厥阴经“输刺”法针刺治疗肝火扰心型不寐的临床疗效观察  

Clinical Observation of Jueyin Meridian Transport Point-Needling Technique for Treating Insomnia of Liver Fire Disturbing the Heart Type

作　　者：张鑫[1] 刘勇[2] ZHANG Xin;LIU Yong(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《中医药信息》2025年第1期67-70,75,共5页Information on Traditional Chinese Medicine

基　　金：黑龙江省中医药科研项目(2024283478827)。

摘　　要：目的:观察厥阴经“输刺”法针刺治疗肝火扰心型不寐患者的临床疗效。方法:选取符合纳入标准的68例肝火扰心型不寐患者,依据随机数字表随机分为输刺针刺组和常规针刺组,每组各34例。输刺针刺组采用厥阴经“输刺”配穴法针刺治疗(穴取双侧行间、太冲、肝俞、劳宫、大陵、厥阴俞),常规针刺组采用常规穴位针刺治疗,均治疗4周。观察两组患者治疗前后匹兹堡睡眠质量指数(PSQI)、蒙特利尔认知评估量表(MoCA)、焦虑自评表(SAS)及抑郁自评表(SDS)评分的变化情况,并比较两组疗效。结果:输刺针刺组总有效率为94.12%(32/34),明显高于常规针刺组的88.24%(30/34)(P<0.05)。两组患者治疗后PSQI、SAS、SDS评分均较治疗前降低(P<0.05),且输刺针刺组低于常规针刺组(P<0.05);两组患者治疗后MoCA评分均高于治疗前(P<0.05),且输刺针刺组高于常规针刺组(P<0.05)。结论:厥阴经“输刺”配穴法针刺治疗能有效提高肝火扰心型不寐患者的睡眠质量及认知水平,明显缓解焦虑、抑郁等不良情绪,临床疗效显著。Objective:To observe the clinical efficacy of the Jueyin Meridian transport point-needling technique in treating insomnia of the liver fire disturbing the heart type.Methods:Sixty-eight patients with liver fire disturbing the heart type insomnia who met the inclusion criteria were randomly divided into the transport point-needling group and the conventional needling group,with 34 patients in each group.The transport point-needling group received acupuncture using the Jueyin Meridian transport point-needlingt technique at specific acupoints,Xingjian(LR2),Taichong(LR3),Ganshu(BL18),Laogong(PC8),Daling(PC7),and Jueyinshu(BL14)on both sides.The conventional needling group received standard acupuncture treatment.Both groups were treated for 4 weeks.Changes in Pittsburgh Sleep Quality Index(PSQI),Montreal Cognitive Assessment(MoCA),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)scores were observed before and after treatment,and efficacy was compared between the groups.Results:The total effective rate in the transport point-needling group was 94.12%(32/34),significantly higher than 88.24%(30/34)in the conventional needling group(P<0.05).Post-treatment,PSQI,SAS,and SDS scores were significantly lower in both groups(P<0.05),with the transport point-needling group showing greater reductions than the conventional group(P<0.05).MoCA scores increased in both groups posttreatment(P<0.05),with the transport point-needling group scoring higher than the conventional group(P<0.05).Conclusion:The Jueyin Meridian transport point-needling technique effectively improves sleep quality and cognitive function in patients with liver fire disturbing the heart type insomnia and significantly alleviates anxiety and depression,showing marked clinical efficacy.

关 键 词：厥阴经 输刺法 针刺 肝火扰心型 不寐 

分 类 号：R246.6[医药卫生—针灸推拿学]