Acupuncture Beats Drug For Sleep
By HealthCMi, www.healthcmi.com | February 07, 2015
Acupuncture benefits sleep and reduces insomnia. Researchers conducted a single-blinded, randomized, placebo-controlled investigation comparing acupuncture with sham acupuncture and estazolam, a benzodiazepine medication. True (verum) acupuncture produced significantly superior patient outcomes for insomnia patients including improvements in sleep quality and total sleep time.
A two month follow-up to the treatment regime demonstrates that acupuncture is superior to sham acupuncture and estazolam for the improvement of sleep quality. True acupuncture also produced superior clinical results for sleep efficiency and daytime functioning. Acupuncture improved daytime functioning including: fatigue reduction, reduced sleepiness, increased alertness and concentration, reduced mood disturbances.
The researchers adhered to Traditional Chinese Medicine (TCM) manual acupuncture techniques and attribute the positive patient outcomes to following traditional treatment protocol guidelines. According to TCM principles, de qi is an indication of the effectiveness of acupuncture. The research team ensured that de qi was achieved at most of the acupuncture points. De qi is often subjectively reported as fullness or a radiating sensation felt at acupuncture points during needling. It is also reported as a tugging or pulling motion by acupuncturists applying the needles. The researchers note that de qi was achieved at 85% of the acupuncture points and that this may have been the reason for the effectiveness of the acupuncture.
Reporting on TCM theory concerning healthy sleep, the researchers note that sleep is regarded as a cycle. There is an energetic daytime functioning of individuals and a restful nocturnal sleep portion of the cycle. If the cycle is broken, there may be low spiritedness in the daytime and hyperarousal states in the nighttime. The function of acupuncture is to restore the normal cycle. Acupuncture points used in the study were classically based selections from TCM:
- Shenting (DU24)
- Sishencong (EX-HN1)
- Baihui (DU20)
- Shenmen (HT7)
- Sanyinjiao (SP6)
Acupuncture not only restored nighttime sleep but also improved daytime energetics. In contrast, patients in the estazolam medication group experienced adverse effects. This included daytime sleepiness that typically ceased by midday. The researchers note, “The trial implied that verum acupuncture was superior in improving sleep quality and daytime functioning of primary insomnia compared with estazolam and sham acupuncture.” The researchers also note that true acupuncture increased total sleep time and “improved sleep quality (SQ) and vitality (VT), decreased daytime dysfunction (DD) and sleepiness (ESS score).”