基于俞募配穴法探讨不同剂量隔姜灸治疗心肾不交型不寐临床观察  

Different Doses of Ginger Separated Moxibustion in the Treatment of Insomnia of Heart-kidney Disharmony Type Based on the Method of Shu-mu Points Combination

作　　者：李娜 李晨 黄荣 LI Na;LI Chen;HUANG Rong(Department of Nursing,Jiujiang Hospital of Traditional Chinese Medicine,Jiangxi Province,Jiujiang 332000,China;The Second Clinical College,Guangzhou University of Chinese Medicine,Guangdong Province,Guangzhou 510006,China)

机构地区：[1]九江市中医医院护理部,江西九江332000 [2]广州中医药大学第二临床医学院,广东广州510006

出　　处：《中国中医药现代远程教育》2023年第22期117-120,共4页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察不同灸量隔姜灸治疗心肾不交型不寐的临床效果。方法将90例患者按简单随机方法分为2壮组(A组)、4壮组(B组)、6壮组(C组),使用“俞募配穴”法,取心俞、肾俞、京门、大敦、巨阙、关元。均予每日1次隔姜灸,连续6次为1疗程,持续2个疗程。观察3组治疗前及2个疗程后匹兹堡睡眠质量指数量表(PSQI)、中医症状量表评分及不良反应和临床效果。结果观察过程中3组共脱落5例,最终纳入病例85例。A组总有效率62.1%(18/29)明显低于B组的93.1%(27/29)、C组的96.3%(26/27)(P<0.05),B组与C组比较,差异无统计学意义(P>0.05)。治疗后,B组PSQI总积分及睡眠质量、入睡时间、催眠药物使用评分低于A、C组(P<0.05)。治疗过程中不良反应发生情况为A组未出现、B组1例、C组10例。结论隔姜灸可有效改善心肾不交型不寐,4壮组较2壮组和6壮组更安全有效。Objective To observe the clinical effect of different doses of ginger separated moxibustion on insomnia of heart-kidney disharmony type.Methods Ninty patients were randomly divided into 2 Zhuang group(group A),4 Zhuang group(group B)and 6 Zhuang group(group C).The method of“shu-mu points combination”was used to take Xinshu(BL15),Shenshu(BL23),Jingmen(GB25),Dadun(LR1),Juque(RN14)and Guanyuan(RN4).All patients were treated with ginger separated moxibustion once a day for six consecutive times for one course of treatment,lasting 2 courses.The scores of Pittsburgh Sleep Quality Index(PSQI),TCM syndrome scale,adverse reactions and clinical effects were observed before and after two courses of treatment in three groups.Results During the observation,5 cases were shed from the three groups,and 85 cases were finally included.The total effective rate of 62.1%(18/29)in group A was significantly lower than that of 93.1%(27/29)in group B and 96.3%(26/27)in group C(P<0.05).There was no significant difference between group B and group C(P>0.05).After treatment,the PSQI total score,sleep quality,sleep time and hypnotic drug use scores in group B were lower than those in group A and group C(P<0.05).Conclusion Ginger separated moxibustion can effectively improve insomnia of heart kidney disharmony type.The curative effect of 4 Zhuang group is better than that of 2 Zhuang group and 6 Zhuang group.

关 键 词：不寐 失眠 心肾不交证 隔姜灸 俞募配穴 

分 类 号：R246.6[医药卫生—针灸推拿学]