Abstract 【Objective】 To explore the efficacy of auricular acupoint pressing(press-needle implantation) combined with a modified Huanglian Wendan Decoction in treating female patients with climacteric syndrome (CMS) accompanied by sleep disorders.【Methods】Ninety-six female patients with CMS and sleep disorders were randomly divided into a control group and an observation group, with 48 patients in each group. The control group was treated with oral estazolam, while the observation group received auricular acupoint pressing(press-needle implantation) combined with a modified Huanglian Wendan Decoction. Clinical efficacy, serum hormone levels [estradiol (E2), follicle-stimulating hormone (FSH), luteinizing hormone (LH)], Traditional Chinese Medicine (TCM) syndrome scores, and sleep quality [Pittsburgh Sleep Quality Index (PSQI)] were compared between the two groups before and after treatment.【Results】 After treatment, the TCM syndrome scores, FSH levels, and PSQI scores of both groups were lower than before treatment (P<0.05), and E2 levels were higher than before treatment (P<0.05). The total effective rate and E2 levels in the observation group were higher than those in the control group, while TCM syndrome scores, FSH levels, and PSQI scores were lower than those in the control group (P<0.05).【Conclusion】 Auricular acupoint pressing combined with a modified Huanglian Wendan Decoction can significantly improve the efficacy and E2 levels in female patients with CMS and sleep disorders, while reducing TCM syndrome scores, serum FSH levels, and PSQI scores. Its clinical efficacy is superior to that of estazolam.
2025, Vol. 42 
