Journal of Advances in Clinical Nursing

Objective To evaluate and analyze the effect of Tongbian Gua Sha combined with balanced cupping on perimenopausal insomnia of kidney deficiency and liver depression based on the theory of "meridians in season". Methods 80 cases of perimenopausal insomnia patients with kidney deficiency and liver depression in our hospital were collected as research objects, conducted from December 2022 to January 2024, and randomly divided into TCM nursing group and traditional group, with 40 cases in each group. Both groups were treated with conventional Chinese and Western medicines, the traditional group was treated with conventional nursing intervention, and the traditional Chinese medicine nursing group was treated with combined balanced cupping therapy combined with nursing intervention on this basis. The intervention effect, TCM symptom score and sleep quality Scale (PSQI) score of the two groups were observed, and the statistical analysis was compared. Results After intervention, the total effective rate of TCM nursing group was 95.0% (38/40), which was higher than that of traditional nursing group (80.0% (32/40) (P < 0.05). Compared with before intervention, TCM symptom score and PSQI score of the two groups were significantly decreased after intervention, and the effect of TCM nursing group was better (P < 0.05). Conclusion Using the theory of "meridians in season", the evaluation theory of Tongbian Gua sha combined with balanced cupping in the treatment of perimenopausal insomnia of kidney deficiency and liver depression has obvious effect, and can better improve the insomnia state of patients, and is worthy of application.

"meridians in season" theory; Copper bian guasha; Balanced cupping; Kidney deficiency liver depression type perimenopausal insomnia