“推拿六步法”治疗失眠的临床研究  

Clinical Research of Insomnia Treated with Six-Step Tuina Therapy

作　　者：杨润[1] 杨东魁 陈克诚 任艳[1] 李志贵 

机构地区：[1]山西中医学院附属医院推拿二科,山西太原030024 [2]山西中西医结合医院,山西太原030013

出　　处：《世界中西医结合杂志》2017年第10期1436-1439,1443,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：山西省科技攻关计划项目(20150313005-11)

摘　　要：目的探讨"推拿六步法"治疗失眠的临床疗效。方法将符合标准的100例失眠患者随机分为对照组和治疗组,每组50例。对照组患者应用常规推拿手法治疗,补虚泻实,调整阴阳,采用一指禅推法、揉法、抹法、按法、扫散法、拿法、摩法在头面、颈肩及腹部操作。治疗组采用推拿六部法治疗,分为开关通经法、安抚脏腑法、导阳入阴法、补肾填精法、振腹调气法及护脑安神法,六步手法补泻结合,调和阴阳气血,恢复人体自身的平衡。两组患者共治疗3个疗程后观察临床疗效及中医证候和睡眠质量改善情况。结果治疗组治疗后总有效率为97.9%,对照组为87.0%,两组治疗后总有效率比较差异有统计学意义(P<0.05)。两组患者治疗后中医证候各项积分及PSQI量表各因子评分比较,治疗组下降程度均明显优于对照组,差异有统计学意义(P<0.05,P<0.01)。结论 "推拿六步法"治疗失眠其手法全面和完善,且临床效果显著,可进一步推广应用。Objective To discuss the clinical therapeutic effects on insomnia treated with six-step tuina therapy. Methods A total of 100 patients of insomnia were randomized into a control group and a treatment group,50 cases in each one. In the control group,the routine tuina manipulations were given on the principles as tonifying for the deficiency and reducing for the excess,as well as regulating yin and yang. One-finger pushing,rubbing,wiping,sweeping,holding and stroking methods were used on the hand,the face,the neck,the shoulder and the abdomen. In the treatment group,the six-step tuina therapy was adopted.There were the methods for promoting meridian circulation,regulating zangfu functions,conducting yang to yin,tonifying kidney and filling up essence,regulating qi and tranquilizing the mind. This therapy was the combination of tonifying and reducing methods and acted on regulating yin,yang,qi and blood,and recovering the self-balance of human body. After 3 courses of treatment,the clinical therapeutic effects,TCM syndrome and sleeping quality were observed in the two groups. Results The total effective rate was 97. 9% in the treatment group and was 87. 0% in the control group after treatment,indicating the significant difference（P〈0. 05）. After treatment,the scores of every TCM syndrome and PSQI scale were reduced apparently in the treatment group as compared with those in the control group,indicating the significant differences（P〈0. 05,P〈0. 01） after treatment. Conclusion The six-step tuina therapy achieves the remarkable clinical effects on insomnia due to its comprehensive treatment. It deserves to be further promoted.

关 键 词：失眠 推拿六步法 睡眠质量 

分 类 号：R256.23[医药卫生—中医内科学]