Efficacy analysis of auricular acupoint combined with five-element music therapy in intervening insomnia and anxiety among college students
中医耳穴结合五音疗法干预大学生失眠及焦虑的疗效分析

摘要

目的 探究耳穴贴压疗法与五音疗法相结合改善大学生失眠与焦虑症状的疗效。方法 通过不寐中医证候积分、匹兹堡睡眠质量指数（PSQI）总分、SAS量表统计民政职业大学护理专业196名学生的数据，根据数据结果筛选存在失眠和焦虑的学生共计32名，根据其症状分为肝火扰心、痰热扰心、心脾两虚、心肾不交、心胆气虚5型，干预方案：耳穴选取王不留行籽，72h更换一次，穴位统一选取皮质下、心、肾、神门；五音疗法：根据证型适配宫商角徵羽之阴阳调，以每日21:00聆听定制音乐30分钟，8周后判定疗效。结果 总有效率为84.38%。PSQI评分平均降低4.2分，SAS评分平均降低9.59分，差异有统计学意义（P<0.05）。结论 中医耳穴结合五音疗法干预大学生失眠及焦虑可行性强且疗效确切。

Abstract

Objective To explore the efficacy of combining auricular acupoint pressure therapy with five-element music therapy in improving insomnia and anxiety symptoms among college students.
Methods Data from 196 nursing students at Minzhi Vocational University were collected using the Insomnia TCM Symptom Score, Pittsburgh Sleep Quality Index (PSQI), and Self-Rating Anxiety Scale (SAS). A total of 32 students with insomnia and anxiety were screened and classified into five TCM syndrome patterns: liver-fire disturbing the heart, phlegm-heat disturbing the heart, heart-spleen deficiency, heart-kidney imbalance, and heart-gallbladder qi deficiency. The intervention included auricular acupoint therapy with Vaccaria seeds (replaced every 72 hours, targeting subcortex, heart, kidney, and Shenmen points) and five-element music therapy (customized music based on syndrome types, aligned with the Yin-Yang balance of the five tones—Gong, Shang, Jue, Zhi, Yu—listened to daily at 21:00 for 30 minutes). Efficacy was evaluated after 8 weeks.
Results The total effective rate was 84.38%. PSQI scores decreased by an average of 4.2 points, and SAS scores decreased by 9.59 points, with statistically significant differences (P<0.05).
Conclusion   The combination of auricular acupoint therapy and five-element music therapy demonstrates strong feasibility and efficacy in alleviating insomnia and anxiety among college students.