从心脑同治探讨针灸治疗脑卒中后失眠  

Acupuncture and Moxibustion Treatment of Insomnia After Stroke from Simultaneous Treatment of Heart and Brain

作　　者：李缓 王肖煜 唐若涵 瞿慧 赵琦[1,2] 杜宇征 LI Huan;WANG Xiaoyu;TANG Ruohan;QU Hui;ZHAO Qi;DU Yuzheng(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院,天津300193 [2]国家中医针灸临床医学研究中心,天津300193

出　　处：《山东中医杂志》2024年第9期977-981,1005,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划项目(编号:2019YFC0840709);国家中医药管理局国家中医临床研究基地业务建设科研专项(编号:JDZX2015021);天津市科技计划项目(编号:18PTLCSY00060)。

摘　　要：中医学认为心脑以血同源、共主神明、经脉相通,与现代生物学中脑、心息息相关,故有心脑同治理论。脑卒中后失眠病位在脑,与心紧密相关。脑损正虚、痰瘀阻窍是发病之根本,心神被扰、神无所倚是发病之关键。针灸治疗脑卒中后失眠优势凸显。从心脑同治理论出发,依据脑卒中后失眠心脑共患的病机特点,针灸治疗取穴宜以心脑穴位为主,调脑主取百会、印堂、神庭、四神聪,治心主取神门、内关。Traditional Chinese medicine believes that the heart and brain share the same origin of blood,and cooperatively regulate the mind,and the meridians are connected,which is closely related to the brain and heart in modern biology,so there is the theory of the simultaneous treatment of heart and brain.Post-stroke insomnia is located in the brain and closely related to the heart.Deficiency of healthy qi after brain damage,phlegm and blood stasis blocking the brain orifices is the root of the disease,and the key to the disease is that the mind is disturbed and the spirit has no attachment.The advantages of acupuncture and moxibustion in treating insomnia after stroke are prominent.Starting from the theory of simultaneous treatment of heart and brain,according to the pathogenesis characteristics of insomnia after stroke,the acupoints of heart and brain are the main acupoints in the treatment of insomnia after stroke.Baihui(GV20),Yintang(EX-HN3),Shenting(GV24)and Sishencong(EX-HN1)are mainly selected for brain regulation,and Shenmen(HT7)and Neiguan(PC6)are mainly selected for heart treatment.

关 键 词：脑卒中后失眠 心脑同治 针灸 脑损正虚 痰瘀阻窍 心神被扰 

分 类 号：R246.6[医药卫生—针灸推拿学]