The Study of the Relationship of Insomnia in the Traditional Chinese Medicine and Western Medicine at Local Clinic
The Study of the Relationship of Insomnia in the Traditional Chinese Medicine and Western Medicine at Local Clinic
Insomnia is one of the most main diseases of civilization in the world, which chronic
 insomnia is up to 30% in Taiwan under the latest statistics and a common disease which
 appears to sleep difficultly, sleep interrupted, wake up early or wake up still tired.
 Long-term persistence of these symptoms will lead to the occurrence of mental illness and
 then affect people's emotional behavior and cognitive memory, showing that insomnia is an
 important modern health issues. Recently, "individual response patterns" was proposed by
 modern medicine. This thinking process and spirit seems to be compatible with the traditional
 Chinese medicine (TCM) therapy of "Differential Treatment". The purpose of this study, the
 Athens Insomnia Scale (AIS), commonly used to quickly screen for insomnia patients and the
 evaluation of Western medicine efficacy in Western medicine clinic, and investigation of
 Syndrome Type of TCM to find out whether with Syndrome Type of TCM and AIS in the associated
 factors, and confirm the necessity and importance of Syndrome Type of TCM, for future
 reference and basis for the development of integrated medicine.

 In the cross-section study with an interview on survey, sampling Miaoli County an Chinese
 medicine clinic, in line with standard sampling of 200 patients with insomnia were recruited.
 The questionnaires contained two instruments including Athens Insomnia Scale (AIS), and
 Syndrome Type of TCM questionnaire. Cross-table, chi-square test, variance analysis and
 Pearson product-moment correlation was used to find the relation.
Insomnia is a common sleep disturbance, there were more than a quarter of people with sleep
 disorders, the prevalence with more and higher, seriously affecting the health and quality of
 life. The Athens Insomnia Scale (referred to as AIS) can help physicians more accurately
 diagnose and understand the state of insomnia patients. The purpose of this study was
 investigated the correlation among the disease status, treatment and AIS assessment, hoping
 enough traditional Chinese physician and Western physician's clinical reference. Methods:
 This study used the cross-sectional questionnaire survey with the convenience sampling
 method. Screened 200 patients according to the diagnostic criteria for insomnia and conducted
 a survey from the local clinic at Miaoli County.
Inclusion Criteria:

 -  Compliance with the International Statistical Classification of Diseases and Related
 Health Problems (ICD)-10 and the Diagnostic and Statistical Manual of Mental Disorders
 (DSM)-IV and other international standards in the diagnosis of non-organic insomnia
 criteria to determine the main diagnosis and secondary diagnosis of insomnia: A.
 Complaint of difficulty initiating sleep, difficulty maintaining sleep, or waking up
 too early, or sleep that is chronically nonrestorative or poor in quality. B. Any
 sleep difficulty at least three times a week and during the period of the last month.
 C. Over concerns or worries about sleep. D. The night time sleep difficulty is related
 to daytime impairment: mood disturbance or social and vocational dysfunction

 -  Cooperation with physician voluntarily, communication with physician normally

 Exclusion Criteria:

 -  Teenagers and babies

 -  Insomnia associated with other sleep disorders most commonly includes sleep related
 breathing disorders (e.g.,obstructive sleep apnea), movement disorders (e.g.,restless
 legs or periodic limb movements during sleep) or circadian rhythm sleep disorders;

 -  Insomnia due to medical or psychiatric disorders (Schizophrenia, paranoia, affective
 psychosis, bipolar disorder, depression, organic psychosis like brain injury,
 epilepsy, dementia and so on), or to drug/substance (comorbid insomnia); and

 -  Primary insomnias including psychophysiological, idiopathic, and paradoxical
 insomnias.

 -  Lack of intelligence or other reasons it is difficult to correctly fill the
 questionnaire