma Gouteng Decoction combined with auricular holographic therapy for patients with H-type hypertension（HHT） due to liver yang hyperactivity complicated by insomnia. [Methods] A total of 110 patients with liver yang hyperactivity（HHT） with insomnia were recruited between July 2022 and December 2024 from the geriatric outpatient and inpatient departments of Sichuan Integrative Medicine Hospital. Random sequences were generated using SPSS 26.0 software and concealed using opaque envelopes. Patients were assigned to either the experimental group（n=55） or control group（n=55） in a 1∶1 ratio based on their order of presentation. The control group received conventional antihypertensive therapy，homocysteine（Hcy） reduction protocols，and health education. The experimental group added Tianma Gouteng Decoction combined with auricular holographic intervention to the control group regimen. Differences between groups were assessed for clinical efficacy，blood pressure levels，Pittsburgh Sleep Quality Index（PSQI） scores，homocysteine levels，and traditional Chinese medicine syndrome scores，with adverse reactions recorded. [Results] The overall clinical response rate in the experimental group was 96.36%，significantly higher than the 85.45% in the control group（χ2=4.725，P=0.014）. At weeks 3，4，and 12 post-treatment，blood pressure levels in both groups decreased significantly from baseline，with a greater reduction in the experimental group（P<0.05）. PSQI scores in both groups decreased at weeks 3，4，and 12 post-treatment compared to baseline，with the experimental group exhibiting lower scores than the control group at these time points. Homocysteine levels decreased in both groups compared to baseline，with the experimental group showing significantly lower levels than the control group（P<0.05）. Regarding Traditional Chinese Medicine syndrome scores，both groups showed significant reductions post-treatment compared to baseline（P<0.05），with the experimental group exhibiting a markedly greater decrease than the control group（P<0.05）. No adverse reactions occurred in either group throughout the study. [Conclusion] The combination of Tianma Gouteng Decoction with auricular holographic therapy demonstrates certain advantages in improving symptoms and related indicators in patients with HHT with insomnia due to liver yang hyperactivity. This treatment exhibits high safety during the therapeutic process and can be further explored and applied as an effective clinical approach for managing this condition. |
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